Uses of Standardized Nursing Terminology

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Uses of Standardized Nursing Terminology

(Uses of Standardized Nursing Terminology)

Question description

From your practice standpoint, what have you read this week in your text or in the lesson that offered a new view or appreciation for standardized terminology? Be specific.

example attached

Standardized Terminology(Uses of Standardized Nursing Terminology)

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What are the reasons why nurses need to be concerned about standardized terminology? In many prelicensure nursing programs, medical terminology is a required course. If it is not required, it is certainly implied that nurses be able to speak “medical.” However, using standardized terminology as it relates to nursing practice is imperative so that we can communicate among each other, other disciplines, and those who review nursing outcomes or data and provide reimbursement for services provided.

Benefits and Challenges of Standardized Terminology(Uses of Standardized Nursing Terminology)

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Imagine a room filled with 13 people who are all speaking different languages with no means for translation. That is what it is like for a computer to try to connect various programs when each computer is using a different terminology. Hebda and Czar (2013) offer a detailed description of the need for standardized terminology in order to collect aggregate data.

There have been many conversations over the years about the need for increased visibility of nursing activities. Nursing does not charge for individual services; therefore, patients do not see an accounting of specific nursing care that they received when they review their bills. Nurses go from one patient to the next, taking care of a multitude of needs, without documenting each and every activity or thought process for care coordination. Much of nursing care reflects the concept of data-to-wisdom that we discussed in Week 1, and it may not be documented as such.

If nursing data are to be visible, nursing activities must be retrievable, and for them to be retrievable, nursing concepts and activities have to be integrated into a Clinical Information System (CIS) or Health Information System (HIS) by using a language. That language must speak to other languages in the system, such as finance, resource management, and interdisciplinary and multidisciplinary partners. For example, we know that oral hygiene is an important personal care activity for our patients. If we want to be able to capture the nursing time, money, and resources spent on oral hygiene, first we have to be able to designate a category (personal hygiene), and then a term (oral care) that all system components are able to read.

Part of managing technological change as defined by Lorenzi and Riley (2010) is the understanding of unique aspects of nursing informatics and its application to the healthcare practice environment. A function of nurses in all practice settings is a commitment to change that is evidenced across nursing specialties and practice environments (Morrison & Symes, 2011). It is important that the nurse become familiar with nursing informatics language because it will increasingly be used in the future, particularly when it comes to meaningful use, which is a term discussed in another lesson. Nurses benefit from establishing relationships with an informatics nurse specialist who serves in one of the many roles emerging in this specialty.

ReflectionReflect on the nursing language that you use in your practice. Is the language shared by practitioners outside of your organization, in other words, do you speak the same language as your peers, perhaps in a different practice setting? If not, has this caused any problems with communication?

A systematic approach to naming is known as a nomenclature. Such terms are typically described according to a pre-established set of rules. Examples of nursing nomenclatures important to practice include SNO-MED and ICNP© (Coenen & Kim, 2010).

Informatics nurse specialists have documented current efforts toward meeting the demand for a reference terminology of nursing concepts. These specialists are building on the foundation of existing interface and administrative terminologies, and are collaborating with efforts to develop terminology across the spectrum of healthcare. Such efforts address the “languages” spoken by nurses in a variety of practice settings. These include but are not limited to

  • NANDA – North American Nursing Diagnosis Association;
  • NMDS – Nursing Minimum Data Set;
  • HHCC – Home Healthcare Classification;
  • OMAHA system, used in home care, hospice, public health, and prisons;
  • NIC/NOC – Nursing Interventions Classification (NIC)/Nursing Outcomes Classification (NOC); and
  • PCDS – Patient Care Data Set.

Let’s look at each language in more detail.

NANDA. The North American Nursing Diagnosis Association (NANDA) was first developed in 1950, and to date has grown to include a multitude of diagnoses (Whitley, 2009). Prelicensure nursing education programs often include nursing diagnoses in their curricula and serve as the basis for writing nursing care plans.

NMDS. The Nursing Minimum Data Set (NMDS) was first explained in 1972 through nursing research at the University of Iowa and included a focus on nursing diagnoses, nursing interventions, nursing outcomes, and intensity of nursing care (Fetter, 2009c). The NMDS evidences support for the notion that health and nursing informatics encompasses pivotal roles of data and information. NMDS identifies and documents essential data using nursing vocabularies and ensures adequate computer-based patient record systems. Through NMDS, nursing data, information, and knowledge is accessed and built using telecommunications to support care delivery and empowering the consumer through health informatics. NMDS transforms education and enhances nursing decision making through national research agendas.

HHCC & OMAHA. The Home Healthcare Classification was developed by Saba in 1991 and includes a multitude of nursing diagnoses and interventions, while the OMAHA system was developed in 1992 and includes numerous problems with interventions and outcome measures pertinent to community health. Informatics nursing specialists suggest that the adequacy and usefulness of a proposed-type definition for nursing activity concepts is necessary for representing nursing activity concepts within a concept-oriented terminological system (Lundberg et al., 2008).

