Monthly Archives: May 2023

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
2. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.

Choose a nursing theory

Explain the nursing theory including the 4 paradigms of major assumptions: Person, Nursing, Health, Enviroment 

Nursing Theroy: Explain if the selected nursing theory relates to transcultural and holistic care

3 slides  including speaker notes, excluding the title and reference slides.

Qualitative and Quantitative Research Design

Qualitative and quantitative research designs are two different types of data. They both have specific differences that could easily be mistaken for the other. Qualitative research has to do a lot with data that is descriptive and takes into regard a phenomenon that can be observed but not measured, like language, for example (McLeod, 2019).  Quantitative has to do with information about quantities, like numbers for example (McLeod, 2019).

Qualitative research uses a multi method approach (McLeod, 2019). This means that multiple methods can be used to acquire data in regard to a research study. Qualitative research also involves the use of a type of naturalistic and interpretive approach (McLeod, 2019). For example, a group of people that really enjoy using the qualitative research method  are psychologists. The reason why psychologists prefer the use of qualitative research is to understand the social reality of individuals, groups, and cultures in the same way that these individuals feel it or live it (McLeod, 2019). The goal psychologists strive for with qualitative research is to explore and find an explanation to the ‘why’ and ‘how’ of a particular phenomenon or behavior that is occurring in a particular context (McLeod, 2019). 

According to the University of Utah, qualitative research is “a process of naturalistic inquiry that seeks in-depth understanding of a social phenomena that is within their natural setting (“Understanding Quantitative vs. Qualitative Research,” 2019). 

Quantitative research has a much more different approach and goal than qualitative research does. Quantitative research places an emphasis on the statistical, numerical, and mathematical analysis of data or information that is collected through the use of questionnaires, surveys, polls, or through the manipulation of pre-existing statistical data by using computational techniques (“Understanding Quantitative vs. Qualitative Research,” 2019).  Quantitative research aims to measure or test a theory of the attitudes of the targeted audience in response to a specific research goal or objective (“Understanding Quantitative vs. Qualitative Research,” 2019). 

In regard to quantitative research, research and data that previously existed must be retained if manipulation were to take place. When it comes to the manipulation of pre-existing data, the researcher must take the retention of the collection of text, writings, and research into consideration when new data is to be added (“Understanding Quantitative vs. Qualitative Research,” 2019).  Nowadays, in order for this to happen, quantitative research is done frequently online in order to reach a wider audience that is more likely to participate in providing an accurate representation of the views of the targeted population (“Understanding Quantitative vs. Qualitative Research,” 2019). With the technology that we have nowadays, surveys can be conducted easily and more quickly, just in case there is a time constraint in which the research needs to be completed (“Understanding Quantitative vs. Qualitative Research,” 2019).

Before conducting any research, one must consider what type of research would be best for their study. Choosing the type of research approach will greatly affect the type of insights that will be generated at the end of the research study (“Understanding Quantitative vs. Qualitative Research,” 2019). To get a more accurate and concise result, it is best to use the combinations of both qualitative and quantitative research study methods (“Understanding Quantitative vs. Qualitative Research,” 2019).

References

FlexMR. (2019, April 17). Understanding Quantitative vs. Qualitative Research. Retrieved October 28, 2020, from https://medium.com/@FlexMR/understanding-quantitative-vs-qualitative-research-8f7cbf748765FlexMR. (2019, April 17). Understanding Quantitative vs. Qualitative Research. Retrieved October 28, 2020, from https://medium.com/@FlexMR/understanding-quantitative-vs-qualitative-research-8f7cbf748765

McLeod, S. (2019). Qualitative vs Quantitative Research: Simply Psychology. Retrieved October 28, 2020, from https://www.simplypsychology.org/qualitative-quantitative.html

PLEASE FOLLOW THE INSTRUCTION BELOW

ZERO PLAGIARISM

FIVE REFERENCES

Psychiatric mental health nursing practice is one of the newest disciplines to be licensed to provide psychotherapy As such, the majority of psychotherapy research is centered on other disciplines such as psychology, social work, marriage/family therapy, art therapy, psychiatry, and mental health counseling. This makes it essential for you to be able to translate current literature from other disciplines into your own clinical practice. For this Assignment, you practice this skill by examining literature on group work and group therapy and considering its applicability to your own clients.

Learning Objectives

Students will:

• Evaluate the application of current literature to clinical practice

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on group work and group therapy.
• Select one of the articles from the Learning Resources to evaluate for this Assignment.

