Monthly Archives: May 2023

Module 05 Discussion – Remaining Calm

Initial Post

There are times when a nurse must provide care for a client who is agitated and verbally or physically aggressive. The client may be psychotic, but the nurse must, in each case, remain in control of his/her own feelings, and intervene in the most appropriate manner.

After watching a segment regarding a violent client at Bellevue Hospital, answer the questions below. It’s not necessary to critique the staff in the video, just think of how you might respond.

Violent Client at Bellevue Hosptial Video

• Describe a time when a client was rude or verbally abusive to you. How did you react?
• What skills were necessary to maintain a professional, caring, therapeutic relationship?
• How did you best communicate with this client?
• What did you learn from this experience?

1.  Mention and discuss the role of nursing in occupational health

2.  Describe and discuss the four types of exposures and hazards in the work place

INSTRUCTIONS

APA format with in-text citations and references..

A minimum of 3 evidence-based references no older than 5 years must be used. 

A minimum of 800 words not to exceed 1,000 are required without counting the first and last page.  

  Reflection Assignment 2: Meeting Essential VIII
 

This week, reflect on ethical principles and your understanding of ethical decision-making frameworks as they have evolved over the course of your RN-BSN program at WCU. Identify specific ethical standards and moral conduct codes. How does your academic work support evidence of meeting the following?

Essential VIII: Professionalism and Professional Values

• Outcome #1:Demonstrate the professional standards of moral, ethical, and legal conduct.

Review your past academic work, evaluate your effectiveness at meeting this program essential, and ponder the impact that this proficiency will have on your future.

Identify how you met the essential by referring to the assignment(s) specifically in your response. Additionally, reflect on and make connections between your academic experience and real-world applications. 

Recommended: Refer to work you completed for NURS 521 Ethics in Heath Care and NURS 510 Policy, Organization, and Financing of Health Care, as well as other courses, to gather academic examples and evidence of having met this essential.

Your reflection should be 1-1/2 to 2 pages and APA Style. Reference and cite any sources you use.

• For this assessment, you will develop a 3-4 page critique of the quantitative design, methods, and results of a scholarly study.
  The ability to use quantitative approaches to analyze health care data is a vital skill for today’s doctoral prepared professional. You will be expected to have the skills to critically assess the deeper analytical qualities of an article and ultimately comment on its overall validity and practical relevance. This assessment will provide you with an opportunity to demonstrate and hone your ability to analyze and critique the quantitative methods of a research study using an example from the literature.
  For the learner who has finished the data collection process for the doctoral project, analysis of that data offers an exciting (and sometimes challenging) opportunity of discovery. One of the most common statistical techniques for examining the relationship of two variables is correlation analysis. The specific kind of correlational technique depends on the combination of the measurement level (that is, categorical, ordinal, or interval or ratio) of the two data variables being examined. Correlation analysis can tell us the direction and strength of relationships between two variables.
  Overview
  Whether preparing a scholarly document for your doctoral program or simply trying to stay current in your professional field, you must continuously grow in your ability to read research. As an undergraduate, you probably just skimmed over an article’s abstract and introduction, focusing most of your attention on the interpretation of the results at the conclusion. As a doctoral-level professional, your colleagues will expect you to have the skills to critically assess the deeper analytical qualities of an article and ultimately comment on its overall validity and practical relevance.
  Using the readings, media, and various resources in this course, you have an opportunity to engage in critical thinking to assess the analytical results of a peer-reviewed quantitative study. This assessment parallels and complements the literature critique skill set you have developed previously in your program.
  The following will help provide you with potential approaches and frameworks to completing the critique and assessment portions of this assessment:
  • Shahnazi, H., Hosseintalaei, M., Esteki Ghashghaei, F., Charkazi, A., Yahyavi, Y., & Sharifirad, G. (2016). Effect of educational intervention on perceived susceptibility self-efficacy and DMFT of pregnant women. Iranian Red Crescent Medical Journal, 18(5), e24960.
  • Coughlan, M., Cronin, P., & Ryan, F. (2007). Step-by-step guide to critiquing research. Part 1 – Quantitative research. British Journal of Nursing, 16(11), 658–663.
  • The Value of a Research Critique to Translate Evidence Into Practice.
  • Demonstration of Proficiency
    By successfully completing this assessment you will address the following scoring guide criteria, which align to the indicated course competencies.
  • Competency 1: Describe underlying concepts and reasoning related to the collection and evaluation of quantitative data in health care research. 
    • Describe the study results for a quantitative study published in scholarly literature.
  • Competency 3: Interpret the results and practical significance of statistical health care data analyses. 
    • Interpret and critique the analytical testing approach used in a quantitative study described in scholarly literature.
  • Competency 4: Assess the quality of quantitative research methods reported in peer-reviewed health care literature. 
    • Cite and summarize a selected article.
    • Assess the overall methodological quality of an article using critique guidelines.
  • Competency 5: Address assignment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences. 
    • Articulate meaning relevant to the main topic, scope, and purpose of the prompt. 
    • Apply APA formatting to in-text citations and references.
  • Instructions
  1. Read the article by Shahnazi et al. linked earlier in these instructions.
  2. Cite and summarize the article. 
     • Include study PICO, goals, intervention, and assessment data collected.
  3. Describe, interpret, and critique the statistical testing approach. 
     • Include preanalytic normal distribution and post-intervention analytical testing. The article by Shahnazi et al. may be a helpful reference.
  4. Describe, interpret, and critique the study’s results from the analysis. 
     • Address issues of significance; type I and II errors, confidence intervals, and effect sizes.
  5. Assess the overall methodological quality of the article using the step-by-step critique guidelines in the article by Coughlan, Cronin, and Ryan, linked above.
  6. Additional Requirements
  • Length: Your paper will be 3–4 double-spaced pages of content plus title and reference pages.
  • Font: Times New Roman, 12 points.
  • APA Format: Your title and reference pages must follow APA format and style guidelines. See the APA Module for more information. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines.
  • Please review the assessment scoring guide before submitting your paper. The requirements outlined above correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may wish to review the performance-level descriptions for each criterion to see how your work will be assessed.

