Describe why this is a clinical problem in your environment

 

Therapeutic Nursing Interventions Paper

Purpose: The purpose of this paper is to define a clinical problem, review the literature for appropriate research supported nursing interventions, critique current practice and provide a plan for changing or adapting clinical practice.

Role: You are an RN working in a clinical environment. Each unit has its own ‘way of doing things’. As an emerging leader, you are charged with questioning WHY things are done the way they are. Is there literature to support the way things are being done or should changes be made based on evidence?

Audience: When writing this paper, your audience is your peers. Write in a way that utilizes professional terms, but also explains terms and concepts. Just as you are learning as you compose the paper, you will want to write in such a way that a peer could understand what you are presenting.


Guidelines:

Introduction. Introduce the reader to the concepts being presented and the issue to be discussed. Describe the specific settings and the practices within the setting. (For example, ‘a 40 bed med-surg unit in an urban area’).

Present the Clinical Problem. Identify a clinical problem in your practice [i.e., pain, nausea, depression, anxiety, medication errors, delerium, sleep deprivation etc.] Note: This is not a professional health care issue such as staffing, entry level of education, etc.

Define the problem as it is found in your practice environment (do NOT use textbooks)

Describe why this is a clinical problem in your environment

Explain why you chose this problem to investigate

Be very specific with examples.

Current Clinical Practice. Describe the current clinical practice relating to this problem.

Summarize the formal mechanisms for dealing with this problem or the formal mechanisms that create the problem [i.e., policy manual, standard of practice, clinical path, etc.]

Summarize the informal mechanisms for dealing with the problem or that create the problem [What the actual current practice is].

Analyze the rationale for any discrepancies between the formal and informal methods

Nursing Interventions. Identify three [3] nursing interventions from the literature, which address this clinical problem. The interventions should be based on current literature. At least two intervention must be based on research. These are therapeutic interventions, which means that they are focused on improving patient care.Textbooks may be used as a citation source, but are not the best sources.

At minimum 6 sources of current literature are needed to support the interventions- At least three [3] sources of literature must be primary research or evidenced based practice studies.

In your paper analyze the relationship between the research, other literature and the clinical problem.

Develop a hypothesis for a nursing intervention you would like to test to handle the problem you chose.

Summary. Should conclude your assignment with a summation of the problem and your interventions.

APA format. It is expected that the principles of good writing will be used. Including grammar, punctuation, spelling and sentence structure. This paper must follow the guidelines of APA format (6th edition).

Clinical Implementation Mentor Form

Purpose

Identifying and engaging with a mentor in the clinical area is key to development

This is a mandatory element for the TNI paper.  The paper will not be graded unless this document is attached.

You will submit this form as an Appendix to your TNI paper

 
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Write a 4-page section of a request for proposal (RPF) in which you address the topics of addictions and mental health disorders.

Write a 4-page section of a request for proposal (RPF) in which you address the topics of addictions and mental health disorders.

Write a 4-page section of a request for proposal (RPF) in which you address the topics of addictions and mental health disorders.

Addiction is not a new issue in our society. The impact on the addicted person’s life and that of his or her family differs dependent on the nature of the addiction, social norms, and laws. For example drunk driving only became a concern once moving vehicles became the norm. When reviewing the nature of addiction, the types of addiction, and the level of addiction, you will find it is a most complicated issue.

Required Resources
The following resources are required to complete the assessment.

Capella Resources
Click the links provided to view the following resources:

Assessment 2 Proposal Template.
SHOW LESS

Suggested Resources
The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Capella Multimedia
Click the links provided below to view the following multimedia pieces:

Addiction and Dependence | Transcript.
The Reward Pathway | Transcript.
The Biological Sleep Clock.
Library Resources
The following e-books or articles from the Capella University Library are linked directly in this course:

