Nursing Care Issue

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Nursing Care Issue

Discuss Topic 1: As the professional nurse, you realize that your nursing care area often sees patients

This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred, 2 peer-reviewed references WEBSITE SOURCE.

As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (not medical care issue). Include all of the following in your answer to this discussion. Nursing Care Issue.

· Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.

· Explain how you would search CINAHL for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. Note: You do not need to perform the search or provide an article for this discussion, but you may do so if you like. Nursing Care Issue

 
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QUALITATIVE FIELD RESEARCH

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QUALITATIVE FIELD RESEARCH
Topics Appropriate for Field Research

  • Topics that defy simply quantification
  • Attitudes and behaviors best understood in their natural setting
  • Social processes are better understood over time in their natural setting
  • Elements of Social Life Appropriate to Field Research
  • Practices
  • Episodes
  • Encounters
  • Roles and Social Types
  • Social and Personal Relationships
  • Groups and Cliques
  • Organizations
  • Settlements and Habitats
  • Social Worlds
  • Subcultures and Lifestyles
Special Considerations in Qualitative Field Research

  • Roles of the Observer
  • Participant, Researcher, Observer
  • Participant observation – participating in what you are studying while you are studying it
  • Not all field researchers do this. You don’t have to participate in order to observe.
  • Reactivity – The problem that the subjects of social research may react to the fact of being studied, thus altering their behavior from what it would have been normally.
  • Relations to Subjects
  • Objectivity – describes the researchers’ ability to draw conclusions based on facts rather than personal feelings or beliefs.
  • Emic perspective – adopting the point of view of those being studied.
  • Etic perspective – maintaining a distance from what is being studied to enhance objectivity.
  • Reflexivity/awareness of bias – affects both researchers and subjects; describes how your own characteristics affect what you see/pay attention to and how you interpret it.
Some Qualitative Field Research Paradigms

  • Naturalism
  • Ethnomethodology
  • Grounded Theory
  • Case Studies
  • Institutional Ethnography
  • Participatory Action Research
  • Naturalism – An approach to field research based on the assumption that an objective social reality exists and can be observed and reported accurately.
  • Ethnography – A report on social life that focuses on detailed and accurate description rather than explanation.
  • Ethnomethodology – An approach to the study of social life that focuses on the discovery of implicit meanings.
  • These are usually unspoken assumptions and agreements.
  • Grounded Theory – an inductive approach to the study of social life that attempts to generate a theory from the constant comparing of unfolding observations.

Note that this differs significantly from traditional hypothesis testing, in which theory generates hypotheses which are then tested.

  • Guidelines:
  • Think conservatively
  • Obtain multiple viewpoints
  • Periodically step back and assess what you know
  • Maintain an attitude of skepticism
  • Follow the research procedures
  • Case Studies – The in-depth examination of a single instance of some social phenomenon.
  • Extended Case Method – A technique in which case study observations are used to discover flaws in and to improve existing social theories.
  • Institutional Ethnography – A research technique in which the personal experiences of individuals are used to reveal power relationships and other characteristics of the institution within which they operate.
  • Participatory Action Research – An approach to social research in which the people being studied are given control over the purpose and procedures of the research.
  • Emancipatory Research – Research conducted for the purpose of benefiting disadvantaged groups.
Conducting Qualitative Field Research

  • Preparing for the Field
  • Be familiar with relevant research
  • Discuss your plans with others in the area
  • Identify and meet informants (when appropriate)
  • First impressions are important
  • Establish rapport (an open and trusting relationship)
  • Ethical considerations
  • Qualitative Interview – Contrasted with survey interviewing, the qualitative interview is based on a set of topics to be discussed in depth rather than based on the use of standardized questions.
  • “Miner” or “Traveler” roles
  • Stages in Complete Interviewing Process

