Monthly Archives: May 2023

  The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.

Include the following:

1. Discuss your options in the job market based on your educational level.

2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.

3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.

4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.

5. Discuss whether continuing nursing education should be mandatory. Provide support for your response.

 Try to avoid using first person, but this can be difficult as you are talking about yourself. You can instead say “a person has…” or “one has interests”…or “this writer…” 

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines in the APA Style Guide.

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 LopesWrite.

I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

ZERO PLAGIARISM

Group psychotherapy is a psychotherapeutic treatment modality in which a group of people with the same or similar psychological and/or psychiatric disorder are composed and come together in a group, with the guidance of a professional therapist, to help one another to effect behavioral and/or personality change. “It is a modality that employs a professionally trained leader who selects, composes, organizes, and leads a collection of members to work together toward the maximal attainment of the goals for each individual in the group and for the group itself.” In group psychotherapy, certain group properties such as mutual support can be used to help provide relief from psychological and/or psychiatric disorders/problems and also afford support to group members with feelings of isolation and desperation. 

Group therapy with older adults can be a challenging moments owing to the fact that aging can be a moment or stage in the development of humans which is marked by a decline in not just the physical well-being, but it is also characterized by multiple social, emotional and psychological impairments. “This focus on extraordinary losses and the potential for diminished functional capacity may be a major hurdle in confronting our own biases and countertransference reactions as group psychotherapists working with older adults.” Despite the various types psychotherapeutic approaches in group psychotherapy, certain core principles as well as assumptions remain peculiar to it and these core principles and assumptions must be respected for a therapeutic progress to be made. 

Group Description.

The psychotherapy group is made of 4 participants who started psychotherapy group with a duration of 10 weeks. Group members met once a week with each session lasting for about 45 minutes. Group members had diagnosis with a DSM-5 criteria ranging from Schizophrenia, bipolar disorder, anxiety disorder, major depression. Age ranges between 60 to 70 years old. two of the group members had attended a group psychotherapy before while the rest were all new to group psychotherapy. Yalom, notes “Although the frequency of meetings varies from one to five times a week, the overwhelming majority of groups meet once weekly.” the group was a closed group because once it’s creation was done, no new membership was allowed.

Stage of group.

This psychotherapy group was at the norming  stage because group members had become more aligned with the group, and can work together toward the realization of the group goals common to all members and to the group in general. Wheeler, K. (2014) note “Group members become more aligned as a whole, and identify and work to a common goal.” Members at this stage of group existence have developed a sense of trust for each other and among group members. At this stage, members were contributing ideas and helping one another with their problems. They shared ideas on their individual problems and how they manage to solve their own problems. At this stage of the group, some members may form cliques and so exclude some other members of the group. The psychotherapist must be vigilant at this time to discourage the formation of such subgroups for the interest of the group.

Challenges or Issues of the group.

When people come together in a group, there is bound to be some form of challenges or problems within the group. Some of the challenges faced by psychotherapy group include the perceived goal incompatibility. The fact that different people with various psychological problems entails a different set of goals which may nit be compatible with the goals of the rest of the group members. “One important source of perplexity and discouragement for clients early in therapy is perceived goal incompatibility.” Yalom, D.I (2005). In such situation, group members may may not align the group goals with their individual goals. Some other challenges in group therapy may include lack of immediate comfort. “Clients may be frustrated by not getting enough air time in the first few minutes.” Yalom, D.I (2005). Subgrouping and extragroup socializing is another challenge that may be experienced at any stage of a group psychotherapy. The psychotherapist has the responsibility in such situations to acknowledge the differences that might exist within the group, encourage members to focus on the group goals as well as model group activity towards creative problem-solving approach. 

Therapeutic approach employed in the group.

Psychotherapeutic approaches used included cognitive behavior group therapy, in which group members had the opportunity to verbalize feelings, contribute to the problem-solving and group cohesiveness. The psychotherapist also help and guide group members through psychoeducation so group members can understand the effect of maladaptive thinking or thought process on individual behaviors. knowledge sharing among group members was also used to help group members achieve group goals. 

Recommendations.