Edwards, G. (2012). 100 years ago in addiction science. Addiction, 107(8), 1530–1531. doi:10.1111/j.1360-0443.2011.03712.x
Ardakani, A., Seghatoleslam, T., Habil, H., Jameei, F., & Rashid, R. (2013). A pilot study of prevalence of psychiatric disorder among drug-dependent patients: A report from an addiction centre in Malaysia. International Medical Journal, 20(5), 537–541.
Unger, A., Starzer, B., & Fischer, G. (2012). Addiction is a psychiatric disorder – What have we learned from history? Addiction, 107(6), 1043–1044. doi:10.1111/j.1360-0443.2012.03786.x
Marmorstein, N. R., Iacono, W. G., & McGue, M. (2012). Associations between substance use disorders and major depression in parents and late adolescent-emerging adult offspring: An adoption study. Addiction, 107(11), 1965–1973. doi:10.1111/j.1360-0443.2012.03934.x
Smith, P. H., Homish, G. G., Giovino, G. A., & Kozlowski, L. T. (2014). Cigarette smoking and mental illness: A study of nicotine withdrawal. American Journal of Public Health, 104(2), e127–e133. doi:10.2105/AJPH.2013.301502
Bellamy, C. D., Rowe, M., Benedict, P., & Davidson, L. (2012). Giving back and getting something back: The role of mutual-aid groups for individuals in recovery from incarceration, addiction, and mental illness. Journal of Groups in Addiction and Recovery, 7, 223–236. doi:10.1080/1556035X.2012.705703
Molina, B. G., Walther, C. P., Cheong, J., Pedersen, S. L., Gnagy, E. M., & Pelham, W. E., Jr. (2014). Heavy alcohol use in early adulthood as a function of childhood ADHD: Developmentally specific mediation by social impairment and delinquency. Experimental and Clinical Psychopharmacology, 22(2), 110–121. doi:10.1037/a0035656
Fjerkenstad, J. (2012). In my opinion: Treatment that mirrors the dark world. Sexual Addiction and Compulsivity, 19(1/2), 156–160. doi:10.1080/10720162.2012.665292
Ziedonis, D. M., & Kolodziej, M. E. (2012). Innovative interventions for treating tobacco addiction among persons with co-occurring mental illness and addiction: New approaches to improve outcomes. Journal of Dual Diagnosis, 8(2), 85–88. doi:10.1080/15504263.2012.672159
Sprenkle, D. H. (2012). Intervention research in couple and family therapy: A methodological and substantive review and an introduction to the special issue. Journal of Marital and Family Therapy, 38(1), 3–29. doi:10.1111/j.1752–0606.2011.00271.x
Rantala, V., & Sulkunen, P. (2012). Is pathological gambling just a big problem or also an addiction? Addiction Research and Theory, 20(1), 1–10. doi:10.3109/16066359.2011.552819
Zweben, J. E., & Ashbrook, S. (2012). Mutual-help groups for people with co-occurring disorders. Journal of Groups in Addiction and Recovery, 7(2–4), 202–222. doi:10.1080/1556035X.2012.705700
Benningfield, M. M., Dietrich, M. S., Jones, H. E., Kaltenbach, K., Heil, S. H., Stine, S. M., . . . Martin, P. R. (2012). Opioid dependence during pregnancy: Relationships of anxiety and depression symptoms to treatment outcomes [Supplement]. Addiction, 107, 74–82. doi:10.1111/j.1360-0443.2012.04041.x
Agrawal, A., Narayanan, G., & Oltmanns, T. F. (2013). Personality pathology and alcohol dependence at midlife in a community sample. Personality Disorders: Theory, Research, and Treatment, 4(1), 55–61. doi:10.1037/a0030224
Hartman, L. I., Ho, V., Arbour, S., Hambley, J. M., & Lawson, P. (2012). Sexual addiction and substance addiction: Comparing sexual addiction treatment outcomes among clients with and without comorbid substance use disorders. Sexual Addiction and Compulsivity, 19(4), 284–309. doi:10.1080/10720162.2012.735515
Mistler, L. A., Brunette, M. F., Ferron, J. C., & Ziedonis, D. M. (2012). Shared decision making and behavioral support interventions for people with severe mental illness and tobacco dependence. Journal of Dual Diagnosis, 8(2), 99–103. doi:10.1080/15504263.2012.671093
Schlosser, A. V., & Hoffer, L. D. (2012). The psychotropic self/imaginary: Subjectivity and psychopharmaceutical use among heroin users with co-occurring mental illness. Culture, Medicine and Psychiatry, 36(1), 26–50. doi:10.1007/s11013-011-9244-9
Lembke, A. (2012). Time to abandon the self-medication hypothesis in patients with psychiatric disorders. The American Journal of Drug and Alcohol Abuse, 38(6), 524–529. doi:10.3109/00952990.2012.694532
Lundquist, R. S., Seward, G., Byatt, N., Tonelli, M. E., & Kolodziej, M. E. (2012). Using a multidisciplinary approach for pregnant women with nicotine dependence and co-occurring disorders. Journal of Dual Diagnosis, 8(2), 158–167. doi:10.1080/15504263.2012.671119