NIC/NOC. The Nursing Intervention Classification (NIC) and the Nursing Outcomes Classification (NOC) systems were first developed in 1987, with numerous interventions represented for the NIC as well as numerous outcomes represented across a variety of domains and classes for the NOC. In exploring NIC/NOC, note that the attempt to produce a scientific classification of nursing work represents one important direction for building nursing knowledge. At the same time, it represents a significant strategy for defending the profession of nursing.

PCDS. The Patient Care Data Set (PCDS) encompasses patient problems, patient care goals, goal evaluation, and patient care orders. According to Lake, Moss, and Duke (2009), there is a need to seek consensus on a common approach to the development of nursing terminology standards for use in information systems.

The aforementioned nursing languages are not the only ones. Hebda and Czar (2013, p. 304) provide a comprehensive listing of ANA-recognized nursing languages.

Table 15-5 ANA Recognized Nursing Languages(Uses of Standardized Nursing Terminology)

Terminology Web site Diagnosis/Problem Intervention Outcome Other
Alternative Billing Concepts (ABC Codes) http://www.abccodes.com Billing Codes
Clinical Care Classification (CCC) http://www.sabacare.com X X X
International Classification of Nursing Practice (ICNP) http://www.icn.ch/icnp.htm X X X Assessment
Logical Identifiers Names and Codes (LOINC) http://loinc.org/ X Assessment
North American Nursing Diagnosis International (NANDA-I) http://www.nanda.org X
Nursing Intervention Classification (NIC) http://www.nursing.uiowa.edu/cnc/ X
Nursing Outcomes Classification (NOC) http://www.nursing.uiowa.edu/cnc/ X
Nursing Management Minimum Data Set http://www.nursing.umn.edu/ICNP/USANMMDS/home.html Nursing Management Codes
Nursing Minimum Data Set http://www.nursing.umn.edu/ICNP/
Omaha System http://www.con.ufl.edu/omaha X X X
Perioperative Nursing Data Set (PNDS) http://www.aorn.org X X X
SNOMED-CT http://www.ihtsdo.org/snomed-ct X X X

HEBDA, TONI LEE; CZAR, PATRICIA, HANDBOOK OF INFORMATICS FOR NURSES & HEALTHCARE PROFESSIONALS, 5th Edition, © 2013. Reprinted by permission of Pearson Education, Inc., Upper Saddle River, NJ.

Reimbursement Issues

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As we have become more and more aware, properly documented nursing care drives reimbursement in our various practice settings. Using proper terminology and capturing nursing’s unique contributions to healthcare is of the utmost importance. No discussion of reimbursement is more important than the tie between nursing care and patient satisfaction.

Nurses are held to a very high standard of care, and one way that care is being rated is by HCAHPS. Nurses in acute care settings may be familiar with Hospital Consumer Assessment of Healthcare Providers (HCAHPS), which is a standardization survey that collects data for measuring patients’ hospital experiences. Many hospitals and health systems follow these standards to help improve the quality and safety of patient care. Do you know that HCAHPS scores can be accessed on their website for recommendations of the best- or worst-scoring hospitals within your area?

According to the Centers for Medicare and Medicaid Services (CMS, 2013), three broad goals have shaped HCAHPS. To begin with, the survey is designed to produce data about a patient’s perspective of care that allows for objective and meaningful comparisons of hospitals on topics that are important to patients. Secondly, public reporting of the survey results creates new incentives for hospitals to improve quality of care. And finally, public reporting serves to enhance accountability in healthcare by increasing transparency of the quality of hospital care provided in return for the public investment.

ReflectionShould patient satisfaction scores be linked to reimbursement? What “little things” can you do to improve patient satisfaction that may eventually impact reimbursement?

Summary: Check Your Knowledge

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Transcript

References

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Coenen, A., & Kim, T. (2010). Development of terminology subsets using ICNP. International Journal of Medical Informatics, 79(7), 530–538.

Fetter, M. (2009b). A language of precision. Issues in Mental Health Nursing, 30(2), 133–134.

Hebda, T., & Czar, P. (2013). Handbook of informatics for nurses & healthcare professionals (5th ed.). Boston, MA: Pearson.

Lorenzi, N. M. & Riley, R. T. (2010). Managing technological change: Organizational aspects of health informatics. New York, NY: Springer Publishing Company.

Lundberg, C., Brokel, J., Bulechek, G., Butcher, H., Martin, K., Moorhead, S., & … Giarrizzo-Wilson, S. (2008). Selecting a standardized terminology for the electronic health record that reveals the impact of nursing on patient care. Online Journal of Nursing Informatics, 12(2).

Morrison, S. M., & Symes, L. (2011). An integrative review of expert nursing practice. Journal of Nursing Scholarship, 43(2), 163–170.

Perkins, S., & Larson, G. (2010). Navigating ICD-10: How to get from point A to point B. Health Management Technology, 31(12), 1–7.

