Module 4 discussion: Scenario – Answered

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Module 4 discussion: Scenario – Answered

Scenario – There is a new Board running the hospital, and they are aggressive about the hospital being the best in the State. They have decided that you are best suited to lead the nurses in the hospital so that they will initially get status. From there, they are planning on having the nurses lead the way by having every nurse be a leader in their field. Your knowledge of how to reach these milestones is the reason that you were selected to lead the nurses in the hospital. Instructions: Read the scenario above, and then answer the following questions: What will the nurses need to do so that the hospital will become magnet status and be respected in the industry? What other certifications and awards, etc., will the nurses need to obtain so that the hospital will be named a magnet institution? What types of organizational designs and structures will need to happen for magnet status? Answer the questions as thoroughly and concisely as possible. Be sure to reference any works that you utilize in answering the questions (Be sure that references are in APA format).Please respond to at least one (1) of your classmate’s postings. To see the grading rubric, click on the 3-dot menu on the top-right side of screen (Module 4 discussion: Scenario – Answered).

Answer

Achieving Magnet Status: Strategies for Nursing Leadership and Organizational Excellence

Introduction

To elevate a hospital to Magnet status and establish it as a leader in the healthcare industry, a comprehensive strategy that focuses on nursing excellence and organizational structure is essential. Magnet recognition, awarded by the American Nurses Credentialing Center (ANCC), signifies a hospital’s commitment to nursing excellence, high standards of patient care, and a supportive work environment. As the new leader of the nursing team, your role will be pivotal in guiding the staff toward achieving and maintaining this prestigious status.

Steps to Achieve Magnet Status

Promote Evidence-Based Practice and Research

To achieve Magnet status, the hospital must demonstrate a commitment to evidence-based practice and research. Nurses should be encouraged to engage in research activities and apply evidence-based practices to improve patient outcomes. This involves providing access to research resources, training in research methodologies, and fostering a culture that values and supports continuous learning and innovation (Marschall et al., 2020). Nurses should also be involved in developing and implementing clinical guidelines based on the latest research to ensure that care delivery is grounded in the best available evidence.

Foster a Supportive and Collaborative Work Environment

Magnet recognition requires a supportive work environment where nurses feel valued and engaged. This includes promoting nurse autonomy, providing opportunities for professional development, and ensuring adequate staffing levels to prevent burnout. Implementing mentorship programs, leadership development initiatives, and recognizing nurses’ contributions through awards and recognition programs are essential components (Kramer & Schmalenberg, 2020). Creating an environment that supports collaboration and teamwork will also contribute to achieving Magnet status.

Certifications and Awards

Nursing Specialty Certifications

To align with Magnet criteria, nurses should obtain specialty certifications relevant to their practice areas. These certifications demonstrate advanced knowledge and skills, enhancing the hospital’s reputation for excellence in various clinical specialties. For instance, certifications such as Certified Critical Care Nurse (CCRN), Certified Pediatric Nurse (CPN), or Certified Nurse Midwife (CNM) can be valuable. Specialty certifications are often a requirement for Magnet recognition and help establish the hospital as a center of excellence (American Nurses Credentialing Center, 2019).

Awards and Recognitions

Securing various awards and recognitions can bolster the hospital’s bid for Magnet status. Examples include recognition as a Best Place to Work in Healthcare or achieving quality awards for patient care. These accolades reflect the hospital’s commitment to high standards of care and employee satisfaction, further supporting the Magnet application (Sullivan, 2018).

Organizational Designs and Structures

Decentralized Decision-Making

Magnet status requires a decentralized organizational structure that empowers nurses to participate in decision-making processes. This includes involving nurses in leadership roles, committees, and quality improvement initiatives. A flat organizational structure, where decision-making authority is distributed, promotes nurse autonomy and enhances job satisfaction. Creating shared governance models where nurses have a voice in policy development and practice changes is crucial for achieving Magnet recognition (Sullivan, 2018).

Integrated Care Teams

Implementing interdisciplinary care teams is essential for fostering collaboration and improving patient outcomes. Magnet-recognized organizations often have well-integrated teams that include nurses, physicians, and other healthcare professionals working together to deliver comprehensive care. This structure supports coordinated care, enhances communication, and ensures that patient needs are met holistically (Marschall et al., 2020).

Conclusion

Achieving Magnet status requires a multifaceted approach that includes promoting evidence-based practice, fostering a supportive work environment, obtaining relevant certifications and awards, and implementing effective organizational designs. By focusing on these areas, the hospital can elevate its status, attract top talent, and enhance patient care, ultimately establishing itself as a leader in the healthcare industry.

References

American Nurses Credentialing Center. (2019). Magnet® recognition program [Brochure]. Retrieved from https://www.nursingworld.org/our-certifications/magnet/

Kramer, M., & Schmalenberg, C. (2020). The magnet journey: The art and science of nursing excellence. American Nurses Association.

Marschall, J., Hooten, E., & Krenz, S. (2020). Evidence-based practice and research for the advanced practice nurse. Springer Publishing Company.

Sullivan, E. J. (2018). Effective leadership and management in nursing (9th ed.). Pearson Education.