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

• Provide an overview of the article you selected, including answers to the following questions:
  • What type of group was discussed?
  • Who were the participants in the group? Why were they selected?
  • What was the setting of the group?
  • How often did the group meet?
  • What was the duration of the group therapy?
  • What curative factors might be important for this group and why?
  • What “exclusion criteria” did the authors mention?
• Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own client groups. If so, how? If not, why?
• Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.

 Discuss medications to treat congestive heart failure (CHF). What medications are used to treat CHF? What specifically should patients be taught about CHF medications to prevent adverse side effects? 

i need help with my complete class

 Respond to  your colleagues by constructively critiquing their interview format and providing feedback. 

                                                    Main Post

Interview Format

         The attached interview format is a combination of components from  interview formats used at current and previous practicum sites, as well  as a few additional elements that are important to consider.  For older  clients with diminished capacity, it is may be more appropriate to  obtain some information from caregivers or spouses accompanying the  client.  Additionally, older clients will require a functional  assessment of ADLs through questions and observations (American  Psychological Association, 2008).  Furthermore, clients that are  difficult to assess due to being too symptomatic may require information  gathering from family or others involved in the client’s care.  For  example, during a previous practicum experience, a client was very  disorganized and psychotic.  He verbally agreed to have information  discussed with his family, who was in the waiting room, and they  provided important background information for the interview.  

Interview Format Used by Preceptor

         The interview used by the current preceptor generally follows the  same format with some additional information.  The current practicum  site is at a VA facility.  Thus, part of the initial interview involves  gathering information regarding clients’ military histories, including  years of service, job title, type of discharge, and whether they were  deployed to combat zones.  Another important component of an interview  with veterans is whether they were victims of military sexual trauma  (MST) (Military Sexual Trauma, n.d.).  Additionally, these  clients are evaluated in the emergency room to determine whether they  require inpatient treatment.  Each client undergoes a physical exam and  requires medical clearance from the emergency room physician.  Another  piece of information included at the beginning of the evaluation  specifies whether the client is admitted under voluntary or involuntary  status.

Most Helpful Element of the Interview Format 

         All of the interview format elements are essential to developing a  case formulation and appropriate treatment plan.  The most important  aspect of an initial interview is how the PMHNP approaches the client.   The PMHNP should approach clients directly and calmly and allow clients  to tell their stories to help build rapport (Sadock et al., 2014,  Chapter 5.1).  Positive client-practitioner interactions, especially  upon meeting, can significantly impact the amount of information  disclosed from clients needed to conduct thorough evaluations and create  treatment plans.

Initial Interview Format .pdf 

References

American Psychological Association. (2008). Assessment of older adults with diminished capacity. https://doi.org/https://www.apa.org/pi/aging/programs/assessment/capacity-psychologist-handbook.pdf

Military sexual trauma. (n.d.). U.S. Department of Veterans Affairs. Retrieved November 29, 2020, from https://www.mentalhealth.va.gov/msthome/index.asp

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Wolters Kluwer.

Vital Signs
1. You are a nurse caring for a 58-year-old ironworker who has been admitted to your unit with acute hypertension. He became extremely symptomatic at work and was brought to your emergency department (ED) via ambulance. After receiving a report from the ED nurse, he is brought to your unit asymptomatic (other than his BP of 178/106) and seems in good spirits. After completing his admission paperwork, he settles in and awaits his health care provider. Four hours later, you answer his call light and he reports headache (rated 6 on a 0-to-10 scale) and dizziness. 
a. Outline the pertinent information within this case study.
b. How often would you expect to measure the patient’s vital signs based on his history?
c. What would be your first intervention upon his reporting increased symptoms? Include rationale.
d. What is the patient’s pulse pressure?
e. Describe risk factors that could be contributing to your patient’s hypertension.
2. As a nurse in a critical care unit, your newest admission is a 24-year-old victim of a motor vehicle accident (MVA). Report from the OR nurse indicates that the patient has several surgically repaired fractures, a closed head injury, and elevated temperature. Additionally, he has IV fluid running postoperatively and dressing changes scheduled every shift. The patient is intermittently alert and disoriented, with his pain adequately controlled by IV analgesics. 
a. Outline the pertinent information within this case study.
b. What factors could be causing the patient’s elevated body temperature?
c. Why is determining the fever’s cause important?
d. Indicate areas that are important to monitor in a patient with elevated body temperature.
e. Describe cause-specific interventions useful in treating the patient’s elevated body temperature.

PLEASE, answer each question in order and separately. PLEASE,  this is the bibliography( Chapter 29-30).
1.Potter, P.A., &Perry, A. G. (2017). Fundamentals of Nursing: Concepts, Process, and Practice (9th ed.). St. Louis: MO:  Mosby. ISBN: 9780323327404

The Lab Assignment

• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.