Attachments:

 
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Compliance Programs

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Compliance Programs

(Compliance Programs)

Compliance programs are essential frameworks established within organizations to ensure adherence to legal regulations, industry standards, and internal policies. These programs are designed to mitigate risks associated with non-compliance, such as legal penalties, financial loss, reputational damage, and operational disruptions. A robust compliance program typically consists of several key components:

  1. Policies and Procedures: Clear and comprehensive policies and procedures are developed to outline expected behaviors and actions within the organization. These documents serve as guidelines for employees to understand their responsibilities regarding compliance.
  2. Risk Assessment: Regular assessments are conducted to identify potential areas of compliance risk within the organization. This involves evaluating the impact and likelihood of various compliance breaches and prioritizing them based on their significance.
  3. Training and Awareness: Training programs are implemented to educate employees about compliance requirements, ethical standards, and the consequences of non-compliance. Continuous awareness campaigns reinforce the importance of compliance and encourage a culture of integrity throughout the organization.
  4. Monitoring and Reporting: Mechanisms are established to monitor activities and transactions for signs of non-compliance. This includes regular audits, internal controls, and reporting systems that allow employees to raise concerns or report violations confidentially.
  5. Enforcement and Discipline: Fair and consistent enforcement of compliance policies is crucial for maintaining accountability. Clear disciplinary procedures are outlined for addressing instances of non-compliance, ensuring that violations are appropriately addressed and deterred.
  6. Response and Remediation: In the event of a compliance breach, organizations must have protocols in place to respond swiftly and effectively. This may involve investigating the root cause of the breach, implementing corrective measures, and communicating transparently with stakeholders.
  7. Continuous Improvement: Compliance programs are not static; they require ongoing evaluation and adaptation to evolving regulatory requirements and business environments. Regular reviews and feedback mechanisms help identify areas for improvement and optimize the effectiveness of the compliance program over time.

Overall, effective compliance programs are integral to maintaining organizational integrity, safeguarding against risks, and fostering trust among stakeholders. By prioritizing compliance and embedding it into the organizational culture, companies can enhance their reputation, mitigate legal and financial liabilities, and achieve sustainable long-term success.

(Compliance Programs)

Your health care organization has had several small compliance incidents in the past two years, and the organization is now motivated to update their compliance program. Your executive leadership team asked you to review two health care compliance programs from similar organizations to determine how they constructed their compliance program and what aspects your organization should adopt.

Select the type of health care organization you want represented in this assignment (e.g., family practice, hospital, urgent care, or nursing home).

Locate two compliance program documents from comparable health care organizations using your Internet search engine.

Read both compliance program documents and examine the similarities and differences between the two.

Create a matrix that compares how both organizations execute the following compliance components:

  • How internal monitoring and auditing is conducted
  • How compliance and practice standards are implemented
  • The designated compliance officer (or person designated to be the contact for compliance matters), who that person reports to, and their relationship to the organization’s governing board
  • How employees are trained and educated to model compliant behaviors
  • How violations or offenses are detected, reported, and corrected
  • How lines of communication with employees is developed
  • How disciplinary standards are enforced

Write a 525- to 700-word executive summary that informs your executive leadership about the matrix you created and offer your opinion as to which best practices the organization should adopt for its own compliance program.

Cite the 2 compliance program documents and any additional references that support your opinion (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Format your assignment according to APA guidelines.

 
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Global Psychology Discussion

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Global Psychology Discussion

(Global Psychology Discussion)

Select 2 of the prompts below, (your choice of which 2 prompts) and write a 500 word discussion. (250 words per prompt)

1.  Cereans are an alien race living on a distant planet called Alderaan, and whose bodies function the same way as humans’ bodies do. A galactic scholar has been learning about the Cereans’ evolutionary history. The following is an excerpt from the scholar’s work:

The Cereans first appeared approximately 50,000 years ago. Throughout their evolutionary history, they have lived in a region on Alderaan that gets very little sunlight, resulting in very little exposure to UVR. The Cereans have never migrated elsewhere. Approximately 10,000 years ago, they discovered a food source that provides an ample supply of Vitamin D for their dietary needs.

Based on this scholar’s work, draw a line graph that approximates the expected relationship between the Cereans’ evolutionary history (starting with -50,000 [meaning when Cereans first appeared] and ending at 0 [meaning now]) and their skin tone (smaller value means lighter skin tone; higher value means darker skin tone).

2.  Alice complains about how it is unfair that French people eat fattier foods but they have better cardiovascular health than Americans do. Alice is a European-American and blames this difference on genetic differences between European-Americans and French people. Based on existing psychological research, do you agree with her statement? In explaining your answer, please provide two alternative explanations.

3.  A collection of societies uses seashells as currency. A large-scale survey suggests that one hundred seashells is the threshold that separates people who are wealthy from people who are not wealthy. Draw a line graph that depicts the expected relationship between the number of seashells a society generally has and a society’s general health outcome as a dependent variable (for which a higher score means better health outcomes).

4.  You are trying to convince your parents why studying psychology is not a waste of time. Your parents, on the other hand, complain that psychology is not an exact science due to its subjectivity. They contrast it to modern medicine, which they think is an objective science, such that all doctors agree on all things medicine related. Your parents are, of course, wrong—but how are they wrong? Cite two pieces of evidence from the textbook to support your claim.