 
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Face to Face—You and Your New Job in Customer Service – Answered

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Face to Face—You and Your New Job in Customer Service – Answered

Face to Face—You and Your New Job in Customer Service You have assumed a new role in customer service at United Booksellers. The organization has been heralded for its high-quality service and friendly atmosphere. The facilities are nice, and the efficiency and helpfulness of the employees are notable. Each store has its own coffee shop where patrons can relax and read. The organization employs 3,000 people and provides extensive customer service training before employees are allowed to interact with customers. Assignment Details Answer the following questions: Are there any indicators of United Booksellers’ service culture? If so, what are they? As an employee of United Booksellers, in what ways do you feel that you could contribute to the organizational culture? If you were a customer, what kind of service would you expect to receive at United Booksellers? Why? (Face to Face—You and Your New Job in Customer Service – Answered)

Answer

Indicators of United Booksellers’ Service Culture

United Booksellers exhibits several clear indicators of a robust service culture. First and foremost, the organization’s emphasis on extensive customer service training highlights its commitment to maintaining high standards of service quality. By ensuring that every employee undergoes rigorous training before interacting with customers, United Booksellers demonstrates its dedication to delivering exceptional service and equipping employees with the skills necessary to meet and exceed customer expectations (Berry, 1981).

Another indicator is the company’s focus on creating a welcoming and friendly atmosphere. The presence of in-store coffee shops where patrons can relax and read reflects a culture that prioritizes customer comfort and satisfaction. This setup not only enhances the overall shopping experience but also fosters a sense of community and engagement between customers and the store (Schneider & Bowen, 1995). Additionally, the efficiency and helpfulness of employees across the organization reinforce a service-oriented culture that values responsiveness and attentiveness.

Contributing to the Organizational Culture

As an employee of United Booksellers, there are several ways I can contribute to the organizational culture. Firstly, I can embody the values and principles that underpin the company’s service culture by being proactive, approachable, and knowledgeable in every customer interaction. Engaging in continuous learning and staying updated on product knowledge will enable me to assist customers more effectively and provide accurate information, enhancing their overall experience (Schneider, 1990).

Secondly, I can foster a positive and collaborative work environment by supporting my colleagues and participating actively in team initiatives. Encouraging open communication, sharing best practices, and offering assistance to new team members will contribute to a cohesive and motivated workforce. By promoting a culture of teamwork and mutual respect, I can help maintain the high standards of service and contribute to a positive work atmosphere (Schein, 2010).

Customer Expectations at United Booksellers

If I were a customer at United Booksellers, I would expect to receive a high level of service that aligns with the company’s reputation for quality and friendliness. Specifically, I would anticipate prompt and courteous assistance from well-trained staff who are knowledgeable about the products and services offered. The ability to provide personalized recommendations and address any queries or concerns effectively would be crucial to meeting my expectations (Zeithaml, Parasuraman, & Berry, 1990).

Additionally, I would expect a pleasant shopping environment where the ambiance, including amenities like the in-store coffee shop, enhances the overall experience. Clean, well-organized facilities and a welcoming atmosphere would contribute to a positive perception of the store and reinforce the company’s commitment to customer satisfaction. Overall, my expectations would be shaped by the organization’s established service culture, emphasizing attentiveness, efficiency, and a customer-centric approach (Bitner, 1992). (Face to Face—You and Your New Job in Customer Service – Answered)

References

  • Berry, L. L. (1981). The employee as customer. Journal of Retailing, 57(1), 32-40. https://www.scirp.org/reference/referencespapers?referenceid=2170849
  • Bitner, M. J. (1992). Servicescapes: The impact of physical surroundings on customers and employees. Journal of Marketing, 56(2), 57-71.
  • Schneider, B. (1990). The climate for service: An introduction. In B. Schneider (Ed.), Organizational Climate and Culture (pp. 1-8). Jossey-Bass.
  • Schneider, B., & Bowen, D. E. (1995). Winning the service game. Harvard Business Review Press.
  • Schein, E. H. (2010). Organizational Culture and Leadership (4th ed.). Jossey-Bass.
  • Zeithaml, V. A., Parasuraman, A., & Berry, L. L. (1990). Delivering Quality Service: Balancing Customer Perceptions and Expectations. Free Press.
 
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250 Nurse Evidence-Based Discussion – Answered

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250 Nurse Evidence-Based Discussion – Answered

Due 9/25   12 pm EST250 WORDS not including title and reference APAAs you complete the gathering and evaluation of the evidence, it’s important to review the significance and next steps related to EBP. Consider the following questions in your discussion post: How does a nurse know what (if any) knowledge in a research study is usable for clinical practice? What would a critical thinker look for in the evidence before deciding to change? What influence do credibility and clinical significance have on your decisions to integrate research-based evidence into your practice? Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position. Please be sure to validate your opinions and ideas with citations and references in APA format. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format (250 Nurse Evidence-Based Discussion – Answered).

Answer

Evaluating Evidence for Clinical Practice

To determine the usability of knowledge from a research study for clinical practice, nurses should assess several key factors. First, they must evaluate the study’s relevance to their specific clinical setting and patient population. This includes examining whether the study addresses a pertinent clinical question and if the findings are applicable to the cases they encounter in their practice (Melnyk & Fineout-Overholt, 2019).

