Exploring Family Counseling Approaches

Exploring Family Counseling Approaches

(Exploring Family Counseling Approaches)

Family Counseling Approach Research Paper Instructions

Part I:

You are required to write a research paper/formal literature review in current APA format on 1 of the specific approaches to family counseling, (e.g., structural, psychoanalytic, Bowenian, experiential, etc.; i.e., not a technique). You will identify leading figures, historical and current events, assumptions, development of the theory, concepts, and techniques related to your chosen approach. You will also note any similarities or dissimilarities between the chosen theory and other leading theories, and you will identify any new knowledge you acquired through this assignment.

You must have scholarly references, including books and journals that are written to or for scholars. You may use some non-scholarly materials; however, these may not be the bulk of your references.

Do not use the Goldenberg & Goldenberg textbook as your primary reference. You must use a minimum of 12 sources cited in current APA format in both the body of your paper and your reference page. Part I of your paper requires a minimum of 6 pages.

Part II:

A personal integration section is required. This second section of your paper will be your attempt to integrate your own faith and family counseling approach. You may use whatever resources are necessary to complete this portion of the paper, including materials from the Ripley & Worthington textbook. Feel free to use additional books about integration or any materials you have found beneficial on integrating your faith and counseling. The supplemental textbooks listed in your Course Syllabus may help you in writing this paper. If your view is something other than Christian, discuss how your view might interact with your counseling approach. The use of first person is allowed in this section only. This portion of the paper must be a minimum of 4 pages. The entire paper (Parts I and II) will be a minimum of 10 pages.

This research paper will count for approximately 15% of your final grade. The paper will be graded on:

1.  Clarity of writing, good writing style;

2.  Content;

3.  The flow of the paper;

4.  Current APA style (ex: cover page, abstract page, correct font and font size, body of the paper, reference page(s), and double-spacing); and

5.  Appropriate scholarly, online references and optional non-scholarly references. (Thousands of articles and books are available online through the Liberty University Online Library’s website and may be accessed immediately. If you request photocopying of documents and shipment of library books from the Guillermin Library, allow 3–5 days.)

Remember: The Goldenberg & Goldenberg textbook may be used as a guide, but do not make the textbook your paper.

The Family Counseling Approach Research Paper is due by 11:59 p.m. (ET) on Friday of Module/Week 8.

Family Counseling Approach Research Paper Grading Rubric

Criteria Points Possible Points Earned
Organization 0 to 37

·         There is a clear, logical flow of ideas.

·         Major points are stated clearly.

·         Major points are supported by at least 1 of the following:

1.      Twelve scholarly sources; and

2.      Thoughtful analysis of themes (considering implications, identifying assumptions, etc.).

Part I Content (6 pages) 0 to 45

·         The selected approach to family counseling is identified.

·         Leading figures, historical and current events, assumptions, development of the theory, concepts, techniques, etc. are identified.

·         Similarities/dissimilarities are noted between the chosen theory and other leading theories.

·         New knowledge acquired through this assignment is identified in the paper.

Part II Content (4 pages) 0 to 30

·         The assignment identifies how faith or worldview coincides with the selected counseling theory.

·         A clear integration of the principles and techniques within the selected counseling theory is demonstrated.

Readability and Current APA Format 0 to 30

·        Proper spelling and grammar are used.

·         Sentences are complete, clear, and concise.

·         Paragraphs contain appropriately varied sentence structures.

·         References are cited in current APA format.

Logistics of Paper 0 to 8

·         The assignment meets the required page length (10 pages).

 
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Assignment3: Views On Diversity

Assignment3: Views On Diversity

(Assignment3: Views On Diversity)

Pablo believes that diversity is the most important issue in our culture, and that it is greatly underemphasized. On the other hand, Ralph rarely thinks of diversity, except when it is mentioned in the workplace. Monica is sensitized to multicultural issues because her parents are immigrants who still struggle with discrimination after being here for 20 years.

To obtain a cross-section of what people think about diversity, conduct five-minute interviews with three individuals you don’t know well, and assess their views on diversity. You have been provided an Informed Consent document for the respondents to sign along with verbally consenting to participate in this assignment. This is to enable that the respondents demonstrate a clear understanding of the meaning and purpose of this assignment. While you are expected to use the informed consent form in keeping with ethical practices for data collection, you do not need to submit it to the instructor as part of the assignment.

