1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

Think for a while about cultural practices and how they affect health or illness in your own family. They may be difficult to identify as such at first, but they do exist.

1. What ideas about illness prevention does your family adhere to? 

2. What do you do when someone gets sick? 

3. What rituals does your family practice when someone dies?

Part 2:

1. Mention one of the therapeutic options use as intervention for child sexual abuse (Cognitive-behavioral treatment).

2.  How does it work? (explain it)

Part 3:

1.List and discuss at least two of the special nutritional needs of aging women.

2. Describe factors that may disturb sleep in older adults.

Part 4:

1. Discuss the value of qualitative research 

2. Discuss  2 ethical considerations related to qualitative research

Part 5:

Topic: Nursing Professional Care in the Prevention of Infections Associated with Health Care in Intensive Care Units.

Problem question: What is the nursing professional’s care in preventing infections associated with health care in an adult Intensive Care Unit, according to the scientific literature review?

Study with research design: quantitative approach, literature review.

1. What are some ethical issues to keep in mind when using Internet-based research? 

2. How can you address these issues? 

3. Are you going to make any edits to your literature review that you submitted earlier in this course now that you have learned more about Internet-based research? Why or why not? (NO).

 Part 6:

1. Identify one quality improvement strategy to improve health. 

2. How could you apply it to your current nursing practice? 

3. How does the assimilation of quality improvement strategies enhance leadership?

Part 7:

1. Make a brief comparition about  Dorothy Johnson: Behavioral Systems Model and Virginia Henderson: Definition of Nursing

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

Select a specific bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

https://www.congress.gov/

https://www.house.gov/

https://www.senate.gov/

http://www.senate.gov/senators/leadership.htm

The Assignment: (1- to 2-page Comparison Grid; 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

-Determine the legislative intent of the bill you have reviewed.

-Identify the proponents/opponents of the bill.

-Identify the target populations addressed by the bill.

-Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

-Advocate a position for the bill you selected and write testimony in support of your position.

-Describe how you would address the opponent to your position. Be specific and provide examples.

Use in text citations. References last 5 years and scholarly. APA format

QUESTION 1. a. What are the methods a nurse can use to gather cultural information from patients? b.How does cultural competence relate to better patient care? c. Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.

 QUESTION 2 a. Discuss why nutrition is a central component in health promotion. b.What are some of the nutritional challenges for emerging populations? c. What roles do nutritional deficiency and nutritional excess play in disease?

  When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding the causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In a five-paragraph document, identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

To Prepare:

· Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.

· Review the health policy you identified and reflect on the background and development of this health policy.

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 5, “Public Policy Design” (pp. 87–95 only)
• Chapter 8, “The Impact of EHRs, Big Data, and      Evidence-Informed Practice” (pp. 137–146)
• Chapter 9, “Interprofessional Practice” (pp. 152–160      only)
• Chapter 10, “Overview: The Economics and Finance of      Health Care” (pp. 183–191 only)

American Nurses Association (ANA). (n.d.). Advocacy. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/

Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080. doi:10.5465/AMR.1996.9704071863

Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patient. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017. doi:10.1111/jep.12350

Tummers, L., & Bekkers, V. (2014). Policy implementation, street-level bureaucracy, and the importance of discretion. Public Management Review, 16(4), 527–547. doi:10.1080/14719037.2013.841978.

APA Style, at least 3 references and citations. PLEASE ANSWER EACH QUESTIONS CAREFULLY

1. DESCRIBE A SITUATION in which the nurse manager would use problem resolution in the workplace. Describe a situation in which the nurse manager would use negotiation to resolve a conflict (or potential conflict) in the workplace. 

2. COMPARE AND CONTRAST strategies for resolving a conflict, using first the informal negotiation method and then the formal negotiation method. 

3. Explore the American Nurses Association website for information on collective bargaining for nurses. Which states have nursing unions? Debate the issue of joining a union with another group of students. 

4. PART 1: Log onto the website of your state nurses association and search for information on collective bargaining. Search for news articles, union websites, and other recent information on collective bargaining for nurses in your state. Is there a great deal of collective bargaining activity in your state? If not, why? If yes, what are the primary issues under discussion?