 
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Women’s Health

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Women’s Health

(Women’s Health)

Women’s health encompasses a broad spectrum of physical, mental, and emotional well-being specific to women’s bodies and experiences. It’s not merely the absence of disease but rather a holistic approach to understanding and supporting the unique needs and challenges faced by women throughout their lives.

Physically, women’s health covers various aspects such as reproductive health, including menstruation, pregnancy, childbirth, and menopause. Regular screenings for breast and cervical cancer are crucial components of preventive care, along with access to contraception and family planning services. Additionally, conditions like osteoporosis and autoimmune diseases affect women disproportionately and require specialized attention.

Mental and emotional health are equally vital components of women’s well-being. Women may experience higher rates of anxiety and depression, often influenced by hormonal fluctuations, societal pressures, and life transitions. Addressing mental health needs involves destigmatizing seeking help, providing accessible counseling services, and promoting self-care practices.

Social determinants significantly impact women’s health outcomes. Socioeconomic status, access to education, employment opportunities, and cultural norms all play roles in shaping women’s health experiences. Disparities in healthcare access and quality persist, particularly affecting marginalized communities and women in rural areas.

Reproductive rights and autonomy are fundamental aspects of women’s health advocacy. Ensuring access to comprehensive reproductive healthcare, including abortion services, is essential for women’s agency over their bodies and lives. Challenges to reproductive rights, such as restrictive legislation and lack of funding for family planning programs, continue to be contested areas globally.

Empowering women with knowledge and resources to make informed healthcare decisions is central to promoting their health and well-being. Education campaigns on topics like sexual health, contraception, and healthy lifestyle choices can help empower women to take control of their health.

In conclusion, women’s health encompasses a multifaceted approach that addresses physical, mental, emotional, and social well-being. By recognizing and addressing the unique needs and challenges faced by women, societies can work towards achieving health equity and ensuring that all women have the opportunity to thrive.

(Women’s Health)
  1. Read the scenario below.
  2. Respond to the questions in full sentences. Be sure to use standard English grammar and spelling
    1. What are the biophysical, psychological, sociocultural, behavioral and health system factors operating in this situation?
    2. What actions would you take to provide more sensitive and effective care for women who are lesbian, bisexual, or transgender?
    3. Describe the major health concerns of this woman and what role the community health nurse might play in this situation?

Scenario:

Betty is 45 years old, self-employed, divorced three times, and mother of three boys and one daughter. Two years ago, her last husband died of lung cancer at age 54.

She was referred to the local clinic because she has been feeling depressed. During the interview, Betty informs the community health nurse that she is tired of living the old way, and she is now involved with a woman and considers herself a lesbian. She admits that she has been sexually involved with both men and women during the past three years. She indicates that she is afraid she might have cancer because her mother died of breast cancer five years ago at the age of 67. She does not have health insurance. Betty stated that she is embarrassed to get a pap smear because she heard that gay women do not need to get a pap smear since they are not having “real sex” vaginally.

 
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Strategic Points Quantitative Study Extraction

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10 Strategic Points Quantitative Study Extraction

(Strategic Points Quantitative Study Extraction)

Due Date: Apr 21, 2018 23:59:59       Max Points: 50

Details:

In the prospectus, proposal, and dissertation there are 10 strategic points that need to be clear, simple, correct, and aligned to ensure the research is doable, valuable, and credible. These points, which provide a guide or vision for the research, are present in almost any research study. The ability to identify these points is one of the first skills required in the creation of a viable doctoral dissertation. In this assignment, you will identify and evaluate 10 strategic points in a published quantitative research study.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • Review the Casteel dissertation.
  • Locate and download “Modified 10 Points Template.”
  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • APA style is required for this assignment.
  • You are required to submit this assignment to Turnitin.

Directions:

Using the “Modified 10 Points Template,” identify each of the 10 strategic points in this quantitative dissertation.

Complete the “Evaluation” section of the template by addressing the following questions (250-500 words) with regard to the 10 strategic points in the study:

  1.  Discuss the key points in the literature review and how the author used this section to identify the gap or problem addressed in the study.
  2. Describe the variables under study and how they are a key component in this quantitative research study. You are not expected to understand the differences between variables at this point, but should be able to identify how they inform the problem, purpose, research questions and data collection instruments.
  3. Describe the problem and how it informed the research questions under study.
  4. Describe the quantitative design used and why it is appropriate for the identified problem and research questions. Support your response with a peer-reviewed citation from a research source.
  5. Assess the appropriateness of the instruments used to collect data and answer the research questions as well as to address the stated problem.
  6. Discuss how the problem statement informed the development of the purpose statement in this study.
  • 3RES-825-RS-Modified10PointsTemplate-10.docx
  • 3RES-825-RS-CasteelQuantDissertation-6.pdf
 
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Nursing Information Competencies

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Discussion: Nursing Information Competencies

(Discussion: Nursing Information Competencies)

Question description

Discussion: Nursing Informatics Competencies

Today’s fast-paced health care environment demands nurses to be skilled not only in their clinical practice or specialty area but in the use of technology tools that improve practice and lead to better patient care. Basic and advanced technology competencies are required and expected as technology increasingly touches and changes the job of every nurse. Numerous organizations, including the American Nurses Association (ANA), the American Medical Informatics Association (AMIA), and Healthcare Information and Management Systems Society (HIMSS), have developed nurse-specific technology competencies. The challenge for nurses is to identify both needs and training opportunities.