In group psychotherapy, the therapist must identify factors that could impact group members contributions, affect group cohesiveness and attainment of group goals. Giving members the opportunity for a structured socialization helps to instill onto members the sense of positive fortification. Keeping group sessions short and brief will help group members stay focused as well as able to retain what is learned in the group.

References.

Bonhote, K., Romano-Egan, J., & Cornwell, C. (1999). Altruism and creative expressions in a long-term older adult psychotherapy group. Issues in Mental Health Nursing, 20(6), 603-617. Retrieved from 

https://doi-org10.1080/016128499248394

Sadock, J. B., Sadock, V.A., & Ruiz, P. (2015). Kaplan & Sadock’s Synopsis of Psychiatry Behavioral Sciences/Clinical Psychiatry. 

             (11th ed.). Phialdelphia, PA: Wolters Kluwer.

Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse. A How-to Guide for Evidence-based Practice.

             (2nd ed.). New York, NY: Springer Publishing Company.

Yalom, I.D. (2005). The Theory and Practice of Group Psychotherapy.

              (5th ed.). New York, NY: Perseus Books Group.

1) Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Ex: Hispanics-Diabetes, African – Americans and Prostate Cancer, etc).

This an example of an student Posting: 

 Each population has some specific health issues that can require health promotion programs. American Indian population attracts attention in this context because of the specific state of affairs. Although this population has several main health issues for which health promotion can be required, all these issues can be solved by following the directions that cause a generally healthy lifestyle.

According to the U.S. Department of Health and Human Services (n.d.), the main issues in the American Indian population is diabetes, obesity, and tobacco use. Even though those are three different issues, the health promotion for solving them is quite similar. Such promotions have to be generally focused on a healthy lifestyle. This means healthy nutrition – less fat and sweet food and more healthy food and balanced nutrition. The next item is physical activity – starting with such common advice as more walking and ending with making sport a healthy habit. This advice is also helpful for coping with tobacco use. This habit often appears when a person has stress with which it is hard to cope. However, sport is helpful in decreasing the level of stress, and therefore, it can be useful to break the smoking habit. Therefore, one can see that advice directed on causing a healthy lifestyle is helpful for coping with health issues, widespread in the American Indian population.

This way, one can see that even though the American Indian population has several main health issues that can require healthcare promotion programs, all these issues can be solved by following the directions that cause a generally healthy lifestyle. The issues of diabetes, obesity, and tobacco can be solved with healthy nutrition and physical activity.

-PLEASE USE APA STYLE 6TH EDITION

-AT LEAST 300 WORDS

-2-3 REFERENCES NO MORE THAN 5 YEARS OLD

 Within your response you’ve shared, “My Nursing Philosophy mainly focuses on understanding the environment of the individual or the group at my care”. Reflecting on this theory and your role as a professional nurse, how have you demonstrated the incorporation of elements taken from this nursing theory? What does this look like and how has it influenced the care that you provide to your patients? 

1 page include at least 1 reference

elder abuse apa style

Juliet Anyanwu RE: Discussion – Week 4COLLAPSE

Healthcare professionals use PICOT questions to clear clinical issues in a way that assists to efficiently and quickly find the right information to answer the clinical question (Melnyk & Fineout-Overholt, 2018).  The purpose of the PICOT question is to direct the systematic search of healthcare databases to find the best available evidence to answer the question (Melnyk & Fine-out-Overholt, 2018). Understanding how to appropriately formulate a clinical question in PICOT format and using it systematically in your search is vital to efficiently begin the EBP process (Melnyk & Fine-out-Overholt, 2018). Systematically formulating a clinical question makes it possible to find an answer faster and proficiently, leading to enhanced methods and patient outcomes (Stillwell et al., 2010).  

Question– In geriatric inpatients, does hand hygiene using soap and water compared to the use of hand sanitizers help in lessening the occurrences of Hospital Acquired Infection within three months?

PICOT Question

In geriatric inpatients (P), does hand hygiene using soap and water (I) compared to the use of hand sanitizers(C), help in lessening of Hospital Acquired Infection (HAIs) incidences (O) within three months (T)?

Search Terms used

The search terms used were: Hand Hygiene, hand washing, Hospital-acquired infections, inpatient geriatrics, and hand sanitizers.

