Chronic Disease:Rheumatoid Arthritis

Chronic Disease: Rheumatoid Arthritis

MN610 Advanced Practice Nurse

No plagiarism will be checked with turnitin.

APA style formatting, font 12, double spaced with headers.

Will need Title page, content 2 – 3 paper in length, plus a minimum of 3 peered reviewed references in the Reference page.

 

Chronic Disease Health Promotion and Maintenance/for adults age 35–65

Chronic Disease

Write a 2–3-page paper discussing the concepts of health promotion, health maintenance, health restoration and health teaching to an adult patient with this chronic disease (Rheumatoid Arthritis). Be sure to integrate Evidence Based Practice into your discussion.

Please use headings for:

Health promotion

Health maintenance

Health restoration and education

(Chronic Disease: Rheumatoid Arthritis)

Chronic Disease/Rheumatoid Arthritis

Chronic Disease Health Promotion and Maintenance for Adults Age 35–65: Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic autoimmune disease affecting millions globally, especially adults aged 35 to 65. This condition triggers joint inflammation, causing pain, stiffness, and loss of function. Managing RA in adults requires comprehensive care strategies, including health promotion, maintenance, restoration, and education. These strategies should be evidence-based, aiming to improve the quality of life for patients while mitigating disease progression. This paper will explore the application of these strategies in RA management and how evidence-based practice can be integrated. (Chronic Disease: Rheumatoid Arthritis)

Health Promotion

Health promotion for adults with rheumatoid arthritis aims to prevent exacerbations, promote joint health, and enhance overall well-being. Encouraging physical activity is a key health promotion strategy, as studies show that low-impact exercises can help improve joint function and reduce stiffness in RA patients. Regular exercise, such as walking, swimming, and yoga, has been proven to reduce inflammation and improve physical endurance (Cooney et al., 2017). Alongside physical activity, a well-balanced diet rich in anti-inflammatory foods is essential. Foods such as fish rich in omega-3 fatty acids, fruits, vegetables, and whole grains can help reduce joint inflammation (Bergeron et al., 2019).

Health promotion efforts should also focus on smoking cessation, as smoking is linked to an increased risk of developing RA and can worsen symptoms in existing patients. According to Scott et al. (2018), smoking cessation programs and support groups can be integrated into care plans to help patients manage their risk. Promoting regular check-ups and screening for cardiovascular health is crucial because RA increases the risk of heart disease.

Health Maintenance

Health maintenance for individuals with RA involves continuous monitoring and intervention to control symptoms, prevent joint damage, and manage disease progression. Key aspects include medication adherence, lifestyle modifications, and regular monitoring. Medications such as disease-modifying antirheumatic drugs (DMARDs) and biologics are essential for controlling inflammation and slowing disease progression (Smolen et al., 2020). Nurses play a vital role in educating patients on the importance of medication adherence to prevent flares and irreversible joint damage.

Ongoing self-management programs are beneficial in maintaining health, as they teach patients to recognize early symptoms of flare-ups and the necessary steps to mitigate them. Engaging patients in joint-protection techniques and energy-conservation methods can also help prevent overuse and injury to affected joints. Additionally, ensuring that patients are educated about managing fatigue through adequate rest and sleep hygiene practices is important for long-term maintenance (Shen et al., 2021).

Regular consultations with rheumatologists, physical therapists, and occupational therapists are necessary to monitor disease activity and adjust treatment plans as needed. Health maintenance also requires vigilant screening for comorbid conditions such as osteoporosis, cardiovascular disease, and depression, all of which are more prevalent in RA patients.

Health Restoration and Education

Health restoration aims to optimize function, reduce disability, and manage pain in patients experiencing exacerbations or advanced stages of RA. Early intervention and rehabilitation programs can help restore joint function and minimize disability. Physical therapy is an integral part of health restoration, as it helps patients regain strength, flexibility, and range of motion in affected joints. Assistive devices such as splints or braces may also be recommended to support weakened joints and promote mobility (Smolen et al., 2020).

Patient education is central to RA management, ensuring that patients understand their disease, treatment options, and self-care practices. Teaching patients about medication management, potential side effects, and the importance of early intervention during flare-ups empowers them to take control of their health. Nurses should also educate patients on the importance of maintaining a balanced lifestyle, including stress management techniques. Studies show that stress can exacerbate RA symptoms, and techniques such as mindfulness and relaxation therapy can improve outcomes (Crowley et al., 2019).

Incorporating evidence-based strategies in health restoration ensures that patients receive the most up-to-date care tailored to their needs. For instance, the use of biologics for patients unresponsive to traditional DMARDs has been supported by research as an effective treatment to prevent further joint destruction (Smolen et al., 2020).