A critical thinker would scrutinize the methodology of the study, including the design, sample size, and data collection methods. They would seek evidence of scientific rigor such as randomization, blinding, and control groups, which enhance the reliability and validity of the results. The statistical significance and effect size of the findings are also crucial; significant results with substantial effect sizes suggest that the evidence could lead to meaningful changes in patient outcomes (Polit & Beck, 2021).

Credibility plays a significant role in integrating research-based evidence into practice. Nurses should consider the authorship and publication source, ensuring the research is conducted by reputable experts and published in peer-reviewed journals. Additionally, they should evaluate the consistency of the findings with other studies and guidelines to ensure the evidence is robust and not an anomaly (Stetler et al., 2014).

Clinical significance refers to whether the research findings lead to improvements in patient care that are meaningful in real-world settings. Even if a study is statistically significant, it may not be clinically relevant if the changes it suggests do not have a practical impact on patient outcomes (Polit & Beck, 2021). Nurses should integrate evidence that demonstrates both statistical and clinical significance to ensure the changes they implement will effectively enhance patient care.

References

  • Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer. https://cmc.marmot.org/Record/.b60769117
  • Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
  • Stetler, C. B., Ritchie, J. A., Ritchie, J., & Scott, C. (2014). The Stetler Model of Research Utilization: An Overview. In B. M. Melnyk & E. Fineout-Overholt (Eds.), Evidence-Based Practice in Nursing & Healthcare (pp. 97-116). Wolters Kluwer.

250 Nurse Evidence-Based Discussion – Answered

 
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Project 3: Six Sigma (DMAIC) process to solve nursing problem – Answered

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Project 3: Six Sigma (DMAIC) process to solve nursing problem – Answered

You are the Nurse Leader/Administrator at a long-term care facility (not hospital). The rates of resident falls have been increasing over the last 6 months to a year in your facility causing some serious injuries for some of the residents. You, as a doctorate of nursing prepared leader, have to adequately describe the issue & create a Process Improvement project using the Six Sigma (DMAIC) process to address and solve the problem. During this part, you will address the DMA – Define, Measure & Analyze stages. A MINIMUM of 5 relevant evidence based sources (best are peer-reviewed articles) should be used and published within the last 5 years. Below are the (DMA) relevant issues to include in your Process Improvement Project: DEFINE:•Define the issue: What process are you trying to improve?•Describe the team and stakeholders• Plan out the project• Make a plan for the change MEASURE:• What metrics will you measure• How will you measure success• How will you collect baseline data ANALYZE:•How will you analyze the data you collect• What will you use to display data• What is the reason for your wastes, delays, etc (Project 3: Six Sigma (DMAIC) process to solve nursing problem – Answered).

Answer

Process Improvement Project: Reducing Resident Falls in a Long-Term Care Facility Using Six Sigma (DMAIC)

DEFINE

The primary issue at our long-term care facility is the increasing rate of resident falls, which have escalated over the past six months to a year. This trend has resulted in several serious injuries among residents, indicating a pressing need for improvement in fall prevention strategies. The goal of the process improvement project is to reduce the incidence of falls by implementing evidence-based interventions and optimizing current practices using the Six Sigma (DMAIC) methodology.

Process and Stakeholders

The process under scrutiny is the fall prevention program currently in place at the facility. This includes all aspects of resident safety related to falls, such as environmental safety measures, staff training, and resident care protocols.

The project team will consist of the following stakeholders:

  • Nurse Leader/Administrator: Oversees the project and ensures alignment with facility goals.
  • Clinical Nurse Specialists: Provide expertise in fall prevention and contribute to developing and implementing strategies.
  • Physical Therapists: Offer insights into physical interventions and mobility assessments.
  • Facility Maintenance Staff: Ensure that the physical environment is safe and compliant with fall prevention standards.
  • Residents and Families: Provide feedback on fall incidents and safety concerns.

Project Planning

The project will be divided into distinct phases:

  1. Initial Assessment: Review current fall prevention protocols and incident reports.
  2. Strategy Development: Identify evidence-based interventions and create a comprehensive plan.
  3. Implementation: Roll out the new strategies and provide staff training.
  4. Evaluation: Monitor the effectiveness of interventions and make adjustments as necessary.

A detailed plan will be crafted, outlining specific interventions, timelines, and responsibilities. This plan will incorporate recommendations from recent evidence-based guidelines on fall prevention in long-term care settings (Kendrick et al., 2021; Oliver et al., 2020).

MEASURE

Metrics for Measurement

To evaluate the effectiveness of the fall prevention program, the following metrics will be measured:

  • Fall Rate: The number of falls per 1,000 resident days.
  • Injury Severity: The number and severity of injuries resulting from falls.
  • Compliance Rate: Adherence to newly implemented fall prevention protocols.
  • Resident Satisfaction: Feedback from residents and families regarding safety and comfort.