Database used

The two databases used were CINAHL Plus with Full Text and MEDLINE with Full Text. 

Search Results

CINAHL Plus with Full Text produced 120 results, while MEDLINE with Full Text, which had 80 (Walden University Library, n.d. – a). These presented both original research articles and systematic reviews. The search was restricted to articles within five years. Also, to conduct the search, the article towards the research question was used. It was all related to hand hygiene, hand washing, hand sanitizers, and hospital-acquired infections management. Two articles were from original research.

Addition of Boolean Operator

Adding the search terms using the Boolean operators changed my search significantly. The amounts of records returned were remarkably decreased and increased on the articles available based on their significance to my study. It expedited the accomplishment of more detailed results and helped save time as the results became more suitable for my desires. It also gets rid of unsuitable articles. Boolean operators and nesting help one search for combinations of words or phrases processed in a particular order (Library of Congress, n.d.).

Strategies to increase the rigor and effectiveness of a database search and example

The strategies I will make to increase the rigor and effectiveness of a database search for my PICOT question include: Using Boolean operators. The use of Boolean operators helps facilitates, confines the search to the most relevant results, and is more focused. I will also limit the search to a particular year range. Limiting the year range, this helps in returning current searches and also uses more than one database for my search, because everyone may have more articles. I will seek the help of a Librarian to assist me in the preliminary inquiry. Another strategy is using parentheses. The use of Parentheses will help me get the search I want.

References

Library of Congress. (n.d.). Search/browse help-Boolean Operator and nesting. Retrieved September 22, 2020, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: asking the clinical question: a key step in evidence-based practice. AJN The American Journal of Nursing, 110(3), 58-61.

Walden University Library (n.d.-a). Databases A-Z. Retrieved September 22, 2020, from    https://academicguides.waldenu.edu/az.php?s=19981

Angel Brockington-Hall RE: Discussion – Week 4: Main PostCOLLAPSE

After reviewing the five types of foreground questions, it was determined that a meaning question would be the most suitable approach for posing a question using PICOT. According to Melnyk and Fineout-Overholt (2018), meaning questions explore the relationship between an experience and an outcome, the extent or range of a rare occurrence, or “the influence of culture on healthcare” (p. 39).

PICOT Component

Description

Patient population

Sexual assault survivors

Intervention/issue of interest

Ongoing treatment and support/cultivating community support culture

Comparison intervention/issue of interest

Challenging traditional beliefs and attitudes with awareness and education

Outcome

Increased rates of reporting and support networks

Time

Post-assault through three months

PICOT Question

What is the quality of life (O) for sexual assault survivors (P) who report the incident and receive treatment and ongoing community support (I) within the first three months (T), compared to their counterparts who choose not to report (C) their lived experience?

Search Terms Used and Databases Used for PICOT Question

The search terms used included sexual assault victims or sexual assault survivors, rape and quality of life, community support, and treatment, contributing factors, reporting sexual assault, sexual assault, coping behavior, and trauma.  Boolean operators and nesting were applied to “search for combinations of words or phrases processed in a specified order” (Library of Congress, n.d.), and expanders such as “apply related words” and “search with the full text of the articles” were applied to refine results. 

CINAHL Plus with Full Text, MEDLINE with Full Text, APA PsycINFO, and APA PsycArticles were databases used to research the PICOT question.  The American Psychological Association (APA) publishes articles available in the APA PsycArticles and APA PsycINFO databases.  According to Walden University Library (n.d.), both databases are “a definitive source of full text, peer-reviewed scholarly and scientific articles in psychology” (para. 1). CINHAL Plus, with full text, offers “a robust collection of full-text nursing and allied health journals” (Walden University Library, n.d., para. 1).  It provides and permits access to nearly 800 journals indexed in the original CINAHL database. According to Walden University Library (n.d.), “CINAHL Plus with Full Text is the core research tool for all areas of nursing and allied health literature” (para. 1). 

Similarly, Medline with Full text presents “the authoritative medical information” on various health professions, including nursing. Nearly 1,500 journals are indexed in MEDLINE, which offers full text (Walden University Library, n.d., para. 1).