Thematizing
Designing
Interviewing
Transcribing
Analyzing
Verifying
Reporting

  • Focus Group – A group of subjects interviewed together, prompting a discussion.
  • Advantages: real-life data, flexible, high degree of face validity, fast, inexpensive
  • Disadvantages: not representative, little interviewer control, difficult analysis, interviewer/moderator skills, difficult logistically
  • Recording Observations
  • Take detailed notes, but balance with observations
  • Rewrite notes with observations soon after observations with filled in details
  • Record empirical observations and interpretations
  • Record everything
  • Anticipate observations
Strengths and Weaknesses of Qualitative Field Research

  • Strengths of Qualitative Field Research
  • Effective for studying subtle nuances in attitudes and behaviors and social processes over time
  • Flexibility
  • Inexpensive
  • Weaknesses of Qualitative Field Research
  • No appropriate statistical analyses
  • Ethical issues
  • Validity
  • Greater validity than survey and experimental measurements
  • Reliability
  • Potential problems with reliability
 
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Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project

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Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
Describe the background of the problem. Tell the story of the issue and why it deserves attention.
Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.
State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.
7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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 Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.
 
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When looking at the idea of reliability and validity one sees that both come hand in hand

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When looking at the idea of reliability and validity one sees that both come hand in hand. One without the other will not have a follow through. The reliability is that of consistency in research and also within the given results. This in turn, ensures the validity of the results when the reliability is proven.
There is internal and external reliability and within these we see that both can often be used within the same forms of research. The internal reliability is a measure that is consistent within itself and the external is when the measure varies from one use to another. The validity also has internal and external forms and this also shows, within the same measure, however with internal validity the effects observed in a study look for whether or not the independent variable is manipulated or shown through some other factor (Reynolds & Livingston, 2013). The external validity refers to the generalization of other settings, people and time. There is predictive, construct and concurrent validity and these are factors that are chosen within the different forms of research being done.
A test may be high on the internal reliability and validity due to having the ability to measure the base that is present and not have to find and conduct several outside factors. It could be low on the internal side if there is not enough to measure within the testing process. This is the same for the validity aspects, as the study is observed through the validity and based on the performance of the reliability. A researcher can increase the reliability within a development of a test by providing a strong subject to be researched and using true/false, frequency formatted and the mixture of the two for their testing processes (Xu, 2014). This in turned would increase the validity and help give the testing process a strong process and help create clarity within the given results.

 
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Select either Kohlberg’s theory of moral development, Gilligan’s theory of moral development, or Fowler’s theory of faith development.

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Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated.
Development Theories
Select either Kohlberg’s theory of moral development, Gilligan’s theory of moral development, or Fowler’s theory of faith development. Discuss the strengths and weaknesses of your selected theory.  Which stage of your selected theory, do you think that you are currently experiencing?  Provide examples to reinforce your answer. 
Guided Response: Review several of your classmates’ posts. Provide a substantive response to at least two of your peers who chose a theory different from the one you chose. What stage of your peers’ selected theory are you currently experiencing?  Explain your answer.Refer to “Research Proposals” and follow the instructions for completing this assignment.
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

 
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Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

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Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

Review the media, Johnson Family
Compare the use of cognitive behavioral therapy for families to cognitive behavioral therapy for individuals
Analyze challenges of using cognitive behavioral therapy for families.

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Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

Johnson Family Episode 3 Program Transcript

[PEOPLE SOCIALIZING AT PARTY]

MALE SPEAKER: Hey there. How you feeling?

FEMALE SPEAKER: I’m drunk.

MALE SPEAKER: Yes, you are. Here, have some more.

FEMALE SPEAKER: I need to lay down. I don’t feel so good.

MALE SPEAKER: No, no, no, no. Not here. Not here.

FEMALE SPEAKER: Take me home.

MALE SPEAKER: I can’t leave. It’s my frat party. I actually– But I’ll tell you what, let me take you upstairs. You can use my bed. OK?

FEMALE SPEAKER: Sure.

MALE SPEAKER: All right. Come on, Talia. I got you.