Conclusion

Managing rheumatoid arthritis in adults requires a multifaceted approach focusing on health promotion, maintenance, restoration, and education. Nurses play an integral role in promoting healthy behaviors, ensuring medication adherence, restoring joint function, and educating patients on disease management. By incorporating evidence-based practices, healthcare providers can optimize care and improve long-term outcomes for RA patients. This holistic approach not only improves physical health but also enhances the overall quality of life for individuals living with this chronic condition. (Chronic Disease: Rheumatoid Arthritis)

References

Bergeron, C., Bernatsky, S., Drouin, J., Clarke, A. E., & Pineau, C. A. (2019). Diet and rheumatoid arthritis: Food habits of patients in a large cohort compared to healthy controls. Journal of Clinical Rheumatology, 25(4), 169–174. https://doi.org/10.1097/RHU.0000000000000824

Cooney, J. K., Law, R. J., Matschke, V., Lemmey, A. B., Moore, J. P., Ahmad, Y., Maddison, P., & Thom, J. M. (2017). Benefits of exercise in rheumatoid arthritis. Journal of Aging Research, 2017, Article 4183841. https://doi.org/10.1155/2017/4183841

Crowley, S., Liddicoat, H., & Marlowe, A. (2019). Managing stress in rheumatoid arthritis: Patient and provider perspectives. Arthritis Care & Research, 71(12), 1503–1510. https://doi.org/10.1002/acr.24092

Smolen, J. S., Landewé, R., Bijlsma, J., Burmester, G., Dougados, M., Kerschbaumer, A., … & Aletaha, D. (2020). EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2019 update. Annals of the Rheumatic Diseases, 79(6), 685–699. https://doi.org/10.1136/annrheumdis-2019-216655

Shen, B., Feng, X., & Zhang, A. (2021). Sleep quality in rheumatoid arthritis patients: A systematic review and meta-analysis. Frontiers in Medicine, 8, 715941. https://doi.org/10.3389/fmed.2021.715941

 
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Nursing Quiz (with answers)

Nursing Quiz

Question description

1.Discuss the differences between a leader and a manager.
A leader inspires, motivates, and influences others towards a common vision or goal. Leaders focus on people, developing trust and fostering innovation. They are visionary, often driving change and fostering a collaborative environment.
A manager, on the other hand, focuses on processes, structures, and tasks. Managers aim to ensure efficiency and organization by overseeing operations, planning, and problem-solving. They work within established systems to achieve specific goals and maintain order. While leaders prioritize inspiring others, managers emphasize control, coordination, and maintaining smooth functioning.
Nursing Quiz (with answers)

2. Which is more important, working for an effective leader or an effective manager? Explain your answer.

While both are important, working for an effective leader may have a more significant long-term impact. An effective leader can inspire teams to exceed expectations, adapt to changes, and foster a positive work culture. Leadership emphasizes personal growth, team cohesion, and innovation, which are crucial for long-term success. An effective manager ensures daily tasks are completed efficiently but may not always inspire teams to push beyond their limits. (Nursing Quiz (with answers))

 

3. Observe the nurse manager in a unit to which students have been assigned. What management style is displayed? How does the staff respond to this style

During clinical rotations, nursing students often observe nurse managers exhibiting different management styles, such as autocratic, democratic, or laissez-faire. The staff’s response often depends on the style. For example, in a democratic management style, the team may show greater engagement and satisfaction because their input is valued. In an autocratic style, staff might feel more restricted but the unit can function with strict adherence to rules.

 

4. What qualities do you think are most important to be a good nurse manager?

To be a good nurse manager, key qualities include strong communication skills, empathy, adaptability, decision-making abilities, and leadership qualities. Additionally, a nurse manager should be able to mentor and support staff, promoting a positive work environment and ensuring high-quality patient care.

Nursing Quiz (with answers)

1. Interview the nurse manager on your assignment unit. What interpersonal, decisional, and informational activities does he or she complete on a daily basis?

A nurse manager’s daily activities include:

  • Interpersonal: Building relationships with staff, mediating conflicts, and providing feedback.
  • Decisional: Making staffing decisions, managing the budget, and addressing unit challenges.
  • Informational: Disseminating policy updates, communicating with the healthcare team, and staying informed on patient outcomes and institutional goals.

2. You are the nurse manager on your unit. One of the most experienced staffers has been out on sick leave, and another just had a baby. The rest of the staff are working very hard to pick up the slack to avoid using agency personnel. What tangible and intangible rewards might you use to thank the staff?

To thank staff for hard work, a nurse manager might offer:

  • Tangible rewards: Bonuses, additional paid time off, or gift cards.
  • Intangible rewards: Public recognition, verbal appreciation, or flexible scheduling.

3. PART 1: Begin by writing a 50-word description of the ideal nurse manger, someone you would like to work for. Describe a real-life nurse manager whom you have encountered in one of your clinical rotations. What qualities of this person meet your ideal? In what ways does this individual not meet your ideal? (Reminder: nobody’s perfect.)