Ask the respondents the following questions and record their answers:

  • When you hear the word diversity mentioned in the workplace, in the media, or in casual conversation, what meaning do you assign this term?
  • Does a particular race, ethnic group, or other minority group come to mind when you think of diversity? Does one of these groups pertain to you?
  • Do you think the majority of people in our culture:
    • Respect cultural differences among groups of people.
    • Show indifference to cultural differences.
    • Lack respect for cultural differences. Explain each choice.
  • If you were to make a suggestion about how our culture should handle diversity over the next decade, what would it be?

Compile your responses and write a brief reflection paper (two pages) on your findings. Specifically address the following issues:

  • What did you discover was the general attitude toward diversity in our culture?
  • Is diversity more associated with one race, ethnic, or other minority group than with others? If so, explain why this might be the case.
  • Compare and contrast the respondent’s views with your own. How would you answer the same questions
 
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Optimizing Job Sequencing Strategies

Optimizing Job Sequencing Strategies

(Optimizing Job Sequencing Strategies)

Unit 8 Problems

Name

Institutional Affiliation

Unit 8 Problems

Problem 6

A. Sequence the jobs using (1) FCFS, (2) SPT, (3) EDD, and (4) CR. Assume the list is by order of arrival.

  1. First      Come, First Served (FCFS)

 

Sequence

Job   Time

Flow   Time

Due   Date

Lateness

The sequencing of the jobs based on the First Come, First Served (FCFS) basis is A – B – C – D, and the chart shows that shows that jobs B, C, and D will be late by a total of 44 days.

  1. Shortest      Possible Time (SPT)

Sequence

Job   Time

Flow   Time 

Due   Date

Lateness   

sequencing on the jobs based on the Shortest Possible Time is D – C – B – A, and the chart shows that jobs B and A will be late by a total of 24 days.

  1. Earliest      Due Date (EDD)

Sequence

Job   Time

Flow   Time

Due   Date

Days   Tardy

The sequencing of the jobs based on the Earliest Due Date (EDD) is given as C – B – D – A, and the average completion time is 42 days.

  1. Critical      Ratio

Sequence

Job   Time

Flow   Time

Due   Date

Tardiness

All the critical ratios are greater than 1, and this indicates that all the jobs will be completed in time if scheduled as A – C – D – B.

B. For each of the methods in part a, determine (1) the average job flow time, (2) the average tardiness, and (3) the average number of jobs at the work center. 

  1. Average      time flow 

a) FCFS = average completion time/number of jobs = 106/4 = 26.5 days.

b) SPT = average completion time/number of jobs = 79/4 = 19.75 days

c) EDD = average completion time/number of jobs = 84/4 = 21 days

d) CR = average completion time/number of jobs = 191/4 = 47.75 days

  1. Average      tardiness 

a) FCFS = 44/4 = 11 days

b) SPT = 24/4 = 6 days

c) EDD =24/4 = 6 days

d) CR = 123/4 = 30.75 days

  1. Average      number of jobs 

a) FCFS = 106/37 = 2.865

b) SPT = 79/37 = 2.135

c) EDD = 84/37 = 2.270

d) CR = 191/37 = 5.162

C. Is one method superior to the others? Explain. 

None of the methods is superior than the others because they each have their inherent weaknesses in addition to their strengths. For example, using the FCFS and SPT priority rules results in the increased delays in jobs that require longer times to complete while the EDD approach tends to ignore the processing times during the scheduling. However, the CR method has the most weaknesses in scheduling of the jobs.

Problem 11

Given the operation times provided: 

a. Develop a job sequence that minimizes idle time at the two work centers. 

The determination of the job sequence that would reduce the idle time at the two work centers is completed using the Johnson’s as shown in the table below:

Developing   the Job Sequence

Iteration

Job   Sequence

Comments 

A

D

The   shortest job time is 12 minutes for D at Center 2, and thus D is scheduled   last.

B

B

D

D   is then removed from the table of eliminated times and the next least job   time is observed as 16 minutes for B at Center 1. Thus, B is scheduled first.

C

B

A

D

B   is then eliminated from the table and the next least job time is 20 minutes   for A at Center 1 and is there scheduled next.

 

B

A

F

D

A   is then eliminated from the table and the next least time is 24 minutes for F   at Center 2 and this is scheduled next.

E

B

A

E

F

D

F   is then eliminated from the table and the next least time is E at Center 2   and this is scheduled next.