FEMALE SPEAKER: I remember him lying me down on a bed and then he started kissing me. I think I kissed him back. And then he started taking off my pants. I told him to stop, but I must have passed out. When I woke up later, I didn’t have anything on. I just grabbed my clothes and got the hell out of there. I feel like such a fool. I had too much to drink. I don’t know why I let it happen.

FEMALE SPEAKER: Thank you for sharing. It sounds like you still feel responsible for what happened. Has anyone else had similar feelings about something that’s happened to them?

FEMALE SPEAKER: There was this guy once, I told him no just like you. I told him really loud, but it didn’t matter. He did what he wanted anyway. He raped me. And for some reason, I blamed myself for it. It took a long time and a lot of help to realize I was wrong. It wasn’t my fault. Just like it’s not your fault. That frat boy, he’s the one to blame.

FEMALE SPEAKER: When it happened to me some of the people in my life, people I loved, they said it was my fault. Said that I shouldn’t have been where I was. Said it wouldn’t have happened otherwise. But it wasn’t my fault. It wasn’t. But to have people that you trust say those things about you, it’s confusing. It hurts.

FEMALE SPEAKER: Thank you for sharing your thoughts and being supportive. It’s important in a group like this.

FEMALE SPEAKER: Is it? Is it really? I’m not so sure. It hurts talking about it like this. It just, it keeps hurting

Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

 
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 Consulting for the Caring Angel Hospital

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 Consulting for the Caring Angel Hospital
Due Week 10 and worth 300 points
Imagine that you are a senior consultant at Practical Health Care Consulting firm. Your supervisor has instructed you to spend three (3) months at the Caring Angel Hospital to help improve the quality of care, add value to the organization, improve employee morale, design an efficient organizational chart, create a strong team environment, and create the hospital’s competitive advantage. The hospital has traditionally made losses year after year. Furthermore, it is not performing well financially, and the banks are not willing to lend it large sums of money for more effective marketing.
After spending two (2) months within the hospital, you are very happy with your progress, and you think you are capable of acquiring more patient base and expanding the hospital market. However, with a closer look, you notice that your patients are still hopping from one specialized hospital to another in search of various specialized treatments. You also notice that the seats are not comfortable in the waiting area, and the patients continuously show up for appointments on the wrong dates. The nurses and the employees are not smiling during patient conversations, and everyone looks for ways to blame others for failures in the patient treatment process. Everyone seems to work alone and hide what they do from their colleagues.
At the end of the three (3) month period, you must provide a report with your recommended strategies designed to help Caring Angel Hospital achieve its goals.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a four to six (4-6) page paper in which you:
1. From a consulting perspective, propose the major steps that Caring Angel Hospital could take to achieve each of the following goals:
a. Improve the quality of care
b. Add value to the organization
c. Improve employee morale
d. Design an efficient organizational chart
e. Create a strong team environment
f. Create the hospital’s competitive edge.
2. Recommend one (1) approach that the hospital could use for acquiring a larger market share given the prevailing financial circumstances. Justify your recommendation.
3. Investigate at least two (2) value-added services that Caring Angel Hospital could offer to strengthen its value proposition. Provide at least two (2) examples of the advantages of these value-added services to the hospital.
4. Use four (4) recent (within the last five [5] years) quality academic resources in this assignment. Note: Wikipedia and other websites do not qualify as quality academic resources.
Your assignment must follow these formatting requirements:

  • Be typed, double      spaced, using Times New Roman font (size 12), with one-inch margins on all      sides; citations and references must follow APA or school-specific format.      Check with your professor for any additional instructions.
  • Include a cover      page containing the title of the assignment, the student’s name, the      professor’s name, the course title, and the date. The cover page and the      reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Propose      methodologies that have been proven to increase value in health care      delivery systems.
  • Examine leadership      and management frameworks that are most applicable to a certain      organization type within the health care industry.

