discussion

Sally, a nurse for community mental health is caring for 3 clients today. First, she meets Sam. Sam has been admitted to a psychiatric unit with a diagnosis of psychosis and schizophrenia. Sally provides Sam with appropriate interventions to help stabilize his condition, monitors his compliance with medication and conducts therapy sessions. Explain in 200 words.

 1. Sally is using what level of prevention according to the Neuman Systems Model?

 2. Give a few examples of nursing actions using Tertiary preventions as interventions. 

Utilizing Process Improvement Models in Saudi Healthcare Settings (110 points)

 Utilizing Process Improvement Models in Saudi Healthcare Settings (110 points)

You have been asked by the Board of Directors to persuade stakeholders in your healthcare organization to adopt Lean Six Sigma.

In this assignment, you will write an executive summary that can be distributed to inform stakeholders about Lean Sigma and how it will benefit your organization and your plan for implementation.

In each summary, you will include the following:

  • A succinct overview of the model
  • The impact of the model on quality
  • The impact of the model on cost
  • Barriers to implementation in your organization and how you would address them
  • Brief implementation plan

There are many formats for executive summaries, but they all include relevant headings and succinct descriptions.

Click on the following link to view an example of an executive summary, if desired:

Executive Summary Example Executive Summary Example – Alternative Formats

Your well-written executive summary should meet the following requirements:

  • Each executive summary should be 2-to-3 pages in length, excluding the cover and reference pages.
  • The summary should have its own reference page.
  • Provide full APA references for the articles selected and any additional sources used, along with appropriate in-text citations.
  • Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but the others must be external.
  • Formatted per Saudi Arabia Electronic University and APA formatting guidelines.
  • Utilize headings to organize the content of your work.
  • Make sure headings correspond to the assignment requirements.

Continuing the processes

 

Part 1: Professional Development and Reflection

  • Assess your progress toward achieving your practicum professional development objectives, including how your involvement in specific practicum activities has contributed to your development.
  • Explain what you will do to ensure you achieve your objectives by the end of your practicum.
  • Summarize challenges or unexpected opportunities that have arisen in achieving your practicum objectives as well as any challenges that you anticipate may arise. Explain how you will address those challenges.

Part 2: Connections to Your Site

  • Document specific objective(s) for the specific time frame.
  • Describe a problem, issue, or situation that you have observed during your practicum experience (no more than a half page).
  • Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature.
  • Explain the degree to which the problem, situation, or issue was addressed in a manner that is consistent with the theory, concepts, and principles detailed in the evidence.
  • Given the various evidence-based approaches that can be used in addressing the problem, situation, or issue, formulate a plan for approaching the matter differently.
  • Include APA-formatted references immediately following the content.

professional reflective journal

 

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

reflection 7

Minimum of 250 words with at least 1 peer review reference in 7th edition apa style

 

  1. Examine the role of stakeholders in change and translation science. 
  2. Assess challenges and barriers related to evidence translation. 

Health ques

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

  • By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
  • How would your communication and interview techniques for building a health history differ with each patient?
  • How might you target your questions for building a health history based on the patient’s social determinants of health?
  • What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
  • Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
  • Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
  • Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

Tourette Syndrome

  

Using evidence-based research, design and develop a Parent Guide for your assigned disorder : ( Tourette Syndrome) Include pictures.

  • Signs and      symptoms
  • Pathophysiology
  • How the disorder      is diagnosed
  • Treatment      options

Provide a minimum of three academic references.

Required Readings ( Need 3 references)

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

· Standard 9 “Evidence-Based Practice and Research” (pages 71-72)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

· “Neurodevelopmental Disorders”

· “Specific Learning Disorder”

· “Motor Disorders”

Kaltiala-Heino, R. (2010). Involuntary commitment and detainment in adolescent psychiatric inpatient care. Social Psychiatry Epidemiology, 45(8), 785-793. doi: 10.1007/s00127-009-0116-3.

Lindsey, M. A., Joe, S., Muroff, J., & Ford, B. E. (2010). Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth. General Hospital Psychiatry, 32(3), 300-309. doi:10.1016/j.genhosppsych.2010.01.007

McGavey, E. L., Leon-Verdin, M., Wancheck, T. N., & Bonnie, R. J. (2013). Decisions to initiate involuntary commitment: The role of intensive community services and other factors. Psychiatric Services, 64(2), 120-126.