In this Discussion, you identify the role informatics plays in your professional responsibilities. You pinpoint personal gaps in skills and knowledge and then develop a plan for self-improvement.

To prepare:

Review Nursing Informatics: Scope and Standards of Practice in this week’s Learning Resources, focusing on the different functional areas it describes. Consider which areas relate to your current nursing responsibilities or to a position you held in the past. For this Discussion, identify one or two of the most relevant functional areas.

Review the list of competencies recommended by the TIGER Initiative. Identify at least one skill in each of the main areas (basic computer competencies, information literacy competencies, and information management competencies) that is pertinent to your functional area(s) and in which you need to strengthen your abilities. Consider how you could improve your skills in these areas and the resources within your organization that might provide training and support.

Post the key functional area(s) of nursing informatics relevant to your current position or to a position you recently held, and briefly describe why this area(s) is relevant. Identify the TIGER competencies you selected as essential to your functional area(s) in which you need improvement. Describe why these competencies are necessary and outline a plan for developing these competencies. Include any resources that are available to you within your organization and the ways you might access those resources. Assess how developing nursing informatics competencies would increase your effectiveness as a nurse.

 
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A Cultural Critique

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A Cultural Critique

(A Cultural Critique)

To prepare for this discussion, please read Chapters 2 and 3 of your textbook (Feenstra, 2013).  In addition, read Culture as Patterns: An Alternative Approach to the Problem of ReificationPreview the documentView in a new window (Adams and Markus, 2001) and Culture and the Self: Implications for Cognition, Emotion, and Motivation (Markus and Kitayama, 1991).  Finally, review Instructor Guidance and Announcements.  In this discussion, you will consider patterns that have shaped your sense of self.  Be sure to use your own academic voice and apply in-text citations appropriately throughout your post.(A Cultural Critique)

  • Identify some of the primary cultural influences in your life.  (Note that culture can be defined broadly to include a number of dimensions.)
  • Examine your sense of self.
    • Would you characterize yourself as more independent or interdependent?  Why?  Identify specific examples that illustrate.  You might find it helpful to start by considering Figure 1 and Table 1 in Markus and Kitayama (1991).
  • Appraise the consequences of your self-construction.
    • What are some of the implications of independence/interdependence (for cognition, emotion, motivation, etc.)?
  • Analyze your responses to the Twenty Statements Test in the introduction (Post Your Introduction).
    • Does your description fit with predictions of theory and research findings, as described by Markus and Kitayama (1991)?

Post your initial response of 250 words or more by Day 3 (Thursday).  Respond to at least two of your peers by Day 7 (Monday).  You are encouraged to post one or more of your required replies early each week (e.g., by Saturday) to stimulate more meaningful and interactive discourse in the discussion forum.  In addition, strive to provide a response to classmates who replied to your initial post and/or the Instructor (if applicable).  Peer responses may vary in length but should be carefully crafted and insightful.  Below are some suggestions to assist your thinking.].

 
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Psychology Questions

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Psychology Questions

(Psychology Questions)

4.2 What are cultural considerations when working with clients in the substance use disorder field? What first steps might you take with these clients? Explain the rationale for your choices in your response.

This discussion question meets the following CACREP Standards:

2.F.2.b. Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

2.F.7.b. Methods of effectively preparing for and conducting initial assessment meetings.

This discussion question meets the following NASAC Standards:

18) Understand diverse racial and ethnic cultures, including their distinct patterns of interpreting reality, world view, adaptation, and communication, and to incorporate the special needs of minority groups and the differently abled into clinical practice.

19) Understand the importance of self-awareness in one’s personal, professional, and cultural life.

119) Recognize the importance of individual differences by gaining knowledge about personality, cultures, lifestyles, and other factors influencing client behavior, and applying this knowledge to practice.(Psychology Questions)

5.1 What are the dominant cultural features found within Native American homes, and how do Native Americans shape their response to the broader American society?

This discussion question meets the following CACREP Standards:

2.F.2.a. Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally.

2.F.2.b. Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

2.F.2.c. Multicultural counseling competencies.

2.F.2.d. The impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others.

This discussion question meets the following NASAC Standards:

18) Understand diverse racial and ethnic cultures, including their distinct patterns of interpreting reality, world view, adaptation, and communication, and to incorporate the special needs of minority groups and the differently abled into clinical practice.

19) Understand the importance of self-awareness in one’s personal, professional, and cultural life.

102) Sensitize others to issues of cultural identity, ethnic background, age, and gender role or identity in prevention, treatment, and recovery.

119) Recognize the importance of individual differences by gaining knowledge about personality, cultures, lifestyles, and other factors influencing client behavior, and applying this knowledge to practice.(Psychology Questions)

5.2 How is substance use viewed in the Hispanic/Latino culture? 

This discussion question meets the following CACREP Standards:

2.F.2.a. Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally.

