Nursing  Journal Entry gr

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PLEASE FOLLOW THE INSTRUCTIONS BELOW4 REFERENCESLearning ObjectivesStudents 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.

 
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Nursing  nursing post continuation

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Continuation of last discussion postLets say that 2 years later, John develops heart failure and is started on digoxin.  Which diabetic medication class can decrease digoxin concentrations and should be avoided in patients taking digoxin? What are some examples of drugs in this class?apa format, use references from last five yearshalf to one page paper

 
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Nursing  Nursing informatics

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Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and EfficienciesNew technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.To Prepare:Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”Identify and select 4 peer-reviewed research articles from your research.For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesThe Assignment: (4-5 pages not including the title and reference page)In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.Include an introduction explaining the purpose of the paper.Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.Use APA format and include a title page.Use the Safe Assign Drafts to check your match percentage before submitting your work.Resources providedMcGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved fromhttps://www.healthit.gov/faq/what-electronic-health-record-ehrRao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221.Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40.

 
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Nursing  appraisal

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Topic of interest: impact of stress management program in decreasing nurse burnout/ turnoverP: In acute care unitsI: stress management programC: lack of stress management programO: decrease nurse burnout/turnoverPart 1: Critical Appraisal of ResearchConduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest : impact of stress management program in decreasing nurse burnout/ turnoverNote: Choose TWO unfiltered research articles and TWO filtered research articles (systematic reviews)Part 2: Critical Appraisal of ResearchBased on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

 
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Nursing  4414 M6 Change project Implementation Log #2

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Following each implementation phase, students should complete a log requiring 1-2 pages types APA style.  Implementation logs should be both informative and reflective — i.e. what you are doing, what you are reading in the literature, how do your activities correspond to reading assignments, and what are your thoughts and reflections regarding the concepts learned in this program.An acceptable implementation log will be 1-2 typed, double-spaced pages with a cover and reference page including the following information:(1) Describe what you’ve been doing to complete your change project;(2) Report on literature that pertains to your project (a minimum of 3 journal articles should be referenced in each log);(3) Include appropriate reference citations in APA style;(4) Include a reference page in APA style;(5) Include an element of reflection;(6) Be relatively free of grammatical errors; and(7) Be written in a style appropriate to the standard of the professional nurseTopic: HEALTHCARE IN PRISONS***

 
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Nursing  COMMENT SUZZETE

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I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDSThe healthcare organizations are moving to have more bachelor prepared nurses so; they can help make patient care decisions. The Institute of Medicine (IOM) recommends nurses to have a BSN or higher to help with the overall changing healthcare system. By 2020, they want 80% of nurses to have a BSN or higher. Why? Nurses need to have an expanded more knowledge of different areas of nursing and evidence-based practice. As hospital care has become more complex, nurses must make critical decisions associated with care for sicker, frailer patients and work with sophisticated, life-saving technology (Garner, 2011). Evidence-based practice is vital to provide the most effective patient care to improve patient outcomes because patients are becoming more complex.Two ways that the author will continue to integrate EBP into their practice is continued education on the subject at hand to keep up to date on changes in patient care to help with improvement in patient care. Also, another way is to Engage colleagues and educate them on new EBP practices, studies, or interventions that may benefit their work environment or patients (Chrisman, Jordan, Davis, & Williams, 2014)Obstacles to the plan for the author would be nurses resisting change and management not helping with the implementation of the plan. Education to the nurses will be the first of why this is helpful for our patient’s outcomes versus the old way of doing things. Showing articles and statistics will help bring the point across. Getting management on board to help with implementation as well. Management will be made aware that providing the evidence-based care will improve patient outcomes and decrease healthcare costs.ReferencesChrisman, J., Jordan, R., Davis, C., & Williams, W. (2014). Exploring evidence-based practice research. Retrieved from https://www.nursingcenter.com/evidencebasedpracticenetwork/home/journalarticle.aspx?Article_ID=2492783Garner, C. (2011, January 11). IOM Advocates for Higher Levels of Nursing Education [Blog post]. Retrieved from https://www.americansentinel.edu/blog/2011/01/10/iom-advocates-higher-nursing-education/