· Assess how politics in a health care organization motivates and demotivates employees, and recommend strategies to mitigate the challenges presented with each aspect.

  • Create a      communication strategy to address an ethical dilemma within a health care      organization regarding the quality of service and cost.
  • Craft a strategic      plan that leads to a competitive advantage within a certain market.

· Determine best practices for establishing and maintaining strategic alliances within the health care industry or enterprise.
· Use technology and information resources to research issues in health care management.

  • Write clearly and      concisely about health care management using proper writing mechanics.
 
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he policy-based profession: An introduction to social welfare policy analysis for social workers.

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The foundation of the social work profession is rooted in two levels of social assessment and reform. One is the individual, or micro, approach, which examines the needs of the individual living in poverty and explores how trained social work professionals could assist the individual in overcoming barriers to economic self-sufficiency. The other approach, which occurs simultaneously, is a macro, or larger environment, approach. This approach identifies and influences changes in the larger systems (education, economic, etc.) to improve self-sufficiency. The social work profession incorporates both approaches and trains professionals to intervene effectively at both levels of practice.
For this Discussion, review this week’s resources. Then, reflect on the dichotomy between micro and macro practice. Next, think about how micro practice has come to dominate the social work profession.

By Day 4

Postan explanation of “the dichotomy between micro and macro” practice. Then, describe how micro practice has come to dominate the social work profession.

Required Readings

Popple, P. R., & Leighninger, L. (2015). The policy-based profession: An introduction to social welfare policy analysis for social workers. (6th ed.). Upper Saddle River, NJ: Pearson Education.
Chapter 1, “The Policy-Based Profession” (pp. 5-19)

Steen, J. A. (2012). Critical thought within the social welfare policy course. Journal of Teaching in Social Work, 32(1), 14–28.
Note: Retrieved from Walden Library databases.

 
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Create an action plan for implementation.

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Psychology homework help

Your recommendation in the policy brief you presented, in Topic 5, has been accepted by the committee, taken through the legislative process, and is now ready for implementation. Create an action plan for implementation. Once you have your ideas outlined you will prepare an implementation presentation for the legislator to communicate to all stakeholders. Your 10 slide presentation should include:

Any stakeholders (any individual or group that would be impacted by the policy)

Required resources and who provides them (what is needed to implement the policy)

Challenges that might be encountered

Time Frame (time frame should be reasonable)

Evaluation processes ( how will you ensure the policy is effective)

Summarize how agencies, personnel, and public involved in the implementation of the policy will be impacted. Include a description of the considerations needed for seamless implementation of the policy for all stakeholders.

Use three to five scholarly resources to support your explanations.

Include speaker notes below each content-related slide that represent what would be said if giving the presentation in person. Expand upon the information included in the slide and do not simply restate it. Please ensure the speaker notes include 50-75 words per slide.

 
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First identify one or two aspects of the course that added to your knowledge of personality development, in general, and explain why.

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FIRST IDENTIFY ONE OR TWO ASPECTS OF THE COURSE THAT ADDED TO YOUR KNOWLEDGE OF PERSONALITY DEVELOPMENT, IN GENERAL, AND EXPLAIN WHY.

PSYC221 Personality Theories

 

(1) First identify one or two aspects of the course that added to your knowledge of personality development, in general, and explain why.

(2) Then identify at least one thing you learned that is directly related to your own area of interest. For example, if your area of interest is criminal justice, what can you take away from this class that will help you with your future work in that area? If your area of interest is psychology, how will what you learned in this class help you be successful in future psychology courses? If your area of interest is being a better spouse and/or parent, then what new tools can you glean from this course for that purpose? If there is more than one area to which you think you can apply what you have learned, you may, of course, discuss more than one, but only one application of learning to interest area is required for this last post.

Important: You shouldn’t consider this one a “fluff” discussion. Give it thoughtful consideration. What did you learn and why was it interesting enough to make you want to discuss it here?

Your initial post of 300 words minimum

 
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