2.F.2.b. Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

2.F.2.c. Multicultural counseling competencies.

2.F.2.d. The impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others.

This discussion question meets the following NASAC Standards:

18) Understand diverse racial and ethnic cultures, including their distinct patterns of interpreting reality, world view, adaptation, and communication, and to incorporate the special needs of minority groups and the differently abled into clinical practice.

19) Understand the importance of self-awareness in one’s personal, professional, and cultural life.

102) Sensitize others to issues of cultural identity, ethnic background, age, and gender role or identity in prevention, treatment, and recovery.

119) Recognize the importance of individual differences by gaining knowledge about personality, cultures, lifestyles, and other factors influencing client behavior, and applying this knowledge to practice.(Psychology Questions)

6.1 How do early personal experiences influence the positive or negative ethnic identity of persons of color? Can you think of a best example? Provide a scholarly reference to support your response.

This discussion question meets the following CACREP Standards:

2.F.2.d. The impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others.

2.F.2.f. Help-seeking behaviors of diverse clients.

2.F.2.g. The impact of spiritual beliefs on clients’ and counselors’ worldviews.

This discussion question meets the following NASAC Standards:

18) Understand diverse racial and ethnic cultures, including their distinct patterns of interpreting reality, world view, adaptation, and communication, and to incorporate the special needs of minority groups and the differently abled into clinical practice.

19) Understand the importance of self-awareness in one’s personal, professional, and cultural life.

119) Recognize the importance of individual differences by gaining knowledge about personality, cultures, lifestyles, and other factors influencing client behavior, and applying this knowledge to practice.(Psychology Questions)

6.2 What healthy family and community support conditions are associated with increased self-efficacy and self-esteem in children of color who face racism? Provide at least one scholarly reference to support your response.

This discussion question meets the following CACREP Standards:

2.F.2.d. The impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others.

2.F.2.h. Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination.

This discussion question meets the following NASAC Standards:

18) Understand diverse racial and ethnic cultures, including their distinct patterns of interpreting reality, world view, adaptation, and communication, and to incorporate the special needs of minority groups and the differently abled into clinical practice.

19) Understand the importance of self-awareness in one’s personal, professional, and cultural life.

85) Adapt counseling strategies to the individual characteristics of the client, including (but not limited to): disability, gender, sexual orientation, developmental level, acculturation, ethnicity, age, and health status.

102) Sensitize others to issues of cultural identity, ethnic background, age, and gender role or identity in prevention, treatment, and recovery.

119) Recognize the importance of individual differences by gaining knowledge about personality, cultures, lifestyles, and other factors influencing client behavior, and applying this knowledge to practice.

121) Conduct culturally appropriate self-evaluations of professional performance, applying ethical, legal, and professional standards to enhance self-awareness and performance.

7.1 How do racial, social, political, and religious attitudes affect the counselor’s perception and treatment of clients? How could the Christian worldview/chosen religious beliefs help with providing treatment to diverse populations?

This discussion question meets the following CACREP Standards:

2.F.2.b. Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

2.F.8.i. Analysis and use of data in counseling.

This discussion question meets the following NASAC Standards:

18) Understand diverse racial and ethnic cultures, including their distinct patterns of interpreting reality, world view, adaptation, and communication, and to incorporate the special needs of minority groups and the differently abled into clinical practice.

19) Understand the importance of self-awareness in one’s personal, professional, and cultural life.

102) Sensitize others to issues of cultural identity, ethnic background, age, and gender role or identity in prevention, treatment, and recovery.

119) Recognize the importance of individual differences by gaining knowledge about personality, cultures, lifestyles, and other factors influencing client behavior, and applying this knowledge to practice.

121) Conduct culturally appropriate self-evaluations of professional performance, applying ethical, legal, and professional standards to enhance self-awareness and performance.

7.2 Explain how mental health and addiction therapy are viewed in various cultures. Give at least two examples.

This discussion question meets the following CACREP Standards:(Psychology Questions)

2.F.2.b. Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

2.F.8.i. Analysis and use of data in counseling.

This discussion question meets the following NASAC Standards:

18) Understand diverse racial and ethnic cultures, including their distinct patterns of interpreting reality, world view, adaptation, and communication, and to incorporate the special needs of minority groups and the differently abled into clinical practice.

19) Understand the importance of self-awareness in one’s personal, professional, and cultural life.

85) Adapt counseling strategies to the individual characteristics of the client, including (but not limited to): disability, gender, sexual orientation, developmental level, acculturation, ethnicity, age, and health status.

102) Sensitize others to issues of cultural identity, ethnic background, age, and gender role or identity in prevention, treatment, and recovery.

119) Recognize the importance of individual differences by gaining knowledge about personality, cultures, lifestyles, and other factors influencing client behavior, and applying this knowledge to practice.

121) Conduct culturally appropriate self-evaluations of professional performance, applying ethical, legal, and professional standards to enhance self-awareness and performance.