 

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What makes a health care product or service stand out from its competitors?

DESCRIBE THE ETHICAL RESPONSIBILITIES THAT YOU BELIEVE SHOULD GUIDE HEALTH CARE LEADERS AS THEY ENGAGE IN VARIOUS ASPECTS OF MARKETING.

 

What makes a health care product or service stand out from its competitors? Perhaps you recognize the advertising slogans below:

“Tylenol: The pain reliever hospitals use most”

“Walgreens: The Pharmacy America Trusts”

“Merck: Where patients come first”

“The More You Know, The More You Trust Bayer.

Take it for Pain. Take it for Life”

“Pfizer:Working for a healthier world”

“GlaxoSmithKline: Do more, feel better, live longer”

Advertising slogans can be an effective way to differentiate oneself in a competitive marketplace. In addition, today’s organizations use a variety of means to promote their products and services. For this Discussion, you will research and analyze aspects of an organization’s promotional strategies.

 

Prepare for this Discussion as follows:

 

This week’s media segment, “Strategic Planning in Action: Good Samaritan Hospital of Maryland” presents some of the promotion strategies employed for the JointExperience and The Spine Center at that hospital. Consider how the information presented in this media segment relates to the concepts and ideas presented in last week’s media segment, as well as the text chapters, particularly Chapters 11 and 12.

Select a different health care organization, product, or service of interest to you. Conduct research on your own to identify one or more examples that demonstrate use of promotional strategies. For instance, you may examine television commercials and newspaper ads for a local physician practice, or a website designed to promote a medical device.

 

Analyze the effectiveness of these promotional strategies. Consider who the target market might be, and why these strategies might have been chosen. What could you surmise about the organization’s strategic priorities? Be prepared to support your rationale.

Devise at least one recommendation for improving upon or adding to the promotion strategies.

 

As you do this, reflect on the ethical considerations involved in promotion. What ethical responsibilities should guide health care leaders as they engage in various aspects of marketing?

 

Response to the following:

 

In the first line of your posting, identify the organization, product, or service you have selected. Provide a brief description of one or more examples of promotional strategies. If possible, include a web link or other attachment to allow others to view the source(s). 

Analyze each example of a promotional strategy. Explain why you think each is—or isn’t—e ffective. Describe who you think the target market is, and the potential connections between these promotional strategies and the strategic priorities of that organization. Be sure to provide your rationale.

Provide at least one recommendation for how you would improve upon or expand these promotional strategies.

Describe the ethical responsibilities that you believe should guide health care leaders as they engage in various aspects of marketing.

 
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If you were manager of an agency, what steps might you take to combat discrimination and develop a diverse workforce?

We favor equal employment opportunities and affirmative action not just because of their legality, but also because of the importance of having diversity among service providers.  If you were manager of an agency, what steps might you take to combat discrimination and develop a diverse workforce?
Writing a personal mission statement offers the opportunity to establish what’s important in your professional life. A personal mission statement is often an integral part of a job or graduate-level application as it provides reviewers with insights into an applicant’s strengths in, and philosophies regarding, the discipline.
The personal mission statement includes a description of your focus and goals, which can serve to provide direction for the next one to five years of your career. It can be used not only as a guide, but also as a tool of conscious reflection encouraging you to accomplish your professional objectives.  In the course of this assignment, you will evaluate potential career direction and satisfaction by reflecting on the following questions:

  • What do you hope to accomplish in the profession?
  • What positive and unique qualities do you bring to the profession?
  • How do you see your role in the profession evolving through time?
  • Why is the work you hope to do important?