F

B

A

C

E

F

D

E   is then eliminated from the table and the last least time is 43 minutes at   Center 1 and it is scheduled the earliest.

Thus the job sequence that reduces the idle time at Centers 1 and 2 is given as B – A – C- E – F – D

b. Construct a chart of the activities at the two centers, and determine each one’s idle time, assuming no other activities are involved. 

The chart of activities for the two centers is shown below:

From the chart, the idle time at Center is given as 0 minutes while the total idle time at Center 2 is given as ((16 – 0) + (79 – 73) + (216 – 182)) = 16 + 6 + 34 = 56 minutes

 
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Transforming Harris Health System

Transforming Harris Health System

(Transforming Harris Health System)

Most Admired" list of the top companies , business and finance homework help

Question description

Each year Fortune magazine publishes a “Most Admired” list of the top companies in the United States. Firms are rated on these eight dimensions: innovativeness, quality of management, long-term investment value, social responsibility to the community and the environment, people management, quality of products and services, financial soundness, wise use of corporate assets, and, if international, a ninth dimension: effectiveness in doing business globally.

For this assignment, select a familiar organization (you are encouraged to select an organization in which you have been employed for at least 6 months). Then, choose one of the eight dimensions used to rate top U.S. companies in which the organization appears to be underperforming. Prepare a PowerPoint presentation (12-15 slides) that addresses the following:

  1. Identify a major issue the organization is facing and in which dimension (of the eight identified above) it is underperforming. Explain the ramifications the underperformance is currently having on the organization. Identify the likely consequence of failure to improve in the selected dimension.
  2. Analyze the relevance of the current organizational structure, design, and culture and their influence on organizational effectiveness, especially in relationship to the dimension in which the organization is struggling.
  3. Determine whether the organization embodies the principles and values of conscious culture and management and its relevance to improving organizational function.
  4. Present a plan to bring about necessary improvement using Kotter’s 8-step change model.
  5. Address possible challenges to the suggested change and your plans for managing those challenges.
  6. Explain how different subsystems need to be realigned in order to bring about the change.
  7. Detail any lessons learned and evaluate strategies that you as a manager will either avoid or engage in when designing the structure, building culture, and managing change in your organization.
  8. Present evidence from at least three scholarly articles to support your position and proposed change initiative.

While APA format is required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

60.0 %Content
5.0 %Identification of Issue
10.0 %Ramifications and Consequences
10.0 %Effect of Organizational Structure, Design, and Culture
10.0 %Embodiment of Conscious Capitalism
10.0 %Improvement Plan
10.0 %Challenges and Plans for Managing Challenges
5.0 %Lessons Learned and Evaluation of Strategies for Leading Teams and Fostering Collaboration
40.0 %Presentation
15.0 %Presentation of Content
10.0 %Layout
5.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

I have been working as a trauma surgical nurse for harris health system since 2007. Please use the same headings from the rubric. Our textbook chapter 3 Kreitner, R. & Kinicki, A. (2013). Organizational Behavior. (10 ed.) New York, NY: McGraw-Hill

 
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Healthy Relationships In Workplace

Healthy Relationships in Workplace

(Healthy Relationships In Workplace)

Healthy relationships form the basis for a positive workplace. When staff are engaged in their jobs, supported by one another, and feel a sense of security in their work, healthy relationships among staff members will flourish. Nurse managers can assess the workplace for healthy relationships by observing the interactions among staff members. Are trust, respect, and collegiality evident, or might some staff members display toxic or dysfunctional behaviors toward one another? When toxic or dysfunctional behaviors are evident even among the smallest cohort of staff, nurse managers must take steps to foster positive interactions. In fact, all other efforts to establish a positive workplace will likely fall short if they are not built on the foundation of healthy interpersonal relationships.

In this Discussion, you examine the interactions between employees at your current organization or one with which you are familiar. You also explore positive psychology, a theory of well-being that has helped many workplaces to increase positivity and foster healthy relationships among staff members.

To prepare

  • Review Chapter 2, “Cultivating the Leadership Relationship” in the course text, From Management to Leadership: Strategies for Transforming Health Care. Examine how leaders cultivate healthy relationships among all staff members.
  • Review the article, “Using Positive Psychology to Engage Your Staff during Difficult Times.” How can positive psychology foster healthy workplace relationships and increase staff engagement?
  • Reflect on the interactions you see in your own organization or in one with which you are familiar. What relationships do you observe across different job categories, such as RNs, LPNs, techs, and nursing assistants? Do relationship disparities exist between shifts, departments, or members of different disciplines, such as nursing staff and physicians?
  • Identify environments where unhealthy relationships most commonly occur. What leadership strategies might you use to build healthy relationships among these specific staff members? Furthermore, how could you apply positive psychology to increase positivity in this environment?