8.1 How should a culturally competent counselor approach the processes of assessment and diagnosis when dealing with clients from minority populations? Support your answer with at least one scholarly reference.(Psychology Questions)

This discussion question meets the following CACREP Standard: 2.F.7.h. Reliability and validity in the use of assessments.

This discussion question meets the following NASAC Standards:

18) Understand diverse racial and ethnic cultures, including their distinct patterns of interpreting reality, world view, adaptation, and communication, and to incorporate the special needs of minority groups and the differently abled into clinical practice.

19) Understand the importance of self-awareness in one’s personal, professional, and cultural life.

102) Sensitize others to issues of cultural identity, ethnic background, age, and gender role or identity in prevention, treatment, and recovery.

119) Recognize the importance of individual differences by gaining knowledge about personality, cultures, lifestyles, and other factors influencing client behavior, and applying this knowledge to practice.(Psychology Questions)

8.2 Provide an example of cultural bias in counseling/psychological research and support your answer with at least one scholarly reference.

This discussion question meets the following CACREP Standard: 2.F.7.h. Reliability and validity in the use of assessments.

This discussion question meets the following NASAC Standards:

18) Understand diverse racial and ethnic cultures, including their distinct patterns of interpreting reality, world view, adaptation, and communication, and to incorporate the special needs of minority groups and the differently abled into clinical practice.

19) Understand the importance of self-awareness in one’s personal, professional, and cultural life.

102) Sensitize others to issues of cultural identity, ethnic background, age, and gender role or identity in prevention, treatment, and recovery.

119) Recognize the importance of individual differences by gaining knowledge about personality, cultures, lifestyles, and other factors influencing client behavior, and applying this knowledge to practice.

EACH QUESTION HAS TO BE ANSWERED WITH 150-200 WORDS AND MUST HAVE AT LEAST ONE SCHOLARLY REFERENCE IN EACH ANSWER. EACH ANSWER MUST ALSP PASS TURN-IT-IN WITH LESS THAN 5%

 
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Advocating For New Practice Approaches Through Policy

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Advocating for New Practice Approaches Through Policy

(Advocating For New Practice Approaches Through Policy)

“I think one’s feelings waste themselves in words; they ought all to be distilled into actions which bring results.”
—Florence Nightingale

Through the policy process, nurses can put their feelings—as well as their experiences and expertise—into actions that create results. In this course, you have been honing your skills for critically assessing evidence with the purpose of improving practice and developing new practice approaches. As a DNP-prepared nurse, you can influence health care outcomes at the population or aggregate level. Leading policy development to address health care concerns is a vital way to achieve this.

For the past several weeks, you have been focusing on a health care issue of interest to you for your EBP Project. For this Discussion, consider how you could lead policy development in support of a proposed evidence-based practice approach that addresses that issue and is designed to promote quality.

Reference: Nursing Schools. (2012). 100 entertaining and inspiring quotes for nurses. Retrieved from https://www.usa.edu/blog/nursing-quotes/

  • Select one of the new practices approaches you      developed for the Week 6 Discussion (See attached file)
  • Review the Ridenour and Trautman (2009) and      Stokowski et al. (2010) articles listed in the Learning Resources. Assess      the strategies for engaging in the policy process.
  • Consider the barriers to using evidence to      affect changes in health care policy discussed in the course text.
  • Brainstorm ideas for leading policy development      related to your suggested practice approach, as well as ideas for      addressing those barriers.

By tomorrow Wednesday 10/10/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3 references (see attached file) from the list of REQUIRED READINGS below. Include the level one headers as numbered below:

Post a cohesive response that addresses the following:

1) Identify your proposed practice approach in the first line of your posting (See my PIICOT question below).

2) How would you lead policy development for your selected issue?

3) What strategies could you use to overcome barriers you may encounter while engaging policy makers? (Select three or more strategies to focus on in your posting.) 

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter      4, “Translation of Evidence to Improve Clinical Outcomes”
  • Chapter      5, “Translation of Evidence for Improving Safety and Quality”
  • Chapter 7, “Translation of Evidence      for Health Policy” (See attached file)

Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3. (see attached file).

Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45. (see attached file).

Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1 (see attached file).

Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966 (see attached file).

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

Due tomorrow 10/10/18 by 12:00 pm noon. Thanks!

 
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Counseling Theory

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Counseling Theory- Theoretical Orientation Development Plan Paper

(Counseling Theory- Theoretical Orientation Development Plan Paper)

I need this paper back by Wednesday January 24, 2018 at 10am, with a minimum of 7 scholarly references.

Behavior Therapy or Cognitive Behavior therapy

 

Required Assignments (RAs) are substantive assignments intended to measure student performance against selected course objectives and/or program outcomes within a course. RAs are completed by all students across all Argosy University campuses and delivery formats without exception.

Each RA contributes to a significant portion of the overall course grade and is assessed by faculty using the grading criteria designed for that assignment. These are individual assignments and students earn individual grades. Required Assignment: Theoretical Orientation Development Plan Paper 300 pts

Description of RA: From what you have learned in this course, select a theoretical perspective that interests you the most. In this assignment, you will conduct a literature search on that theoretical approach and develop a personalized plan for your continued development.