The ideal nurse manager is supportive, approachable, and fosters teamwork. They balance leadership with empathy, ensuring both staff and patient needs are met. During my clinical rotation, I observed a nurse manager who was exceptionally organized and focused but lacked strong interpersonal connections with the staff. This did not meet my ideal of a manager who fosters both personal and professional growth.

 

PART 2: Think about becoming an ideal manager yourself. What qualities of an ideal manager do you already possess? What qualities do you still need to develop? How will you accomplish this?

I possess strong communication skills and empathy, both essential for an ideal manager. However, I need to develop better decision-making abilities and adapt to high-pressure situations more effectively. I will achieve this by seeking mentorship, attending leadership workshops, and gaining more experience in supervisory roles. (Nursing Quiz (with answers))

 

1. Find your own state’s requirements for informed consent. Do elective procedures and emergency situations use the same standard?

Informed consent requirements vary by state, but generally, elective procedures require detailed discussions with patients about risks, benefits, and alternatives. Emergency situations may allow for implied consent if the patient cannot give consent and immediate intervention is necessary to save a life.

 

2. Obtain a copy of your state’s Nurse Practice Act. Does the act give adequate guidance for nurses to know if an action is within the scope of nursing practice?

The Nurse Practice Act provides a framework that helps nurses understand their scope of practice, including professional boundaries, decision-making authority, and delegation. It serves as a guide to ensure safe and ethical nursing care, tailored to each state’s regulatory environment.

 

1. Explain how the Nurse Practice Act in your state provides for consumer protection and for professional nursing progress.

The Nurse Practice Act ensures consumer protection by outlining the legal scope of practice for nurses, preventing unqualified individuals from providing unsafe care. It promotes professional progress by establishing continuing education requirements and supporting evidence-based practice.

 

2. What are your thoughts on multistate licensure? How does it strengthen and weaken professional nursing?

Multistate licensure enhances nursing mobility, allowing nurses to practice across state lines, which can address nursing shortages. However, it also presents challenges, such as differing state regulations and maintaining consistency in quality of care.

(Nursing Quiz (with answers))

3. As a new nurse, how can you ensure confidentiality in clinical settings?

To ensure confidentiality in clinical settings, a new nurse can follow guidelines such as keeping patient records secure, only discussing patient information with authorized personnel, and avoiding sharing information in public areas. Additionally, nurses must refrain from sharing identifiable patient information on social media or any other public platform.

 

4. How can nurses safeguard the confidentiality of medical information when sending it by fax or e-mail?

To safeguard the confidentiality of medical information sent by fax or email, nurses should use secure methods like encryption and password protection. Fax machines should be located in secure areas, and emails must be sent through secure, encrypted systems. Verifying the recipient’s information before sending is crucial to avoid any unauthorized access.

 

5. Explain the role of the nurse in obtaining informed consent. Do you believe that this is within the scope of nursing practice? Explain your answer.

Nurses play a supportive role in the informed consent process. They ensure that the patient understands the information provided by the physician, clarify any questions, and witness the patient’s signature. While obtaining informed consent is generally the responsibility of the physician, nurses ensure that the patient is informed and comfortable with the decision. Many believe this role is within the scope of nursing, as it aligns with patient advocacy and education.

(Nursing Quiz (with answers))

6. Should nurses carry malpractice insurance? Explain your answer.

Yes, nurses should carry malpractice insurance. Although many healthcare facilities provide coverage, individual malpractice insurance offers additional protection in case the facility’s insurance doesn’t fully cover a claim or if a nurse is sued independently. This coverage ensures that nurses are financially protected, especially in high-risk environments where liability may be higher.

 

7. Should all patients have advance directives? Explain your answer.

Yes, all patients should have advance directives. These documents provide clear instructions about a patient’s healthcare preferences in case they become unable to communicate their wishes. This ensures that care aligns with the patient’s values and reduces the burden on family members and healthcare providers in making difficult decisions during critical situations.

 

8. Should employers be permitted to require nurses to work overtime if there is a shortage of registered nursing staff on a unit? Support your answer with evidence from the literature

The issue of mandatory overtime is controversial. Evidence shows that mandatory overtime can lead to nurse burnout, decreased job satisfaction, and potential errors due to fatigue, compromising patient safety. Research suggests that instead of relying on mandatory overtime, healthcare facilities should focus on adequate staffing and retention strategies to meet patient care needs without overburdening the workforce. Therefore, employers should avoid mandating overtime, as it can harm both nurses and patients.
(Nursing Quiz (with answers))

References

American Nurses Association. (n.d.). Informed Consent.  https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/informed-consent/

National Council of State Boards of Nursing. (n.d.). Nurse Licensure Compact (NLC).  https://www.ncsbn.org/nurse-licensure-compact.htm