Your Personal Mission Statement should be a minimum of 500 words, but it should not exceed 1000 words. Therefore, it is important that your writing be clear and concise and that your thoughts and philosophies are effectively communicated to your reader.
The Personal Mission Statement

  • Must be 500 words to 1000 words in length and formatted according to APA style as outlined i
  • Must include a header on each page with the following:
    • Personal Mission Statement
    • Student’s name
    • Student’s contact email
    • Date submitted
 
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healthcare workflows as a professional

APA ESSAY- USE ATTACHED FORMAT
****HAVE INTRODUCTION PARAGRAPH AND CONCLUSION PARAGRAPH 
Assignment: 
Answer all of the following questions using headers to separate topics.

  1. From your personal experiences with healthcare workflows as a professional (if possible, else as a patient) and from the lessons you have been learning from this course, do you see the adoption of information technology as having been a smooth and graceful experience or a turbulent and sometimes painful one? Dig more deeply into your experiences and point to what you believe were the most critical contributors to the success or the causes of problems with the adoption. Be specific and support your position with references.
  2. Based on your reflective analysis in question 1, which do you believe is a larger problem, lack of enough information or information overload? What evidence do you have to support your position?
  3. Attack or defend the following assertion: “While it is true that a very small fraction of the population accounts for a significantly large fraction of total costs (e.g. “hot spots”), many of the root causes for these conditions have taken years if not decades to develop and to eliminate these hot spots will require significant life style changes, some with strong cultural reinforcements, long before the symptoms appear.” Support your position with solid evidence.
  4. You have been brought in to help a regional hospital implement a major informatics upgrade that promises to significantly improve efficiency and patient outcomes. Leadership is nervous due to concerns that many of the “older” professionals will resist these changes. What strategy would you employ to maximize the probability of success with this new adoption effort? Explain the underlying rationale and support your position with evidence.
 
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Discuss the etiology of the disorders from a diathesis-stress model perspective.

Compare and contrast the Learning Theory Approach (nurture) and Chomsky’s NativistApproach (nature) to language development.  Discuss the “pros and cons” of each approach.   Include in your discussion whether or not you believe basic language is universal and genetic, or socially learned.  Would you suggest one of these is the best explanation of language development, or would you choose an “Interactionist” (combined) approach?  Explain your answer.
If you were creating Frankenstein’s monster and you found that there were no “whole” brains that could be used, only parts of various brains, what 5 “parts” of the brain would you include? Be sure to give your explanation of “why” you chose these parts rather than others.
Important guidelines to follow:
Write at least a 300-word, well-developed and well-written response.  Use APA Formatting Guide to create accurate citations and documentation to give credit for any resource material used in your response.
Most psychologists today agree that it is important to look at the biological, psychological, and social factors that are involved with the etiology and treatment of mental disorders. The Diathesis-Stress model proposes that genetic and/or psychological vulnerabilities, combined with individual or environmental stressors, leads to distress and/or dysfunction and the possible development of psychological disorders.
For this assignment, you will select two of the disorders we have discussed in Lessons 2, 3, and 4 (e.g. generalized anxiety disorder, anorexia nervosa, bipolar disorder, major depressive disorder, etc.) and discuss the following.

  1. Symptomology – Give a thorough description of the specific characteristics of two (2) disorders.
  2. Etiology – Discuss the etiology of the disorders from a diathesis-stress model perspective.  Include biological, psychological, and environmental factors that contribute to the development of the disorder.
  3. Treatment – Describe two (2) treatment approaches for each disorder.
 