PART 2: Review the pros and cons of becoming part of a collective bargaining unit. If you were a full-time staff nurse, would you want to join a union? Why or why not? 

Instructions are attached bellow

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education.

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas.

Provide the following descriptive statistics:

1. Measures of Central Tendency: Mean, Median, and Mode
2. Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).
3. Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

I NEED A RESPONSE FOR THIS ASSIGNMENT

2 REFERENCES

The importance of a developmental assessment of children and adolescents 

Child and adolescent development is characterized as a continuous, predictable sequence of biological, psychological, and emotional changes that occur between birth and the end of adolescence (Choo et al., 2019). Specific developmental milestones are used as guidelines to gauge the child’s functioning level within their given age group. By performing a developmental assessment, clinicians can track growth and engagement patterns and identify developmental problems that will require the implementation of interventions to improve the child’s functioning. Determining the extent to which behaviors and experiences are appropriate for a child’s age and stage of development is critical in evaluating mental health conditions. Effective screening and assessment maximize the potential to direct patients and their families to the help they need before problems become entrenched (American Academy of Child & Adolescent Psychiatry [AACAP], n.d.). Awareness of a pediatric patient’s development enables caregivers and clinicians to perceive the world from their perspective. Individualized care is best achieved when the provider’s interaction is based on the patient’s developmental level.

Description of two assessment instruments used for children and adolescents but not adults

BASC-3 Behavioral and Emotional Screening System (BASC-3 BESS)

The BASC-3 BESS is a quick and reliable, systematic tool to determine behavioral and emotional strengths and weaknesses of children and adolescents from preschool through high school (3 to 18 years) (Evidence-based Intervention Network, 2011). This assessment has three forms: parent and teacher forms (ages 3 to 18 years) and the student self-report form (ages 8 to 18 years). The screening tool uses a Likert scale to assess four dimensions of behavioral and emotional functioning, which includes internalizing problems, externalizing problems, school problems, and adaptive skills (Evidence-based Intervention Network, 2011). The tool has 25 to 30 items depending on the form in use. A T-score of 60 or below indicates normal risk level; 61 to 70 indicates elevated risk; and above 71 indicates extremely elevated risk level that may require support planning from a behavioral specialist (DiStefano et al., 2013).  

Ages and Stages Questionnaire-Social Emotional (ASQ-SE)

The ASQ-SE is a highly reliable, parent-administered screening tool that assesses children’s social and emotional development between 3 to 66 months. It looks at the domains of self-regulation, communication, autonomy, compliance, adaptive functioning, affect, and social interaction. The assessment results can determine if a referral for intervention services is necessary (California Evidence-based Clearinghouse for Child Welfare [CEBC], 2015). The test is broken down into age ranges, with cutoff scores varying by age. Scores above the cutoff for age indicates that a mental health assessment is warranted for the child (Squires & Bricker, 2009).

Describe two treatment options for children and adolescents that may not be used for treating adults

Child-centered Play Therapy (CCPT) is an effective treatment option for children ages 3 to 10 years experiencing social, emotional, behavioral, and relational problems (CEBC, 2019). In the pediatric population, language development lags behind cognitive development. Play therapy is an effective intervention to allow children to communicate their awareness within their world. Emotionally significant experiences can be expressed through the symbolic representation toys provide. Anxieties, fears, fantasies, and guilt are transferred to objects rather than people (Wilson & Ray, 2018). Therapeutic interactions and a therapeutic environment that includes play and symbols allow the child to experience full acceptance, empathy, and understanding while processing inner feelings and experiences (CEBC, 2019). The goal of CCPT is to decrease symptomatic behaviors and improve the child’s overall functioning.

Multisystemic Therapy (MST) was developed to address risk factors among children and adolescents with serious externalizing problems at-risk for out-of-home placement (Henggeler et al., 2009). Children and teens are conceptualized by their family, social, school, and community systems. MST uses a home-based model that limits treatment barriers, such as limited access to transportation, lack of childcare, or parent work hour restrictions. Young clients are treated within their real-world settings. The MST providers work with the client, their families, and the school community to encourage adherence to the nine core principles. Interventions are developed to eliminate drivers that influence undesirable behaviors and symptoms. Examples of effective interventions include reframing negative behaviors and family interactions, emphasizing familial strengths, and contingency management. The treatment duration is typically four to six months, in which the MST team is available to families on a 24-hour basis through an on-call rotation (Zajac, Randall, & Swenson, 2015). 