 
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Discussion: Hematologic Disorders (Solved)

Discussion: Hematologic Disorders (Solved)

In the 1970s, the average lifespan for patients diagnosed with sickle cell disease was 14 years. Today, the average lifespan has increased to 50 years and beyond (TriHealth, 2012). The patient prognosis for many other hematologic disorders, such as hemophilia and cancer, continue to improve, as well. This can be attributed to advancements in medical care—specifically, drug therapy and treatment. When managing drug therapies for patients, it is essential to continually examine current treatments and evaluate the impact of patient factors on drug effectiveness. To prepare for your role as an advanced practice nurse, it is important for you to become familiar with common drug treatments for various hematologic disorders seen in clinical settings (Discussion: Hematologic Disorders (Solved)).

To prepare:

  • Review Chapter 21 of the Huether and McCance text and Chapter 49 and Chapter 50 of the Arcangelo text.

If your last name begins with the letters A–L:

  • Select one of the following hematologic disorders: anemia, cancer, white blood cell disorders, or thrombolytic disorders. Consider the pathophysiology, as well as the types of drugs that would be used to treat your selected disorder.
  • Select one of the following factors: age or behavior. Consider how your selected factor might impact the pathophysiology of the disorder. Then, reflect on how your selected factor might impact the effects of drug treatments, as well as measures you might take to help reduce any negative effects.

If your last name begins with the letters M–Z:

  • Select one of the following genetic hematologic disorders: sickle cell anemia, thalassemia, or hemophilia. Consider the pathophysiology, as well as the types of drugs that would be used to treat your selected disorder.
  • Select one of the following factors: gender or ethnicity. Consider how your selected factor might impact the pathophysiology of the disorder. Then, reflect on how your selected factor might impact the effects of drug treatments, as well as measures you might take to help reduce any negative side effects.
By Day 3

Post a description of the hematologic disorder you selected, including its pathophysiology and types of drugs that would be prescribed to treat patients. Then, explain how the factor you selected might impact the pathophysiology of the disorder as well as the effects of prescribed drugs. Explain measures you might take to help reduce any negative side effects.

Read a selection of your colleagues’ responses.

 
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The Health Care Scene: Contemporary Trends (Solved)

The Health Care Scene: Contemporary Trends (Solved)

Question description (The Health Care Scene: Contemporary Trends (Solved))

The Health Care Scene: Contemporary Trends

As health care leaders, it is important to understand that health care is quite a dynamic field. Its constant changes are a result of continuing trends in regulation, policy, patient and provider advocacy efforts, as well as increasingly sophisticated technology and industry benchmarking guidelines.

For your assignment you review the possible topics for your Senior Project located in Week Five of your online course or in the “Components of Course Evaluation” section of this guide, and select the topic your training program will address. If you choose not to select a topic from the approved topic list, you must have your original topic approved by your instructor prior to submitting this assignment. THE TOPIC ISAnalyze the impact of any recent social and/or ethical trends on the health care industry. Discuss at least two issues

For this assignment, focus on a specific contemporary trend in health care and be sure to include all of the following influences:

  • Changes in client characteristics
  • Regulation of the health care industry
  • Reimbursement patterns and mandates
  • Restructuring of health care organizations
  • Impact of technology
  • Ongoing social and ethical factors

Address the information above as it pertains to your selected topic, in an eight to ten slide (excluding title and reference slides) PowerPoint presentation.

Your presentation should conclude with a summary describing the following concerns:

  • Overall, why should health care managers be aware of this change and trend?
  • What impact does this trend have on the stakeholder groups involved (e.g., patients, providers, administrators, third-party payers, legislators, etc.) for a specific organization specified (e.g., for profit, nonprofit, hospital, outpatient clinic, nursing home, etc.).

The information in this presentation will later be used as part of your Senior Project to set the context for the audience you select for a training program on the contemporary trend identified here.

Your presentation must include detailed speaker’s notes (i.e., at least 150 words) for each slide as well as a minimum of one to two scholarly sources from the Ashford University Library and one to two current, scholarly web sources.

Your presentation, and any citations used, must be in APA style as outlined in the Ashford Writing Center. Examples of scholarly web sources are available in this week’s recommended websites. These sources will also count toward the required sources for your Senior Project. Your presentation must be engaging and relevant to your audience. Lines of text on a slide will not be sufficient for this assignment. It should contain images, graphics, and/or multimedia that communicate your training program clearly to your audience. For tips on creating an excellent presentation, read thisoverview. (The Health Care Scene: Contemporary Trends (Solved))

 
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Quality and Sustainability Paper Part Two: Analysis and Application (Solved)

Quality and Sustainability Paper Part Two: Analysis and Application (Solved)

Question description (Quality and Sustainability Paper Part Two: Analysis and Application (Solved))

Details:

The Quality and Sustainability Paper is a practice immersion assignment designed to be completed in three sections. This is part two of the assignment. Learners are required to analyze the quality outcomes and/or patient safety measures of a health care entity to determine its successes and failures, identify potential obstacles to the implementation of the measures, and determine what collaborative efforts are needed to create sustainability

  1. (Quality and Sustainability Paper Part Two: Analysis and Application (Solved)

General Guidelines:

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

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that you support your position by referencing at least six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.
  • You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Directions:

Write a 1,250-1,500 word paper that provides the following:

  1. Identify or create a health care entity. (Provide an overall description of this entity without using the real name; i.e. location, size, profit or nonprofit, years in operation). Do not give the real name of any entity or person you are describing.
  2. Using defined quality outcomes and/or patient safety measures, describe the health care entity’s successes and failures. Include identified criteria and data that demonstrate why this entity is successful and in what areas.
  3. Using the quality outcomes data, identify a quality or safety area that nursing science can impact. Describe the specific variables.
  4. Identify potential obstacles that may hinder the implementation of the quality or safety measure.
  5. Identify those groups or leadership roles within the entity with whom you may need to collaborate. (Quality and Sustainability Paper Part Two: Analysis and Application (Solved)
Quality and Sustainability Paper Part Two – Analysis and Application 

1
Unsatisfactory
0.00%
2
Less than Satisfactory
74.00%
3
Satisfactory
79.00%
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Good
87.00%
5
Excellent
100.00%
70.0 %Content
5.0 %Completed Changes and Corrected Errors to Subsequent Paper, Including Transitions for a Scholarly Paper Learner did not attach previous paper and did not make changes as indicated. N/A Learner attached previous paper and has made changes as indicated. Learner needs to incorporate transitions to connect the ideas between the papers Learner attached previous paper and has made changes as indicated. Learner needs to incorporate better transitions to connect the ideas between the papers. Learner attached previous paper and has made changes as indicated. Learner has includes all necessary transitions to create a scholarly paper.
15.0 %Description of Health Care Entity and Identification of Successes and Failures A heath care entity is not described; the success and failures are not identified. A heath care entity is identified, but a description is not provided. Quality outcomes or patient safety measures are not utilized to identify the success and failures. Criteria and data are not used to substantiate why the entity is successful. A heath care entity is identified and an overall description is provided, but many significant details are missing. The quality measures or patient safety measures utilized fail to accurately identify the successes and failures for the health care entity. Criteria and data do not fully substantiate why the entity is successful, or in what areas. A heath care entity is identified and described, including relevant details. Quality outcomes and /or patient safety measures are utilized to identify the success and failures. Criteria and data are presented that help substantiate why the entity is successful in certain areas. A heath care entity is identified with details that provide insight into the organization. Quality outcomes or patient safety measures clearly define its success and failures. Very detailed criteria and data are presented to substantiate why the entity is successful, and in what areas.
20.0 %Identification of Quality or Safety Measure That Nursing Science Can Improve, and Analysis of Supporting Data Quality or safety measure that nursing science can improve is not identified. Analysis of data is not performed. Quality or safety measure that nursing science can improve is suggested, but analysis of data is not performed. Quality or safety measure that nursing science can improve is presented, but analysis of data does not completely support claim. Quality or safety measure that nursing science can improve is presented. Analysis offers support, but more explanation is required to fully demonstrate how data supports claim. Quality or safety measure that nursing science can improve is presented. Analysis is thorough and the data presented supports claim. A very good explanation of the how the data supports the claim is provided.
10.0 %Identification of Potential Obstacles to Implementation of Quality or Safety Measures Potential obstacles that may hinder implementation of quality or safety measures are not identified. Potential obstacles are identified, but a correlation to how these obstacles will hinder the implication of quality or safety measures is not established. Potential obstacles are identified, but a correlation to how these obstacles will hinder the implication of quality or safety measures is unclear. Potential obstacles are identified. A correlation to how these obstacles will hinder the implication of quality or safety measures is generally established. Potential obstacles are identified. A correlation of how these obstacles will hinder the implication of quality or safety measures is clearly established and shows insight.
10.0 %Identification of Stakeholders and Leaders Needed for Collaboration Stakeholders needed for collaboration are not identified. Stakeholders needed for collaboration are referenced, but no groups or leaders are identified. Stakeholders needed for collaboration are identified, but the roles of the groups or leaders in the implementation are unclear. Stakeholders needed for collaboration are identified, and the roles of the groups or leaders in the implementation are generally discussed. Stakeholders needed for collaboration are identified, and the roles of the groups or leaders in the implementation are generally discussed.
10.0 %Six to Eight Additional Scholarly Research Sources With In-Text Citations None of the required elements (minimum of six topic-related scholarly research sources and six in-text citations) are present. Not all required elements are present. One or more elements are missing, or included sources are not scholarly research or topic-related. All required elements are present. Scholarly research sources are topic-related, but the source and quality of one or more references is questionable. All required elements are present. Scholarly research sources are topic-related, and obtained from reputable professional sources. All required elements are present. Scholarly research sources are topic-related, and obtained from highly respected, professional, original sources.
20.0 %Organization and Effectiveness
7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 %Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage
 