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But in March 2017, the EPA’s new director tabled discussions of any ban, shocking environmental and patient advocacy groups,

Please help with homework discussion question

Hi Ann,
Thank you for selecting chlorpyrifos, marketed under the name of Lorsban. This is highly controversial:
“…But in March 2017, the EPA’s new director tabled discussions of any ban, shocking environmental and patient advocacy groups, but relieving farmers who depend on chlorpyrifos to protect their crops. The Natural Resources Defense Council, among others, have petitioned a federal court to force a ban…” ( Trilling, 2017).
“…Dow Chemical markets chlorpyrifos under the name Lorsban and argues that the science is inconclusive…” ( Trilling, 2017). Many farmers indicate that this pesticide is necessary for their crop production.
Is it the exceptionally strong manufacturer’s lobbies like Dow Chemical? Or, is it a combination of farmers and lobbyists that prevent chlorpyrifos from being banned? How much more evidence is needed to stop the use of this substance?
Or, is this just “much ado about nothing?” Please discuss and be sure to supply the APA formatted source that informs your remarks.
Trilling, David, (2017, April 7). A controversial insecticide and its effect on brain development: Research and resources. Retrieved from: https://journalistsresource.org/studies/society/public-health/chlorpyrifos-insecticide-brain-development-children-epa
 
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Propose a Method using quantitative approach to investigate the problem you had identified

Assignment #1
3 contains a statement of the research question and hypothesis, and a description of the research methods you will use to answer your research question. This includes the population and your sampling procedures, instruments used, and data collection procedures.
1. Propose a Method using quantitative approach to investigate the problem you had identified
2. The format for Part 3 is contained in the following research paper outline
enclosed you will find the research proposal outline and part 2 of my research to implement into part 3 of this final research. The main objective of this research is to investigate domestic violence and determine whether or not men can truly recover from their abusive ways. In part 3 your research should show what tools these man are using to actually be able to recover from being abusive. your answer should be a more through than simply saying “they need to see a psychotherapist.” What methods do you believe based on your research can save these individuals or that’s worth looking into.
Assignment 2
This part of the assignment is simply to provide a response to the below discussion post and respond to the 2 peer responses I posted. Your research will be about domestic violence and how and if men can truly recover from being abusive.
Discussion question:
Consider the design of your research proposal. How would it be different if you incorporated methods form the “opposite” family of methods from the one you have chosen? For instance, if your study is quantitative, how would it be different if you also incorporated qualitative methods? What questions would you ask? How would this enhance your project? On the other hand, if your study is qualitative, how might you enhance your study by incorporating quantitative methods? What instruments might you use, and what questions would you want to answer? Be as specific as possible, and give feedback to classmates on their posts.
 

 
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If you could choose the leadership style of your next or current supervisor, which style would you choose?

Ecology of Peer Groups
Using the Library, search for an article that supports your work. You can find peer-reviewed resources in the Library under PsycARTICLES database. This will also help to broaden your understanding of the topic being studied each week.
How does peer acceptance or rejection influence the socialization of children? Use Erikson’s psychosocial development theory to explain how the ego crisis relates to peer acceptance or rejection. When peer rejection occurs, describe the maladaptive patterns that take place. Describe how friendships could endure despite individual differences and peer rejection. Minimum 400 words
You have probably noticed that some groups to which you have belonged were able to get a task done very effectively, while other groups seemed to lack direction and purpose. When you think about it, you can probably attribute much of the group’s effectiveness to the leader’s decision-making style. For this Discussion, you will have a chance to assess on your own leadership style as well as to reflect on the one under which you feel that you do your best work.
Post a referenced, complete response to the Discussion topic after you have completed your reading.
Leadership Styles
Briefly describe each of the three leadership styles. If you could choose the leadership style of your next or current supervisor, which style would you choose? Explain why you prefer that leadership style. Describe a work situation when you worked under a leadership style that did not work well for you. How would you describe your own leadership style? Give an example of a time when you acted in this leadership style, and explain the outcome of the group’s efforts. Minimum 350 words

 
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A brief overview of the nursing conceptual model selected.

A brief overview of the nursing conceptual model selected.

Select a Nursing Conceptual Model from Topic 2, and prepare a 12-slide PowerPoint presentation about the model. Include:

A brief overview of the nursing conceptual model selected.
Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts.
Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.
Provide current reliable sources to establish credibility for the presentation.


 

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