Explain the roles parents play in assessment and treatment

According to Sadock, Sadock, and Ruiz (2014), it is necessary to involve parents in the assessment process to get a chronological picture of the child’s growth and development, details of stressors or important events, accurate family history, and their perspective of the family dynamic. Parents also help make informed decisions about goals and treatments. Many studies show that parent participation in treatment improves client outcomes. Empowered with information and strategies, parents increase compliance through assisting their child in treatment engagement, learning new skills, and becoming more independent (Haine-Schlagel & Walsh, 2015). Parent participation is needed to continue the intervention delivery within the home.

References

AACAP. (n.d.). Assessment of young children. Retrieved on December 9, 2020, 

     from https://www.aacap.org/AACAP/Member_Resources/AACAP_Committees/Infant_and_

     Preschool_Committee/Assessment_of_Young_Children.aspx

CEBC. (2015). Ages & stages questionnaire: Social-emotional (ASQ-SE). Retrieved 

     on December 9, 2020, from https://www.cebc4cw.org/assessment-tool/ages-stages-

     questionnaires-social-emotional-asq-se/

CEBC. (2019). Child-centered play therapy (CCPT). Retrieved on December 9, 2020, 

     from https://www.cebc4cw.org/program/child-centered-play-therapy-ccpt/

Choo, Y. Y., Yeleswarapu, S. P., How, C. H., & Agarwal, P. (2019). Developmental 

     assessment: Practice tips for primary care physicians. Singapore Medical Journal, 

     60(2), 57-62.

DiStefano, C., Greer, F. W., & Kamphaus, R. W. (2013). Multifactor modeling of emotional 

     and behavioral risk of preschool-age children. Psychological Assessment, 25(2), 467-476.

Evidence-based Intervention Network. (2011). Behavioral and emotional screening 

     system (BESS). Retrieved on December 9, 2020, 

     from https://ebi.missouri.edu/wp-content/uploads/2014/03/EBA-Brief-BESS.pdf

Haine-Schlagel, R., & Walsh, N. E. (2015). A review of parent participation engagement in 

     child and family mental health treatment. Clinical Child and Family Psychology Review, 

     18(2), 133-150.

Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, 

     P. B. (2009). Multisystemic therapy for antisocial behavior in children and adolescents 

     (2nd ed.). New York: Guilford. 

Squires, J, & Bricker, D. (2009). Ages & stages questionnaires (ASQ-3) (3rd ed.). 

     Baltimore, MD: Brookes Publishing. 

Wilson, B. J., & Ray, D. (2018). Child-centered play therapy: Aggression, empathy, 

     and self-regulation. Journal of Counseling & Development, 96, 399-409.

Zajac, K., Randall, J., & Swenson, C. C. (2015). Multisystemic therapy for externalizing 

     youth. Child and Adolescent Psychiatric Clinics of North America, 24(3), 601-616. 

Assignment 1: Practicum – Week 5 Journal Entry (Due in Week 7)

Learning Objectives

Students will:

• Develop effective documentation skills for family therapy sessions *
• Develop diagnoses for clients receiving family psychotherapy *
• Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families *
• Analyze legal and ethical implications of counseling clients with psychiatric disorders *

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select two clients, you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2.

Then, address in your Practicum Journal the following:

• Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
• Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

To Prepare: PLEASE USE THIS TOPIC-RISE IN HEALTH CARE COST

• Review the national healthcare issue/stressor you examined in your Assignment for Module 1, (PLEASE USE THIS TOPIC-RISE IN HEALTH CARE COST) review the analysis of the healthcare issue/stressor you selected.
• Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
• Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

• Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.PLEASE USE THIS TOPIC-RISE IN HEALTH CARE COST)
• Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.(PLEASE USE THIS TOPIC-RISE IN HEALTH CARE COST)Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
• Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
• Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

Required Readings

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from
https://www.nursingworld.org/coe-view-only
Note: Review all, with special attention to “Provision 6” (pp. 23–26).

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html  

Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html