Murphy, T. K., Lewin, A. B., Storch, E. A., Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with tic disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 52(12), 1341–1359. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00695-3/pdf 

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

· Chapter 4, “Theories of Personality and Psychopathology” (pp. 151–191)

· Chapter 31, “Child Psychiatry” (pp. 1181–1205)

Health assessment

  2-3 pages

· Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother

  

· An explanation of the health issues and risks that are relevant to the child you were assigned.

· Describe additional information you would need in order to further assess his or her weight-related health.

· Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

· Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

· Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

  

· Body-mass index (BMI) using waist circumference for children

Analyzing a Health Care Data Set

For this assessment, you will determine the relevant statistical tests to apply to the analysis of a data set, and then write a 3–4 page interpretation of the results of your analysis.

This assessment will ask you to select, apply, and interpret the results of a variety of statistical tests on a health care data set. This may include tests you have learned about or applied previously in the course, or the new nonparametic t-Test which is presented in the resources for this assessment. The challenge is using what you have learned to determine the best course of action to complete the interpretative tasks the assessment lays out for you. This attempts to mirror real-world situations where the data or statistical analysis could be approached in a variety of different ways. To decide which statistical test to use for the various dependent variables to be analyzed, one must first know more about the data type (measurement level) within those variables.

Overview

Public health researchers are often involved in collaborating in the design, development, and analysis of community initiatives of varying complexity. While this course alone will not provide sufficient training for you to act as a statistical consultant, it does offer a broad and practice-based analytic foundation that can position you to better understand and more fully contribute to real-world project teams. Building on the basic statistical concepts and analytical techniques of the previous units, this assessment is an opportunity to use your cumulative quantitative-analysis skills to address a broad set of real-world research questions.

Demonstration of Proficiency

By successfully completing this assessment you will address the following scoring guide criteria, which align to the indicated course competencies.

  • Competency 2: Apply appropriate statistical methods using common software tools in the collection and evaluation of health care data. 
    • Perform the most appropriate parametric or nonparametric test to answer each question.
  • Competency 3: Interpret the results and practical significance of statistical health care data analyses. 
    • Assess the assumption of normal distribution prior to analysis.
    • Appropriately interpret the statistical output (such as estimate, p-value, confidence interval, and effect size) resulting from each statistical test.
    • Summarize the clinical implications, significance, and potential limitations of the study data and outcomes.
  • Competency 4: Assess the quality of quantitative research methods reported in peer-reviewed health care literature. 
    • Describe the practical significance of the results of statistical tests.
  • 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

Complete the following for this two-part assessment.

Software

The following statistical analysis software is required to complete your assessments in this course:

  • IBM SPSS Statistics Standard or Premium GradPack, version 22 or higher, for PC or Mac.

You have access to the more robust IBM SPSS Statistics Premium GradPack.

Please refer to the Statistical Software page on Campus for general information on SPSS software, including the most recent version made available to Capella learners.

Part 1: Yoga and Stress Study Statistical Tests
  1. Use the Yoga Stress (PSS) Study Data Set [XLSX] to determine the measurement level of data of the dependent or outcome variable (Psychological Stress Score) you are analyzing. 
    • Is the data categorical, ordinal, or interval or ratio?
  2. Before performing any statistical tests, you must determine which tests would be most appropriate for your data type. 
    • Perform a preevaluation of the data for outliers (all variables) and normal distribution (only dependent variables) as you have done previously.
    • Use How to Choose a Statistical Test [PPTX] as general guidance in helping you to decide which test to use.
    • Use the readings, media, resources, and textbook as guides to perform an analysis of the selected variables.
  3. Perform and interpret an appropriate series of statistical tests (including preanalytical testing for outliers and normal distribution of data) that answer the following research questions: 
    • How would you quantitatively describe the study population? 
      • Summarize the primary demographic data using descriptive statistics.
    • Is there any association between gender and race in this military study? 
      • Perform an appropriate chi-square analysis.
  4. Perform preliminary assessment of the data, then compare pretest to post-test scores. 
    • In total population being studied, what was the effect of the yoga intervention on stress?
  5. Provide the SPSS “.sav” output file that shows your programming and results for this assessment.
Part 2: Interpretive Report
  1. Summarize the clinical implications related to the statistical outcomes for each of the questions above.
  2. Describe potential limitations of the study (Part 1, number 3).

Additional Requirements

  • Length: Your paper will be 3–4 typed, double-spaced pages of content plus title and reference pages.
  • Font: Times New Roman, 12 points.
  • APA Format: Your title and reference pages must conform to 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.