Theoretical Orientation Development Plan Paper Review the literature and construct a paper presenting and supporting your personal counseling theoretical preference (choosing from the major theories studied in this course). You should conduct a computerized literature search on the particular theoretical approach that feels like the best fit. Remember to select a theory that aligns with your worldview and your perspective of the best therapeutic relationship. References should be from empirical/scholarly works that support and further define the position. You should include the following in your paper:

• Summarize the fundamental elements of your theory of choice, including definitions of important terms, personality development, and major historical figures associated with the theory.

• Explain how your personal worldview (e.g. core beliefs about others and the world) connects to the theory of choice. • Explain how the therapeutic relationship aligns with your interpersonal style.

• Discuss how your theory of choice addresses the multicultural nature of our diverse society.

• Present support for the effectiveness of your chosen theoretical approach by examining and analyzing the existing efficacy-based research. Include findings across age groups, gender, and/or multicultural groups.

• Discuss limitations of your chosen therapeutic approach, including any clients or presenting problems for which it may not be appropriate. Support your ideas with findings from existing research on the approach.

• Identify the ethical standards from the American Counseling Association’s Code of Ethics (2014) that apply to the use of an approach determined to be unsuitable for a particular group or presenting problem. Discuss the potential harm that could be caused by applying an unsuitable approach. Spring 1 – 2018

• Provide an example of how you would apply a minimum of two specific theoretical techniques to a fictitious client’s need.

• Provide a plan for how you will continue to develop your knowledge and skills related to that theory.

Your final deliverable will be a Word document, approximately 8-10 pages in length, utilizing a minimum of 7 scholarly references. Your paper 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, punctuation, and APA format.

(Counseling Theory- Theoretical Orientation Development Plan Paper)

CACREP Standards: 2.F.5.a, 5.C.1.a, 5.C.1.b, 2.F.5.g, 2.F.5.h, 2.F.5.j, 5.C.3.b, 2.F.5.n, 2.F.2.c,

5.C.2.c, 2.F.1.i, 5.C.2.l

Theoretical Summary:   Summarize the fundamental elements of your theory of choice, including   definitions of important terms, personality development, and major historical   figures associated with the theory.

Summary clearly states all critical elements of the theory of choice.   All relevant technical terms are defined, theoretical understanding of   personality development is described, and the importance of each historical   figure is clearly and accurately stated. /40   pts.

 

Personal Worldview: Explain how your personal worldview connects   to the theory of choice.

Correlation between the   student’s worldview and the theory of choice is clearly stated. The effect of   the worldview towards the use of the theory is appropriate. /20   pts.

 

Interpersonal Style: Explain how the   therapeutic relationship described in your theory of choice aligns with your   interpersonal style.

Correlation   between important aspects of the therapeutic relationship and the student’s   interpersonal style is clearly stated. How the student’s interpersonal style   would be appropriate or be a challenge is clearly stated. /20   pts.

(Counseling Theory- Theoretical Orientation Development Plan Paper)

Cultural and

Developmental Considerations: Discuss how your   theory of choice addresses the multicultural nature of our diverse society   and individual developmental needs.

The effect of the theory   towards a variety of clients is accurate and clearly stated. /38   pts.

 

Theoretical Strengths: Present   research findings in support of the effectiveness of your chosen theoretical   approach.

Findings   are presented of at least one peer-reviewed, efficacy study on the chosen   theoretical approach. /30   pts.

 

Theoretical Limitations: Present   research findings related to the limitations of your chosen theoretical   approach.

Findings   are presented of at least one peer-reviewed study examining the limitations   of the chosen approach. /30   pts.

 

Ethical Considerations: Identify at   least two ethical standards from the ACA Code of Ethics that address the   inappropriate use of an approach or technique. Discuss specific, potential   harmful effects of doing so.

At   least two relevant ethical standards are identified, defined, and applied to   the potential misapplication of a technique or approach. At least two examples of potential harmful   effects are identified. /30   pts.

 

Technique Application: Provide an   example of how you would apply a minimum of two

specifically theoretical   techniques to a fictitious client’s need.

The   description of implementation correctly aligns with each theory. Specific   needs of the client are addressed, and the description of how each theory   addresses the specific needs is clear and accurate. /54   pts.

(Counseling Theory- Theoretical Orientation Development Plan Paper)

Plan for Development:   Describe how you will continue to develop your knowledge and skills related   to the selected theory.

The   plan includes details and specific resources that will be accessed and   utilized to increase and enhance knowledge and skills related to the theory   of choice. /10   pts.

 

Academic Writing

Write in a clear, concise, and organized manner; demonstrate ethical   scholarship in accurate representation and attribution of sources (i.e. APA);   and display accurate spelling, grammar, and punctuation.

Written   in a clear, concise, and organized manner; demonstrated ethical scholarship   in appropriate and accurate representation and attribution of sources; and   displayed accurate spelling, grammar, and punctuation. Use of scholarly   sources aligns with specified assignment requirements. /28   pts.

 
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