Measuring Success

Success will be determined by a significant reduction in fall rates and injuries, improved compliance with fall prevention protocols, and positive feedback from residents and their families. A reduction in fall rates of at least 25% over a six-month period will be considered a successful outcome.

Baseline Data Collection

Baseline data will be collected by reviewing fall incident reports from the past 12 months. This data will provide a clear picture of the current fall rates, injury severity, and areas of concern. Additionally, staff compliance with existing protocols will be assessed through audits and observations.

ANALYZE

Data Analysis

Data analysis will involve comparing baseline data with post-intervention data to assess the effectiveness of the new strategies. Statistical methods such as trend analysis and chi-square tests will be used to determine if changes in fall rates and injury severity are statistically significant (Wang et al., 2018).

Data Display

Data will be displayed using charts and graphs, such as control charts for fall rates and bar graphs for injury severity. This visual representation will help in identifying trends and patterns over time, making it easier to evaluate the impact of the interventions (Montgomery, 2020).

Identifying Causes

Analyzing the data will help identify the root causes of falls, such as environmental hazards, inadequate staff training, or deficiencies in resident mobility assessments. Tools such as cause-and-effect diagrams and root cause analysis will be employed to uncover these issues (Pande et al., 2020).

References

  • Kendrick, D., et al. (2021). Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, 2021(9). https://doi.org/10.1002/14651858.CD007146.pub4
  • Montgomery, D. C. (2020). Design and Analysis of Experiments (9th ed.). Wiley.
  • Oliver, D., et al. (2020). Interventions to prevent falls in older people living in the community: A systematic review. The Lancet, 396(10263), 347-359. https://doi.org/10.1016/S0140-6736(20)31290-5
  • Pande, P. S., Neuman, R. P., & Cavanagh, R. R. (2020). The Six Sigma Way: How to Maximize the Impact of Your Change and Improvement Initiatives. McGraw-Hill Education.
  • Wang, Y., et al. (2018). Statistical Methods for Healthcare Research. Springer.

(Project 3: Six Sigma (DMAIC) process to solve nursing problem – Answered)

 
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Scenario 1 You are working in risk management – Answered

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Scenario 1 You are working in risk management – Answered

Scenario 1 You are working in risk management and need to track medication administration errors and adverse events for patients over a 6-month period. You are receiving information from the inpatient areas, outpatient clinics, and home health. Using the scenario, create a diagram of WK 3 proposed database using Microsoft Word. Include the additions made in Week 4.Complete the diagram first, but place it as the final page or pages of your submission. The diagram is separate from the required page count. In the narrative portion of the assignment: 2 to 3 pages. Provide current references to support narrative. Explain how your diagram articulates your planned design. Explain the principles behind selecting key fields and defining relationships. Be specific and support your response with evidence. Write a sample PICOT question (i.e., a query) you might ask based on the information in the database created during Weeks 3 and 4 to demonstrate your understanding of the connection between data and research. List the tables in the database that you would need to include when answering your question (Scenario 1 You are working in risk management – Answered).

Answer

Risk Management Database Design for Medication Administration Errors and Adverse Events

Introduction

In risk management, tracking medication administration errors and adverse events is crucial for improving patient safety and healthcare quality. This database will gather information from inpatient areas, outpatient clinics, and home health over a six-month period. The following narrative describes the proposed database design, the rationale behind selecting key fields and defining relationships, and presents a sample PICOT question demonstrating the connection between data and research.

Database Design Diagram Explanation

The database consists of several interconnected tables, each representing different aspects of medication administration errors and adverse events. The main tables include:

  1. Patient Information: Contains patient demographics and identification details.
  2. Medication Administration: Records details of each medication administration instance.
  3. Error Reporting: Logs specific medication errors and their details.
  4. Adverse Events: Captures data on adverse events experienced by patients.
  5. Healthcare Provider Information: Stores information about healthcare providers involved in medication administration.
  6. Location Information: Includes data on where the patient is receiving care (inpatient, outpatient, home health).

Each table is connected through key fields that allow for robust data analysis. For instance, the Patient Information table is linked to the Medication Administration, Error Reporting, and Adverse Events tables through a unique patient ID. Similarly, healthcare providers are linked to medication administration instances and error reports through provider IDs.

Key Fields and Relationships

The key fields were selected to ensure comprehensive tracking and easy data retrieval. Key fields include:

  • Patient ID: Unique identifier for each patient, linking patient records across tables.
  • Medication Administration ID: Unique identifier for each medication administration event.
  • Error Report ID: Unique identifier for each reported error.
  • Adverse Event ID: Unique identifier for each adverse event recorded.
  • Provider ID: Unique identifier for healthcare providers involved in care delivery.
  • Location ID: Unique identifier for care locations (inpatient, outpatient, home health).

Defining relationships between these fields allows for efficient data linkage and integrity. For example, linking Patient ID across different tables ensures that all medication administration, error reports, and adverse events are accurately associated with the correct patient.

Principles Behind Design

The primary principles guiding this design are normalization and relational integrity. Normalization involves organizing data to reduce redundancy and improve data integrity. By breaking down data into related tables, the database minimizes duplication and ensures consistency. Relational integrity is maintained through primary and foreign keys, which ensure that relationships between tables are accurate and enforce data validity.