reply( my professor wrote this to me)

Hello Marial, Thanks for sharing your response. Please perform an evaluation of your experiences as a professional nurse. Reflect on a patient experience where you encountered a health disparity that was a determinant to the patient’s health. In hindsight, was there an opportunity where you should have acted to help eliminate this but did not? Explain. What would you do differently next time you encounter a similar situation?

I NEED A RESPONSE TO THIS ASSIGNMENT

3 REFERENCES

William Thompson is a 38-year-old, African American, Catholic who was recently married to Luli Kim. He was a captain in the military during the Iraq war. William is a lawyer specializing in finance law and in jeopardy because of alcohol and PTSD related concerns. He became homeless when he was unable to pay his mortgage. The patient stated, hitting some hard times and needed to move back in with his brother and his brother’s wife. He also stated, they say I have PTSD but that’s another story. William is a marathon runner, plays soccer, enjoys listening to jazz, and is a novice modern art collector.

DSM-5 Criteria

According to the scenario given, the client William Thompson doesn’t have enough signs and symptoms nor enough information to officially diagnose him with PTSD.  According to the DSM 5 criteria requirement, a person being diagnosed with PTSD must have been exposed to actual or threatened death, serious injury, or sexual violence either directly or by experiencing. The traumatic event also needs to be a recurrent event, involuntary, and intrusive.  (DSM-5, 2020). Unfortunately our patient William Thompson does not meet those criteria-based on the information given and information available on patient clinical records.

Client Does Not Meet Criteria 

 As a future nurse practitioner, I will do the ethically right thing and not give my patient any diagnosis if they do not meet the criteria. I believe that labeling the patient based on family history and not on signs and symptoms is wrong. I will conduct a future mental health assessment of the patient to see what the right diagnoses are for the patient and how I can develop an effective treatment plan (Flanagan et al., 2016).

Goals of Treatment

 According to the Psychiatric Association’s practice guidelines for PTSD goals of treatment should include managing signs and symptoms; preventing Comorbid related symptoms such as depression, insomnia, substance abuse, and pain; improve functioning; improve the sense of trust and safety; protect against relapse; and transfer experience into a constructive plan of safety, prevention, and protection (Szafranski et al., 2017). The most important goal of treatment for the patient will include preventing him from committing suicide or hurting those around. The safe of the client and others should always be a priority (Flanagan et al., 2016).

Care plan Options

            As care providers, I will consider using psychotherapy with the client in conjunction with medication therapy that can manage signs and symptoms of depression, insomnia that might be preventing the client from completing his day today activities. Some medication that I will prescribe will include Zoloft to help with the mood and Ambien to help with insomnia, I will also make sure the client enroll in cognitive behavioral therapy (CBT).