Search Results and Changes Noted with Boolean Operators 

  Walden University’s Library “Database search skills: Set up your search” option encourages the use of one term when searching databases to return the best and broadest results.  Entering a single word can be used to determine whether the precise term aligns with “scholarly works” (Walden University Library, Database search skills: Set up your search, n.d.-b.). Applying this recommendation produced over 20,000 articles.  Limiters such as peer-reviewed scholarly journals and a publication date no older than 2015 were used, resulting in the following results:

1. MEDLINE with Full Text (151)
2. CINAHL Plus with Full Text (120)
3. APA PsycArticles (35)
4. APA PsycInfo (6)

           Without the Boolean search operators and, or, and not, a search for sexual assault survivors returned a total of 1,039 results. The number of original research articles returned within the APA PsycINFO database was five out of six, proving a high probability of finding trustworthy, scholarly, current, and original research applied to the PICOT question.  When the Boolean search operator AND was used to include reporting sexual assault, collectively, all four databases were reduced to five total search results.  Search results increased exponentially, when an additional field of the Boolean operator OR was employed.  In the second field of the database search, the terms beliefs or perceptions or views or attitudes were added. Including the Boolean connector OR, produced greater than 400,125 results.  However, the articles resulting from adding OR produced fewer articles germane to the PICOT question.  

Strategies to Increase Rigor and Effectiveness of Database Search for PICOT

Some strategies could be applied to databases that make searching a PICOT question more efficient and rigorous. These strategies include:  

• Ensuring databases are reliable and produce trustworthy content rooted in scholarly work.
• Apply best practices in the methodological review of data.
• Utilize a combination of sources to establish evidence
• Organize citations and search strategies (Hartzell & Fineout-Overholt, 2018, p. 57).
• Solicit help from the librarian when needed.
• Select articles most germane to the PICOT question (Hartzell & Fineout-Overholt, 2018, p. 57).

According to Hartzell and Fineout-Overholt (2018), the above represent “basic and advanced behaviors that clinicians would use to competently search bibliographic databases such as the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and MEDLINE” (p. 56).  Searching databases that have relevancy to a PICOT question facilitates the evidence searching and gleaning process.  Boolean operators serve as “connectors” which can be used to expand (using OR) or narrow (using AND) searches. 

Overall, there are standard competencies expected of advanced practice clinicians, and there are various resources available to facilitate and promote honing these critical skills.

References

Hartzell, T. A. & Fineout-Overholt, E. (2018).  Chapter 3: Finding relevant evidence to answer clinical questions. In B. M. Melnyk, B. M., & E. Fineout-Overholt (Eds.), Evidence-based practice in nursing & healthcare: A guide to best practice (pp. 607-653). Philadelphia, PA: Wolters Kluwer.

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in

           nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA:

           Wolters Kluwer.

Walden University Library. (n.d.-a).  Databases A-Z: Nursing. https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-b). Database search skills: Set up your search. https://academicguides.waldenu.edu/library/databasesearchskills/setupyoursearch

3SOURCES FOR EACH DISCUSSION

Power in Organizations

Have you ever been involved in union organizing, collective bargaining, or worked in a union shop? If so, share your experience. If not, locate a scholarly journal article that describes collective bargaining and describe how it works within an organization.

Have you ever worked in a healthcare facility that had Magnet accreditation, or had experience with shared governance? If so, share your experience. If not, locate a scholarly journal article that describes shared governance and explain how it could be implemented in your current facility.

Assignment Expectations:

Length: 1000 – 1250 words

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. At least two (2) scholarly sources should be utilized in this assignment.

What do you get from the article?

Leaders use systems-based practice to empower other nurses. Considering your current or former clinical setting, share how you will use principles of systems-based practice to grow in your role as a leader in nursing. Include a scholarly outside source to support your answer.

Leaders in nursing empower others. In this discussion, you will be exploring the connection between systems-based practice and your growth as a leader in nursing. I look forward to your contributions!

Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:

·  Demonstrate understanding of concepts for the week

·  Integrate scholarly resources

·  Engage in meaningful dialogue with classmates

·  Express opinions clearly and logically, in a professional manner

·  Use the rubric on this page as you compose your answers.

plz see the attached photo. CBR stands for community based rehab