Sample PICOT Question

PICOT Question: In patients receiving care in different settings (P: population), how does the frequency of medication administration errors (I: intervention) compare between inpatient areas, outpatient clinics, and home health (C: comparison) over a six-month period (T: time) affect the incidence of adverse events (O: outcome)?

Tables Needed for PICOT Question

To answer this PICOT question, the following tables would be required:

  1. Patient Information: To identify patient demographics and ensure correct patient tracking.
  2. Medication Administration: To analyze the frequency of medication administration events.
  3. Error Reporting: To compare the frequency and types of errors across different care settings.
  4. Adverse Events: To assess the incidence of adverse events related to medication administration errors.
  5. Location Information: To categorize data by care setting (inpatient, outpatient, home health).

Conclusion

The proposed database design is structured to effectively track and analyze medication administration errors and adverse events across various healthcare settings. By implementing key fields and defining robust relationships, the database ensures data integrity and facilitates comprehensive research. This design not only supports immediate risk management needs but also lays the foundation for ongoing quality improvement initiatives.

References

Balakrishnan, R., & Wright, R. (2020). Database design: A practical approach. Wiley.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning. https://www.amazon.com/Nursing-Informatics-Foundation-Knowledge-McGonigle/dp/1284121240

Polit, D. F., & Beck, C. T. (2020). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer Health.

(Scenario 1 You are working in risk management – Answered)

 
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PowerPoint: Nonpharmacological psychotherapy approaches – Answered

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PowerPoint: Nonpharmacological psychotherapy approaches – Answered

Please provide a speak-over PowerPoint presentation on the utilization of one of the following nonpharmacological psychotherapy approaches for the diagnosis and treatment of a behavioral disorder of your choice based on the reading of the course material. Nonpharmacological Psychotherapy Options Cognitive Behavioral Therapy Interpersonal Psychotherapy Group Therapy Family Therapy Dialectic Behavioral Therapy & Complex Trauma Please include the following slides in your presentation (you can use the sample provided)Title slide Intro slide Case scenario summary slide (patient name, diagnosis, background)Mental status assessment slide (perception, thought process, content of thought, judgment, insight, cognition)Selected therapy slide (Please include a description and the goals of the therapy of your choice)Selected therapy slide (Why did you select this therapy for your specific case study? )Expected outcomes (Include the outcomes that you expect your patient to accomplish)Conclusion slide Reference slide**Please upload your presentation in the Microsoft Office One Drive and share the link in Moodle. (See Moodle link sharing document).*** You can use any tool to record your voice over the Powerpoint. In case you need you can see the tutorial provided for speak over presentation in Moodle with Screen pal (free tool) (https://screenpal.com/screen-recorder)by Sunday, 11:59 p.m. Eastern Time. Include three scholarly sources references. Course Outcomes Relates to the Assignment Translate major theories from nursing and other disciplines to psychiatric practice. Integrate foundational and advanced specialty knowledge into clinical reasoning. Recognized the dynamic nature of advanced practice psychiatry nursing. Identify the tenets, benefits, and phases of group therapy. Understand the evolution and the assumption of family therapy. Understand the role of the psychiatric mental health advanced nurse practitioner as it relates with the scope of psychopathology. Defining the semiology, diagnostic, and treatment of behavioral and mental disorders. Understand, comparing various personality disorders, chronic and acute psychiatric decompensation presentations. Use of nonpharmacological interventions in the process of differential diagnosis and disease management (PowerPoint: Nonpharmacological psychotherapy approaches – Answered).

References

https://my.clevelandclinic.org/health/treatments/22838-dialectical-behavior-therapy-dbt

 
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Nursing Assignment 5 – Answered

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Nursing Assignment 5 – Answered

Goal: Develop a PowerPoint presentation on a personality disorder. Content Requirements: Students will be randomly selected to participate in groups of three. Create a case study of a patient based on your assigned group topic. The presentation must provide information: Introduce a fictitious patient with a disease or disorder based on your assigned group topic.  Must specifically address the disease as it relates to one of the following populations:  infants, toddlers, school-aged children, adolescents, adults, or the elderly. Definition of the disease or disorder Epidemiology of the disease or disorder Incidence Prevalence Pathogenesis Pathophysiology of the disease/disorder to the cellular level. Including genetics/genomics, neurotransmitters, and neurobiology of this specific disorder. Clinical features of the disease or disorder History of the patient’s problems Physical findings Psychiatric findings (Using DSM5-TR diagnosis only.) Recommendations Treatment recommendations according to the US clinical guidelines. Patient education for management and anticipatory guidance. Non-pharmaceutical, cultural, and spiritual considerations must be addressed. Format Requirements: Presentation is original work and logically organized. Record the project with whatever software works best for you, upload it to Studio, and submit the project using Canvas Studio. How do I use Canvas Studio? Links to an external site. How to Embed a Studio Video in an Assignment on Canvas Links to an external site. How do I submit Canvas Studio media as a Text Entry assignment in Canvas as a student? Links to an external site. Followed 7th Edition APA formatting including citation of references. PowerPoint presentations with 10-15 slides were clear and easy to read with no less than 16-point font. Speaker notes expanded upon and clarified content on the slides. Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).Submission Requirements Complete and submit the PowerPoint by 11:59 PM ET Sunday Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are graded at the discretion of the instructor. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date (Nursing Assignment 5 – Answered).