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Retrieved from https://dsm-psychiatryonline-org.ezp.waldenulibrary.org/doi/full/10.1176/appi.books.9780890425596.dsm07

Flanagan, J. C., Korte, K. J., Killeen, T. K., & Back, S. E. (2016). Concurrent treatment of substance use and PTSD. Current psychiatry reports, 18(8), 70.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press *Preface, pp. ix-x

Szafranski, D. D., Smith, B. N., Gros, D. F., & Resick, P. A. (2017). High rates of PTSD treatment dropout: A possible red herring?. Journal of Anxiety Disorders, 47, 91-98.

The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal. This formal paper will include and expand upon work completed thus far in prior assignments.

Essential Components of the Final Project Proposal will include:   

1. Introduction– Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.
2. Overview of the Problem – Discuss the problem,  why the problem is worth exploring and the potential contribution of the proposed project to the discipline of nursing.
3. Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
4. Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
5. PICOt formatted Clinical Project Question(s)– Provide the Population, Intervention, Comparison, Expected Outcomes and Timeframe for the proposed project.
6. Literature Review – Provide the key terms used to guide a search for evidence and discuss at least five (5) summaries of relevant, credible, recent, evidence-based research studies to support the project proposal.
7. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and what gaps in evidence were found from the appraisal of evidence-based research studies.
8. Develop an EBP Standard – Describe  two to three interventions (or a bundle of care) from the evidence and discuss how individual patient preferences or the preferences of others will be considered.
9. Implications – Summarize the potential contributions of the proposed project for nursing research, education and practice.

Expectations

• Due: October 23 (Friday)
• Length: A minimum of 8 pages and a maximum of 10 pages (excluding the title and reference pages)
• Format: Formal scholarly paper in APA 6th ed format
• Reference Citations: A minimum of five, recent (past five years), peer-reviewed scholarly references cited in APA 6th ed format.
• Please keep the Turnitin score as close to 0% as possible, or not over 15%.

Write a Letter for Graduation to yourself if you were graduating from nursing school.

 a. Your assignment is to write a letter to yourself on your graduation day. 

b. Consider the following questions as you compose your letter. 

i. How do you hope you have changed in terms of knowledge and skills, and personally? 

ii. What would you like to remind yourself about your inspiration for choosing this career? 

iii. You will be preparing to take the NCLEX exam and to start your first job as a baccalaureate-prepared nurse. Are there any words of encouragement that you would like to tell your future self? 

iv. Are there any words of caution you want to tell yourself—pitfalls to avoid? 

v. What kind of nurse do you hope you have become? What further growth and change do you envision for yourself?  

ALSO, Include an inspiration page.

One page that you create that represents your inspiration for becoming a nurse. It may be a picture, a collage, a series of quotes, and so forth. Choose words and images that are meaningful to you. This should be a picture that you can post somewhere, perhaps where you study, in order to motivate yourself as you move forward on your journey to become a nurse. 

Assignment Content

1. Read the following scenario:

   Emma and Isabella attend the front office at an urgent care facility. They have worked together for over 5 years and enjoy collaborating on projects. As their manager, you have asked them to work together to create a team training on effective communication in the workplace.

   Emma feels that it is important to provide hands-on learning (e.g., role play) while Isabella feels that a lecture is the most appropriate format for this team. Emma defends her point by saying that her sister has been a teacher for 10 years, and she has proven that hands-on learning increases the engagement and likelihood of remembering the training material.

   Isabella feels that Emma does not account for her 10 years of experience in the medical office and voices her disgust with Emma and her lack of appreciation for her experience. Isabella storms off and leaves Emma to finish the work.

   Emma approaches the manager and complains that she has been left to complete the training because Isabella refuses to talk or work with her.

   Write a 500- to 750-word paper that discusses how you would handle the situation. Complete the following in your paper:

   • Describe the type of conflict illustrated in the scenario.
   • Identify the strategies the manager could use to resolve the conflict between Emma and Isabella to create a supportive climate again.
   • Explain how the defensive climate created by the conflict will affect the workplace relationship between Emma and Isabella.
   • Discuss the impact it could have on the other clinic staff and the consumers who use the clinic.
   • Cite a minimum of one reference to support your assignment.

     Format your assignment according to APA guidelines.

Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.

Complete an article analysis for each using the “Article Analysis: Part 2” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.