 

Resources

https://www.tandfonline.com/doi/full/10.1080/23311975.2022.2157975

 
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Exploring Complex ANOVA Designs

Exploring Complex ANOVA Designs

(Exploring Complex ANOVA Designs)

Complex ANOVA Study

Complex ANOVA StudyBackgroundDuring this week you will identify a research question created in Week 1 that would utilize one of the following: factorial ANOVA or mixed-design ANOVA.

Background

During this week you will identify a research question created in Week 1 that would utilize one of the following: factorial ANOVA or mixed-design ANOVA. If there are no research questions that fit any of these types of statistical analyses, you will need to decide on a new question before moving forward with the assignment.

Initial Posting – In your initial posting for this assignment, include the following:

Discussion Assignment Requirements

  • Identify an appropriate research question that would require the use of a factorial or mixed-design ANOVA to answer. Pick the question from the list created in Week 1 or identify a new question if there are no appropriate ones from Week 1.
  • Describe why this question is appropriate for the selected statistical test.
  • Identify the variables in this study and each of their attributes: discrete or continuous, quantitative or categorical, scale of measurement (nominal, ordinal, interval, or ratio), and independent or dependent.
  • Do the variables fit the qualifications for the selected statistical test? Explain.
  • List the statistical notation and written explanation for the null and alternative hypotheses.
  • Describe the types of errors that could occur.

Replies – Though you may respond to your peers multiple times during the week to provide support or feedback, students are required to respond to one of their classmates’ postings by Day 7.

Point Value: 4 Points———————————————————————–

Resources

Required Text

Sukal, M. (2013). Research methods: Applying statistics in research. San Diego, CA: Bridgepoint Education, Inc.Chapter 8: Factorial and Mixed-Factorial Analysis of Variance

Required References

Coughlan, M., Cronan, P., & Ryan, F. (2007). Step-by-step guide to critiquing research. Part 1: Quantitative research. British Journal of Nursing, 16 (11), 658-663. Retrieved from: http://www.unm.edu/~unmvclib/cascade/handouts/critiquingresearchpart1.pdf (Links to an external site.)Links to an external site.

Hoyt, C. L., Price, T. L., & Emrick, A. E. (2010). Leadership and the more-important-than-average effect: Overestimation of group goals and the justification of unethical behavior. Leadership,6(4), 391-407. doi: http://dx.doi.org/10.1177/1742715010379309 Retrieved from https://www.researchgate.net/publication/258168445_Leadership_and_the_more-important-than-average_effect_Overestimation_of_group_goals_and_the_justification_of_unethical_behavior (Links to an external site.)Links to an external site.

UIS. (n.d.). How to critique a journal article. Retrieved from https://otpod.files.wordpress.com/2013/03/jrnlcrtq.pdf (Links to an external site.)Links to an external site.

Recommended References

American Psychological Association (2010). Publication manual of the American Psychological Association (6th ed.). Washington, D.C.: Author.

Cengage Learning (2005). Research Methods Workshops. Available from: http://www.wadsworth.com/psychology_d/templates/student_resources/workshops/resch_wrk.html (Links to an external site.)Links to an external site.APA Style, Between versus Within Designs, Controls, Ethical Issues, Evaluating Published Research, Experimental Methods, Getting Ideas for a Study, Operational Definitions, Reliability and Validity, Sampling Methods, Specifying Constructs, True Experiments

Cengage Learning (2005). Statistics Workshops. Available from: http://www.wadsworth.com/psychology_d/templates/student_resources/workshops/stats_wrk.html (Links to an external site.)Links to an external site. Two-Way ANOVA, Factorial ANOVA

Easton, V. J., & McColl, J. H. (1997). STEPS: Statistics Glossary v1.1. Retrieved from University of Glasgow Web site: Design of Experiments & ANOVA: http://www.stats.gla.ac.uk/steps/glossary/anova.html (Links to an external site.)Links to an external site.

Easton, V. J., & McColl, J. H. (1997). STEPS: Statistics Glossary v1.1. Retrieved from University of Glasgow Web site: Hypothesis Testing: http://www.stats.gla.ac.uk/steps/glossary/hypothesis_testing.html (Links to an external site.)Links to an external site.

Neill, J. (2010). ANOVA II. University of Canberra. Available from: http://www.slideshare.net/jtneill/anova-part-ii (Links to an external site.)Links to an external site.

Online Stat Book (2008). Retrieved from Rice Virtual Lab in Statistics Web site: Two-way ANOVA: http://onlinestatbook.com/stat_sim/one_way/index.html (Links to an external site.)Links to an external site.