 
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Discussion 5 diversity – Answered

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Discussion 5 Diversity – Answered

After studying Module 5: Lecture Materials & Resources, discuss the following: Jay and Sue Kim, ages 29 and 26 years and married for 2 years, immigrated from South Korea and settled in Los Angeles. They have lived in a small one-bedroom apartment since their arrival. Both graduated from the same Korean university with baccalaureate degrees in English literature. They have one child, Joseph, age 1 year. When they arrived in the United States, Jay was unable to find a job because of his poor proficiency in English, despite his major in English literature. He eventually obtained a job with a moving company through a church friend. Sue is not working because of their son. Although the Kim’s did not attend a church before immigration, they are now regularly attending a Korean Protestant church in their neighborhood.Sue is pregnant again, determined by a home pregnancy kit, with their second child and concerned about the medical costs. They did not use any contraceptives because she was breastfeeding. Because of financial limitations, Sue did not initially have prenatal care with her first pregnancy. However, she did keep up with the Korean traditional prenatal practice, tae-kyo. Eventually, she received help from her church and delivered a healthy son. She is not sure whether she can get financial help from her church again but is confident that her second child will be healthy if she follows the Korean traditional prenatal practices.Jay is concerned about job security because he recently heard from colleagues that the moving company might soon go bankrupt. Although Jay has not been satisfied with his current job (he thinks that he is overqualified), this news is still a cause for concern. Moreover, Sue’s recent pregnancy has made Jay more stressed, and he has started drinking alcohol. Joseph cannot stand up by himself and still wants to be breastfed. Although Sue has tried to give foods such as oranges, apples, steamed rice, and milk (because she is now pregnant), Joseph refuses to eat them and cries for breastfeeding. Joseph’s weight is low-normal for same-age babies. Describe the Korean cultural practice tae-kyo. Is this practice congruent with allopathic recommendations for prenatal care? How do food choices among Koreans differ with pregnancy and postpartum? Describe cultural attitudes toward drinking among Koreans. Identify two or three culturally congruent strategies a healthcare provider might use to address Jay’s drinking. Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date (Discussion 5 diversity – Answered).

Answer

Korean Cultural Practices and Healthcare Considerations for the Kim Family

Tae-kyo: Korean Traditional Prenatal Care

Tae-kyo is a traditional Korean practice focusing on the prenatal period, aiming to ensure the health and well-being of both the mother and the unborn child. This practice involves various rituals and behaviors intended to create a positive environment for the fetus. Tae-kyo includes dietary restrictions, mental and emotional regulation, and engagement in positive activities such as reading or listening to classical music, believing that these practices can influence the child’s development positively (Park & Cho, 2019).

While tae-kyo emphasizes holistic well-being, it may not fully align with allopathic prenatal care recommendations. Allopathic medicine stresses regular prenatal visits, screenings, and interventions to monitor the health of the mother and fetus. Although tae-kyo promotes a healthy lifestyle, it lacks the medical assessments and treatments critical in allopathic care. Therefore, integrating tae-kyo with allopathic care can provide comprehensive prenatal support, ensuring both cultural sensitivity and medical safety.

Food Choices During Pregnancy and Postpartum in Korean Culture

In Korean culture, food choices during pregnancy and postpartum are deeply rooted in traditional beliefs. During pregnancy, women are encouraged to consume foods believed to be beneficial for the fetus, such as seaweed soup, which is rich in iodine and calcium (Kang et al., 2020). Postpartum, the diet typically includes warm, easily digestible foods to aid recovery and promote lactation. Seaweed soup remains a staple, consumed multiple times daily for its nutritional benefits and to help cleanse the blood and improve milk production.

These dietary practices emphasize the importance of warm, nutritious foods, contrasting with some Western practices that might focus more on balanced nutrition without the same cultural emphasis on specific foods. Healthcare providers should recognize these preferences and work to incorporate them into dietary plans that also meet broader nutritional guidelines.

Cultural Attitudes Toward Drinking Among Koreans

Drinking alcohol holds significant social and cultural importance in Korea, often associated with social bonding and stress relief. However, it can also lead to problematic behaviors, particularly when used as a coping mechanism for stress (Choi et al., 2017). For Jay, his increased alcohol consumption due to job stress and family pressures highlights the need for culturally sensitive interventions.

Culturally Congruent Strategies to Address Jay’s Drinking

Culturally Sensitive Counseling:

Engage Jay in discussions about his drinking habits within the context of Korean cultural norms. Utilize motivational interviewing techniques to explore the reasons behind his drinking and the impact on his family. Emphasize the importance of maintaining his health for his family’s well-being and consider involving a counselor who understands Korean cultural nuances.

Social Support and Community Resources:

Encourage Jay to seek support from his church community, which has already provided significant assistance to his family. Community leaders or support groups within the church can offer a culturally familiar and supportive environment to address his stress and drinking habits.