Post an explanation of at least two leadership strategies you could implement to build healthy relationships among staff members in the workplace you selected. Cite specific examples in your explanation by identifying the staff members you would target and explaining how your strategies would foster healthy interactions among these staff members. In addition, suggest at least one positive psychology strategy you could employ to increase the ratio of positive to negative interactions in your workplace; explain your rationale.

 

Required Readings

Lussier, R. N., & Hendon, J. R. (2016). Human resource management: Functions, applications, & skill development (2nd ed.). Thousand Oaks, CA: Sage Publications.
Chapter 14, “Workplace Safety, Health, and Security” (pp. 526–558)The authors analyze the many factors that contribute to and affect workplace safety. They provide techniques for stress management and how to handle violence in the workplace.

Manion, J. (2011). From management to leadership: Strategies for transforming health care (3rd ed.). San Francisco, CA: Jossey-Bass.

Chapter 1, “Leadership: An Elusive Concept” (pp. 1–30)Chapter 1 provides a thoughtful comparison between the functions of management and leadership. It highlights leadership best practices and leaders as change agents.

Chapter 2, “Cultivating the Leadership Relationship” (pp. 31–68)This chapter explains how effective leaders cultivate healthy relationships with staff members. The author discusses key leadership characteristics as well as the four essential elements of a healthy leadership relationship: trust, mutual respect, support, and communication.

Chapter 4, “Communicating with Clarity” (115–179)Chapter 4 describes the many aspects of communication and how each can affect relationships within the workplace. It includes common forms of miscommunication and tips for becoming a more effective communicator and listener.

Chapter 7, “Coaching and Developing Others” (pp. 295–307 only)The selected pages from Chapter 7 examine the misconceptions many leaders have about individual motivations. The author discusses workplace and work-life factors that influence employee motivation.

Achor, S. (2012). Positive intelligence. Harvard Business Review, 90(1/2), 100–102.  Retrieved from the Walden Library databases.

This article explores the theory that happiness precedes success. The author discusses three basic strategies that people can use to improve their mental well-being and performance at work.

Morse, G. (2012). The science behind the smile: Interview with Daniel Gilbert. Harvard Business Review, 90(1/2), 84–90.  Retrieved from the Walden Library databases.

In this interview, Daniel Gilbert discusses how happiness affects productivity at work. He also explains what makes people happy and how people can achieve it.

Muha, T. M., & Manion, J. (2010). Using positive psychology to engage your staff during difficult times. Nurse Leader, 8(1), 50–54.  Retrieved from the Walden Library databases.

Muha and Manion address the vacancies left behind by aging baby boomers and a poor economy. Hospitals must create a positive work environment for the younger nurses who will fill those vacancies.

 
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Integrated Healthcare IT Solutions

Integrated Healthcare IT Solutions

(Integrated Healthcare IT Solutions)

Question description

Assignment – Strategic It Infrastructure for a Health Care Setting "Looking for Robert F Only"

This is your final project component.

At this time, you have completed various parts of planning and implementing a new information management system into a health care setting (a hospital). The main focus of this assignment, integrate all of the components of your project into one comprehensive packet. See how these parts work together to complete the project which the hospital is asking.

In this assignment, integrate all of the components of your project into one comprehensive packet. Imagine that you are presenting this packet to the governing board of the hospital. In addition, write a summary that demonstrates your overall understanding of the process and steps that you went through. Use the following as a guideline: Below is some website that may helpful in this assignment. I will upload the preview components

How does the new integrated system secure information? This includes looking at laws, regulations, patient rights, employee rights, and barriers to security.

How is information utilized and managed using the new integrated system? For example, how is it used in day to day functions?

Evaluate your overall plan. This includes strategies used, recommendations for education and training, return on investment and improvement of quality of care.

Identify and analyze the common—and unique—technological solutions provided for the health care information management.

Include the following in your final assignment:

Integrate the comments provided to you by your instructor.