Online Stat Book (2008). Retrieved from Rice Virtual Lab in Statistics Web site: Robustness: http://onlinestatbook.com/stat_sim/robustness/index.html (Links to an external site.)Links to an external site.

 
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Nonparametric Statistics & Correlation

Nonparametric Statistics & Correlation

(Nonparametric Statistics & Correlation)

Assessment Instructions

Answer the questions below, following the Submission Requirements as specified at the end of the assessment.

Assessment Concepts
Question Concept
Question 1 SPSS: One-Variable Chi Square
Question 2 SPSS: One-Variable Chi Square
Question 3 Chi-Square as a Test of Independence
Question 4 SPSS: Two-Variable Chi-Square
Question 5 Measures of Effect Size
Question 6 Power and the Factors Affecting It
Question 7 Power and the Factors Affecting It
Question 8 Correlational Studies
Question 9 Correlation: Relationship Direction
Question 10 SPSS: Scatterplot
Question 11 SPSS: Pearson r
Question 12 SPSS: Pearson r

Question 1(Nonparametric Statistics & Correlation)

Complete the following steps:

  1. Open the SPSS file assessment5a.sav linked in the Resources under the Required Resources heading.
  2. At the top of the screen, click on Data, then select Weight Cases.
  3. Click on Weight Cases By, click on Count, then click on the arrow next to Frequency Variable to send it over to the Test Variable box.
  4. On the toolbar, click Analyze, then Nonparametric Tests, then Legacy Dialogs, the Chi Square.
  5. Click on Favorite Color, then click on the arrow to send to the Test Variable List window.
  6. Under Expected Values, select Value, then enter the following four values in order: 43, 58, 253, 414.
  7. Click OK and copy and paste the output to your Word document.

Question 2

There are 218 first graders in an elementary school. Of these first graders, 86 are boys, and 132 are girls. School-wide, there are 753 boys and 1063 girls. The principal would like to know if the gender ratio in first grade reflects the gender ratio across the school.

Complete the following:

  1. Identify the null hypothesis.
  2. What are the degrees of freedom (df)?
  3. Complete the table (complete in SPSS and paste the output into your Word document):
    Question 2
    Men Women
    Number Observed Number Expected Number Observed Number Expected
  4. Calculate χ² in SPSS and paste the output into your Word document.
  5. Can you reject the null hypothesis at α = .05?

Question 3

You recently read a magazine article stating that professionals who attended college online tend to earn higher salaries than professionals who attended brick-and-mortar universities. Identify this study’s two variables.

Question 4(Nonparametric Statistics & Correlation)

Complete the following steps:

  1. Open the SPSS file assessment5b.sav linked in the Resources under the Required Resources heading.
  2. At the top of the screen, click on Data, then select Weight Cases.
  3. Click on Weight Cases By, click on Count, then click on the arrow next to Frequency Variable to send it over to the Test Variable box.
  4. On the toolbar, click Analyze, then Descriptive Statistics, then Crosstabs.
  5. Click on Team Placement, then click on the arrow to send to the Rows window.
  6. Click on Gender, then click on the arrow to send to the Columns window.
  7. Click on the Statistics button, then check the box for Chi-Square. Click Continue.
  8. Click on the Cells button, then check the box for Expected. Click Continue.
  9. Click OK, and copy and paste the output to your Word document.
  10. Highlight the chi-square and significance values in the output. Write the chi-square results as you might see them in a journal.

Question 5

Group A (n = 12) has a mean score of 7.42. Group B (n = 12) has a mean score of 6.00. Standard deviation for scores across all participants is 1.369. Group A’s mean is significantly higher than Group B’s mean ( t = 2.84, α < .01).

  1. Calculate effect size using Cohen’s d and effect size r.
  2. Based on the effect size, it there a practical difference between Groups A and B?

Question 6

Assume Cohen’s d to be approximately .40. If conducting an independent samples t test (two-tail, α= .05), how many participants will you need in each group to achieve 90 percent (.90) power?

Question 7

Assume effect size η to be approximately .29. If conducting a one-way ANOVA (three groups, α = .05), how many participants will you need in each group to achieve 80 percent (.80) power.

Question 8

Which of the following scenarios might be analyzed using a correlation?

  • The effectiveness of training A versus training B in raising skill level.
  • Minutes spent exercising per week and physical fitness level.
  • Income level and the number of visits to a financial planner.
  • Beer brand preference among college students.

Question 9

Indicate if you expect the relationship between the following variables to be negative (-), positive (+), or zero (0):

  • Size of yard and size of landscaping bill.
  • Years of education and income level.
  • Hours of TV watched per week and physical fitness level.
  • Number of siblings and number of pets.
  • Hours spent studying and exam scores.