Stress Management Techniques:

Introduce stress management strategies that resonate with Jay’s cultural background, such as meditation, traditional Korean exercises, or engaging in tae-kyo practices alongside Sue. These methods can provide alternative ways to manage stress without resorting to alcohol.

Conclusion

The Kim family’s situation underscores the importance of culturally competent healthcare. Understanding and integrating traditional practices like tae-kyo with allopathic care, respecting dietary traditions, and addressing cultural attitudes towards drinking are crucial in providing holistic and effective support. By employing culturally congruent strategies, healthcare providers can better address the unique needs of immigrant families, ensuring both cultural respect and medical efficacy.

References

Choi, S., Lee, J., & Lee, H. (2017). Alcohol consumption and problem drinking in Korean adults: Focusing on problem drinking-related characteristics. Journal of Korean Academy of Nursing, 47(1), 1-12.https://synapse.koreamed.org/articles/1003159

Kang, N., Kim, Y., & Park, H. (2020). Maternal dietary patterns and birth outcomes: A Korean cohort study. Nutrients, 12(4), 1103.

Park, M., & Cho, H. (2019). The effects of traditional prenatal practices (Tae-kyo) on the health of pregnant women and newborns in Korea. Journal of Korean Medical Science, 34(9), e89.

 
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Spiritual care to Christian elderly during dying and death process – Answered

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Spiritual care to Christian elderly during dying and death process – Answered

Prepare a spiritual workshop discussing the “spiritual care to Christian elderly during dying and death process.”1. Create a plan for caring for the spiritual needs of elderly Christians during dying process and death.2. Include 2 learning outcomes.3. Include 2 learning activities Document this in 2-page word document. Include a minimum of 4 articles published in the last 5 years (Spiritual care to Christian elderly during dying and death process – Answered).

Answer

Spiritual Care to Christian Elderly During the Dying and Death Process

Plan for Caring for the Spiritual Needs of Elderly Christians

Caring for the spiritual needs of elderly Christians during the dying process and death involves recognizing the significance of faith in providing comfort, hope, and meaning. The plan should focus on creating a supportive environment that honors their beliefs and facilitates a peaceful transition.

1. Assessment of Spiritual Needs:

  • Conduct a thorough spiritual assessment to understand the individual’s faith, religious practices, and spiritual needs.
  • Collaborate with chaplains, pastors, or spiritual leaders to provide personalized spiritual care.
  • Regularly check in with the individual and their family to reassess and address any evolving spiritual concerns.

2. Spiritual Support Interventions:

  • Facilitate access to religious rituals such as prayer, communion, and anointing of the sick.
  • Provide scripture readings, hymns, and other faith-based resources to offer comfort.
  • Encourage and support the presence of family and church members to maintain a sense of community and belonging.

3. Emotional and Psychological Support:

  • Offer counseling and emotional support to help the individual and their family cope with fear, anxiety, and grief.
  • Promote open conversations about death and dying to alleviate fears and misconceptions.
  • Encourage the expression of feelings and provide a safe space for discussing spiritual concerns.

4. Post-Death Support:

  • Provide continued spiritual support to the family through follow-up visits and grief counseling.
  • Facilitate memorial services and other religious rituals to honor the deceased and provide closure for the family.

Learning Outcomes

  1. Participants will be able to assess the spiritual needs of elderly Christians during the dying process and implement appropriate spiritual care interventions.
  2. Participants will demonstrate an understanding of the emotional and psychological aspects of dying and provide holistic care that includes spiritual, emotional, and physical support.

Learning Activities

Activity 1: Case Study Analysis

  • Divide participants into small groups and provide them with a detailed case study of an elderly Christian patient nearing the end of life.
  • Each group will assess the patient’s spiritual needs, develop a care plan, and present their findings and proposed interventions to the larger group.
  • Encourage discussion and feedback to highlight different approaches and enhance learning.

Activity 2: Role-Playing Scenarios

  • Create role-playing scenarios where participants take turns acting as the elderly patient, family members, and healthcare providers.
  • Focus on practicing spiritual assessments, providing emotional support, and facilitating religious rituals.
  • Debrief after each scenario to discuss challenges, insights, and areas for improvement.

References

  1. Balboni, T. A., Prigerson, H. G., Bao, Y., Trevino, K. M., Maciejewski, P. K., Amobi, A., … & VanderWeele, T. J. (2018). Cancer patient and caregiver experiences of prayer and spirituality. Journal of Palliative Medicine, 21(6), 782-790.https://knepublishing.com/index.php/KnE-Life/article/view/10335/16904
  2. Puchalski, C. M., Vitillo, R., Hull, S. K., & Reller, N. (2019). Improving the spiritual dimension of whole person care: Reaching national and international consensus. Journal of Palliative Medicine, 22(8), 836-844.
  3. Mackinlay, E. (2017). Spiritual care: Recognizing spiritual needs of older adults. Journal of Religion, Spirituality & Aging, 29(3), 190-202.
  4. Fitchett, G., Emanuel, L., Handzo, G. F., Boyken, L., & Wilkie, D. J. (2015). Care of the human spirit and the role of dignity therapy: A systematic review of dignity therapy research. BMC Palliative Care, 14(1), 1-8.