Add headers, introduction, appendices, table of contents, conclusion, and reference page, and so on as appropriate

Healthcare IT News–http://www.healthcareitnews.com/topics/7657:

Consumer Decision Support Systems: A Health Care Case Study–http://www.hicss.hawaii.edu/HICSS_34/PDFs/HCDAM06….

Privacy and Security–http://www.himss.org/ASP/topics_privacy.asp

Security Issues Can’t Be “Swept Under the Rug”– http://www.healthcareitnews.com/news/security-issu…?

The White House Blog – Secretary Sebelus Discusses Health Care Security’s–http://www.whitehouse.gov/blog/2010/01/08/secretar…

 
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Effective Approaches In Leadership & Management

Effective Approaches In Leadership & Management

(Effective Approaches In Leadership & Management)

Effective leadership and management require a multifaceted approach that combines vision, communication, delegation, and empathy. Firstly, a leader must have a clear vision that inspires and motivates their team towards common goals. Effective communication is crucial for conveying this vision and ensuring everyone is aligned and informed.

Delegation is essential for distributing tasks appropriately and empowering team members to take ownership and grow. Trusting your team fosters a collaborative environment where individuals feel valued and motivated to excel. Additionally, empathy plays a vital role in understanding and supporting team members, fostering a positive work culture, and resolving conflicts constructively.

Furthermore, continuous learning and adaptation are essential for staying relevant and responsive to challenges. A leader must be open to feedback, willing to evolve their strategies, and lead by example in embracing change. Ultimately, effective leadership and management require a balance of strategic thinking, interpersonal skills, and a commitment to fostering growth and success both individually and collectively.

Benchmark – Effective Approaches In Leadership & Management

Details:

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
  2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
  4. Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.
  5. Use at least two references other than your text and those provided in the course.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center

 
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Accounting Capstone Research Project

Accounting Capstone Research Project – Accounting homework help

(Accounting Capstone Research Project)

Question description

Assume you are the partner in an accounting firm hired to perform the audit on a fortune 1000 company.  Assume also that the initial public offering (IPO) of the company was approximately five (5) years ago and the company is concerned that, in less than five (5) years after the IPO, a restatement may be necessary. During your initial evaluation of the client, you discover the following information:

  • The client is currently undergoing a three (3) year income tax examination by the Internal Revenue Service (IRS). A significant issue involved in the IRS audit encompasses inventory write-downs on the tax returns that are not included in the financial statements. Because of the concealment of the transaction, the IRS is labeling the treatment of the write-down as fraud.
  • The company has a share-based compensation plan for top-level executives consisting of stock options. The value of the options exercised during the year was not expensed or disclosed in the financial statements.
  • The company has several operating and capital leases in place, and the CFO is considering leasing a substantial portion of the assets for future use. The current leases in place are arranged using special purpose entities (SPEs) and operating leases.
  • The company seeks to acquire a global partner, which will require IFRS reporting.
  • The company received correspondence from the Securities and Exchange Commission (SEC) requesting additional supplemental information regarding the financial statements submitted with the IPO.

 Write an eight to ten (8-10) page paper in which you:

  1. Evaluate any damaging financial and ethical repercussions of failure to include the inventory write-downs in the financial statements. Prepare a recommendation to the CFO, evaluating the negative impact of a civil fraud penalty on the corporation as a result of the IRS audit. In the recommendation, include essential internal control procedures to prevent fraudulent financial reporting from occurring, as well as the major obligation of the CEO and CFO to ensure compliance.
  2. Examine the negative results on stakeholders and the financial statements of an IRS audit which generates additional tax and penalties or subsequent audits. Assume that the subsequent audit and / or additional tax and penalties result from the taxpayer’s use of an inventory reserve account, applying a 10 percent reduction to inventory over three (3) years. 
  3. Discuss the applicable federal tax laws, regulations, rulings, and court cases related to the inventory write-downs, and explain the specific relevance of each to the write-down.
  4. Research the current generally accepted accounting principles (GAAP) regarding stock option accounting. Evaluate the current treatment of the company’s share-based compensation plan based on GAAP reporting. Contrast the financial benefits and risks of the share-based compensation stock option plan with the financial benefits and risks of a share-based stock-appreciation rights plan (SARS). Recommend to the CFO which plan the company should use, and provide the correct accounting treatment for each.
  5. Research the reporting requirements for lease reporting under GAAP and International Financial Reporting Standards (IFRS). Based on your research, create a proposal for future lease transactions to the CFO. Within the proposal, discuss the use of off-the-balance sheet financing arrangements, capital leases, and operating leases, and indicate the related business and financial risks of each.
  6. Create an argument for or against a single set of international accounting standards related to lease accounting based on the global market and cross border leases of assets. Examine the benefits and risks of your chosen position.
  7. Examine the major implications of SAS 99 based on the factors you discovered during the initial evaluation of the company. Provide support for your rationale.
  8. Analyze the potential for a material misstatement in the financial statements based on the issues identified in your initial evaluation. Make a recommendation to the CFO for the issuance of        restated financial statement restatement. Identify at least three (3) significant issues that can result from the failure to issue restated financial statements.
  9. Examine the economic effect of restatement of the financial statements on investors, employees, customers, and creditors.
  10. Use six (6) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

 Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
 
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EBP Implementation: Assessing Adherence

EBP Implementation: Assessing Adherence

(EBP Implementation: Assessing Adherence)

6052 Discussion 1

In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.

Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).

To prepare:

  • Consider a recent clinical experience in which you were      providing care for a patient.
  • Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were      based on research?
  • What questions have you thought about in a particular area of care such as a procedure or policy?
  • Review Chapter 2, pages 31–34 on “Asking Well worded      Clinical Questions” in Polit & Beck and consult the resource from the      Walden Student Center for Success: Clinical Question Anatomy & examples      of PICOT questions (found in this week’s Learning Resources). Formulate      your background questions and PICOT question.
  • Reflect on the barriers that might inhibit the      implementation of evidence-based practice in your clinical environment.
  • Review the article “Adopting Evidence-Based Practice in      Clinical Decision Making” in this week’s Learning Resources. Select one of      the barriers described that is evident in your organization and formulate      a plan for overcoming this barrier.

Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization.

 
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Nursing Skill Acquisition Theory

Nursing Skill Acquisition Theory

(Nursing Skill Acquisition Theory)

Patricia Benner developed the high middle range theory model of skill acquisition in nursing.

Patricia Benner developed the high middle range theory model of skill acquisition in nursing. This theory is rated toward the high middle due to the broadness of the content, but not a grand theory as it suggests to define a component of nursing practice. This theory suggests that nurses range from novice to expert in skill and experience. Benner recognizes education and theory as a basis for nursing skill, but the practice itself exceeds the bounds of formal theory. (Tomey & Alligood, 2009)

Benner formed her philosophy around the work of the Dreyfus Brothers. Benner used the Dreyfus skill acquisition model and molded it into clinical nursing practice. The stages are broken down into novice, advanced beginner, competent, proficient, and expert. Each stage is builds upon itself until a nurse becomes an expert.

This explanatory theory describes that the novice nurse can develop into an expert by learning through experience and applying that to future practice. “Expertise develops when the clinician test and refines propositions, hypotheses, and principle based expectations in actual practice situations.” (McEwen & Wills, 2014, p. 232). Brenner’s model has been used in education, management, and precepting. It suggests that the expert nurse isn’t the highest paid with the most prestigious title, it is the one with greatest experience and care. “An expert nurse caring for the same patient would complete the same tasks but not be caught up in the technical details. The expert integrates knowledge of cardiovascular physiology and pathophysiology to assess symptoms and guide patient care.” (Dracup & Bryan-Brown, 2004)

This theory is used on a daily basis in my area of practice. Working in the post anesthesia unit, you are they eyes and the ears of the surgeon. You have to rely on clinical skill and past experience to care for these patients that can decline rapidly. We care for some high acuity patients in an outpatient setting. If the patient is recovering from a transurethral resection of the prostate, experience suggests that you monitor the patient’s heart rate closely. They have an urge to bare down to urinate and vasovagal. Also, for pain management the traditional narcotic route doesn’t work the best. The more bladder specific medications such as levsin and pyridium have a tendency to work better. This experience has made me an expert nurse at my current job and I have served as a preceptor on many occasions.

Dracup, K., Bryan-Brown, C. (2004, November.) From Novice to Expert to Mentor: Shaping the Future. American Journal of Critical Care. Retrieved from ajcc.aacnjournals.org/content/13/6/448.full

McEwen, M. & Wills, E. (2014). Theoretical Basis for Nursing (4th Ed.); Lipincott Williams and Wilkins ISBN 9781451190311

Tomey, A., Alligood M. (2009). Nursing Theorists and Their Work. (7th ed.) St. Louis, MO: Mosby ISBN-10: 0323056415

 
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