Question 10

Complete the following steps:

  1. Open the SPSS file assessment5c.sav linked in the Resources under the Required Resources heading.
  2. At the top of the screen, click on Graphs, then select Legacy Dialogs, then Scatter/Dot.
  3. Click on Simple Scatter, and select Define.
  4. Click on Exam 1 (X), then click on the arrow next to X Axis to send it over to the X Axis box.
  5. Click on Exam 2 (Y), then click on the arrow next to Y Axis to send it over to the Y Axis box.
  6. Click OK, then copy and paste the scatterplot output to your Word document.

Question 11

Complete the following:

  1. Open the SPSS file assessment5c.sav.
  2. At the top of the screen, click on Analyze, then select Correlation, then Bivariate.
  3. Click on Exam 1 (X), then click on the arrow to send it over to the Variables box.
  4. Click on Exam 2 (Y), then click on the arrow to send it over to the Variables box.
  5. Click OK, then copy and paste the correlation output to your Word document.

Question 12

Complete the following steps after opening the SPSS file assessment5d.sav linked in the Resources under the Required Resources heading:

  1. Create a scatterplot. Copy and paste the scatterplot output to your Word document.
  2. Based on the scatterplot, what is the expected strength and direction of the correlation?
  3. Identify the null hypothesis.
  4. Calculate Pearson r. Copy and paste the correlation output to your Word document.
  5. Based on the correlation output (two-tailed test), can the null hypothesis be rejected? If the null can be rejected, how confident can you be that the results are not due to chance?
  6. Report the results as you might see them in a journal.

Submission Requirements

  • Submit all answers in one Word document (do not submit multiple files).
  • Show your work for questions that require calculations.
  • Ensure your answer to each problem is clearly visible (you may want to highlight your answer, or use a different font color, to set it apart).
 
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This is a CLC assignment (Solved)

This is a CLC assignment (Solved)

(This is a CLC assignment (Solved)) As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

  1. Identify, prioritize, and describe at least four problems.
  2. Provide substantiating evidence (assessment data) for each problem identified.
  3. Identify and describe at least four medical and/or nursing interventions.
  4. Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

Entire Assignment

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite (This is a CLC assignment (Solved)).

 
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Transcending Compassionate Care

Transcending Compassionate Care

(Transcending Compassionate Care)

Case Study The hospice nurse sat with Ann’s husband

Question description

Please apply a complete APA format:

level of heading

introduction

level one heading

level 2 heading

conclusion

references

Assignment:

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

1.Case Study

The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sign escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.

Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?

What are characteristics of a humanbecoming nurse? What are strengths and weaknesses to this theory of nursing?

What challenges exist for healthcare institutions to switch to this nursing approach?

How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?

From the nursing theories we have discussed, what theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.

Assignment: Write an APA paper to include all aspects required for an APA paper. Remember all the notes I have given you over the course to attain full credit. This paper should include 2 outside references and your textbook –that is a total of 3 references – and should be at least 1250 words. Divide each item with a level 2 heading.

How would the Nurse Deliver Parse’s Theory of Human Becoming in regards to the case study? (How can the nurse use Parse’s theory to guide her)

Characteristics of a human becoming nurse?

Strengths and Weaknesses to this theory of nursing? (Discuss both strengths and weaknesses)

Institutional Challenges – What challenges exist for healthcare institutions to switch to this nursing approach?

How might Parse’s Understanding of Transcendence guide the nurse as Ann’s death became a reality to Ben?

Choose an Additional Nursing Theory to apply to this case (explain reasoning for choice) and develop a plan of care to include both nursing theories.

 
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Effects Stress On Young Mother

Effects Stress Has On Young Mother And Ways To Cope With Stresses

(Effects Stress On Young Mother)

COU 2360 Paper Guidelines — 100 points

Each student will choose a topic and write a paper summarizing the key points of that topic using at least two peer-reviewed sources. Newspaper articles, blogs, websites publications, Wikipedia articles, and/or any other non-published material will not be acceptable.  Students should access the Faulkner University library website to find sources.

1. Length: three to five pages

2. Format: APA (https://owl.english.purdue.edu/owl/resource/560/01/

3. Grammar: Paper must be written in grammatically correct, complete sentences. Information should not be copied from sources but summarized in the students’ own words.

4. Main content:

a. Introduction: Preview of summary, reason you chose topic

b. Research-based definition of topic

c. History/background of topic (statistics, facts, etc.)

d. Description of major research on topic

e. Conclusion: Student reactions, future directions for research, further questions, practical applications of findings

Article Summary Topic Ideas

Psychology of happiness

Links to depression

Determinants of happiness

Personality (differences among siblings, differences among cultures…

Personality and mental health

Effects of stress

Positive coping skills

Effects of positive and/or unhealthy coping skills

Any other topic covered in the textbook……we will discuss other ideas in class.

 
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