(Spiritual care to Christian elderly during dying and death process – Answered)

 
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Sociology Discussion Post 3 – Answered

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Sociology Discussion Post 3 – Answered

Respond to two (2) of the following prompts (Sociology Discussion Post 3 – Answered):

Consider the social stratification of your family tree. Compare your social standing to that of your parents and grandparents. If you are unfamiliar with these people, feel free to substitute other family members or acquaintances from other generations. (USLO 3.1)What social traits did your forebears pass down to you? Is there consistency or inconsistency in your family’s status? Which theoretical approach best describes your family’s social stratification? What changes do you anticipate for your family’s future generation? (USLO 3.1)Consider your own experiences with social mobility. How do rules, laws, and societal structures promote wealth and poverty? Do you believe that rules, laws, and societal structure have a greater impact on social mobility than individual traits such as a strong work ethic? Do you believe social mobility has decreased or risen in recent years? How could rules, laws, and societal structures impact your future social mobility? What are some strategies for dealing with this future possibility? (USLO 3.2)What is the relationship between subjective, absolute, and relative poverty and inequality/inequity? Who benefits from poverty, inequality, and inequity? Can policies be enacted to eliminate various forms of poverty and break the cycle of poverty? What are the advantages and disadvantages of enacting such policies? What role does the cycle of poverty play in maintaining social stratification, especially for women through the global feminization of poverty? (USLO 3.3)Which of the three theoretical approaches (functionalist, conflict, or symbolic interactionist) would you use to explain why healthcare injustice and inequity occurs and what to do about it? (USLO 3.4)What role does healthcare injustice play in perpetuating the system of stratification? How does the healthcare system maintain social stratification? Is healthcare injustice harming our society as a whole? (USLO 3.4).

Answer

Social Stratification and Mobility in My Family

In examining the social stratification within my family tree, I observe both consistency and some degree of social mobility. My grandparents were working-class individuals, primarily engaged in manual labor and service industry jobs. They lived in modest homes and had limited access to higher education. My parents, however, experienced upward mobility; both obtained college degrees and secured middle-class professional occupations. Consequently, I have benefited from this foundation, pursuing higher education and entering a professional career myself. This trajectory demonstrates a gradual improvement in social standing over generations.

The theoretical approach that best describes my family’s social stratification is the functionalism perspective. Functionalism suggests that social stratification exists because it contributes to the overall stability and functioning of society. Each generation in my family contributed to society in various roles, gradually improving their social standing through hard work and education, which aligns with the functionalist idea of meritocracy.

Looking ahead, I anticipate that my family’s future generations will continue to benefit from the increased access to education and opportunities that my parents and I have established. However, I am also aware that social mobility can be influenced by broader societal factors.

Social Mobility and Structural Influences

My experiences with social mobility reflect both the benefits of individual effort and the significant impact of structural factors. Rules, laws, and societal structures play a crucial role in promoting wealth and poverty. For instance, policies that support access to education, healthcare, and economic opportunities can enhance social mobility. Conversely, systemic inequalities and discriminatory practices can hinder it. I believe that societal structures often have a greater impact on social mobility than individual traits like a strong work ethic, as structural barriers can limit opportunities regardless of personal effort.

In recent years, social mobility has been perceived to be more challenging due to growing economic inequalities. Policies that promote fair wages, accessible education, and affordable healthcare can positively impact social mobility. Strategies to address future possibilities include advocating for policy changes, participating in community organizations, and leveraging social networks for support and opportunities.

Poverty, Inequality, and Theoretical Approaches

The relationship between subjective, absolute, and relative poverty highlights different dimensions of economic hardship and inequality. Subjective poverty refers to individuals’ perceptions of their economic status, absolute poverty defines a minimum level of subsistence, and relative poverty compares individuals’ income to societal standards. Poverty and inequality benefit those in higher social strata who gain from low-cost labor and maintain their status through existing power structures.

Policies to eliminate poverty can break its cycle but may face resistance due to political and economic interests. Such policies can include increasing minimum wage, providing universal healthcare, and ensuring affordable housing. While these policies can reduce inequality, they may also face criticism for potential economic impacts and the challenge of balancing resource allocation.

The conflict theory approach is most suitable for explaining healthcare injustice and inequity. Conflict theory posits that social stratification results from the ongoing conflict between different social groups competing for resources (Campbell, 2021). Healthcare injustice perpetuates stratification by disproportionately affecting disadvantaged groups, limiting their access to necessary services, and maintaining their lower social status. Addressing healthcare inequity through policies that ensure equal access and address social determinants of health can mitigate its harmful effects on society.

Generally, understanding the interplay between individual efforts and structural factors, along with implementing targeted policies, can foster greater social mobility and reduce inequalities. Acknowledging and addressing the systemic nature of healthcare injustice is essential for promoting a more equitable society.

References

Campbell B. (2021). Social Justice and Sociological Theory. Society, 58(5), 355–364. https://doi.org/10.1007/s12115-021-00625-4

(Sociology Discussion Post 3 – Answered)

 
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