 
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Nursing  Procedures and evidence

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100 pointsDirectionsDiscussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:Demonstrate understanding of concepts for the weekIntegrate outside scholarly sources when requiredEngage in meaningful dialogue with classmates and/or instructorExpress opinions clearly and logically, in a professional mannerUse the rubric on this page as you compose your answers.Best Practices include:Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.Enter the discussion often during the week to read and learn from posts.Select different classmates for your reply each week.DiscussionStep 1: Read the following case study:A nurse has an order to complete a procedure on a patient. After reading the procedure, the nurse notices that it is not best practice and it has not been updated for 6 years. The nurse takes this issue to the nurse leader (charge nurse) and the nurse manager (unit manager).Step 2: Your first post is based on the first letter of your last name. For example, if your last name is Smith, you would answer the nurse manager question. Please review the differences in these roles before posting.The First Letter of your Last NameQuestion to AnswerA-MWhat would you do as a nurse leader if your policy or procedure conflicts with the most recent evidence? Describe your response to this nurse.Why is it important to update policies and procedures? What are the risks if they are outdated?What is your role as a nurse leader in assuring policies or procedures are up to date?N-ZWhat would you do as a nurse manager if your policy or procedure conflicts with the most recent evidence? Describe your response to this nurse.Why is it important to update policies and procedures? What are the risks if they are outdated?What is your role as a nurse manager in assuring policies or procedures are up to date?

 
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Nursing  NSG 6002

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Discuss the changing landscape of the US health care system through the ACA and specific initiatives that have been funded, enacted and currently implemented to improve health care for all AmericansSubmission Details:· Post your response to the Discussion Area by the due date assigned. Respond to at least two posts by the end of the week.· I need to answer two students in the class. A paragraph or tow for each answer. Since we don’t have the other students responses we can put general information about the same subject we are doing.

 
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Nursing  Mod 4 226 Discussion 2

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Your comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.”A poem by T.S. Eliot (1943) says, “We had the experience but missed the meaning.” As your experience in this course comes to a close, I don’t want you to miss the meaning of the materials you have read, papers you have written, and discussions we have had throughout the session. They are more than a series of assignments and grades—the end result should be an improvement in your higher-order thinking and your ability to make connections between thoughts and ideas. You can achieve that through reflection, the art of taking charge of your own mind.Reflection is a mental process that challenges you to use critical thinking to examine the course information, analyze it carefully, make connections with previous knowledge and experience, and draw conclusions based on the resulting ideas. A well-cultivated critical thinker (Paul & Elder, 2008):raises vital questions and problems, formulating them clearly and precisely;gathers and assesses relevant information, using abstract ideas to interpret it effectively; comes to well-reasoned conclusions and solutions, testing them against relevant criteria and standards;thinks open-mindedly within alternative systems of thought, recognizing and assessing, as need be, their assumptions, implications, and practical consequences; andcommunicates effectively with others in figuring out solutions to complex problems.For this discussion, take some time to reflect upon two concepts that you learned in this course. What are the concepts? What insight or ideas did you gain from learning each of these concepts? Were there aspects of the concepts that you would challenge? What is the importance of these concepts to public health? How will you use this new wisdom in your current or future career?In order to earn maximum credit, the comment should be more than your opinion, and more than a quick “off the top of your head” response. Be sure to support your statements, cite sources properly, cite within the text of your comments, and list your reference(s). The response must be a minimum of 250 words.Britton, B. & Serrat (2013). Reflective Practice. Retrieved from http://www.slideshare.net/Celcius233/reflective-practice-27714069Eliot, T. S. (1944) Four Quartets, The Dry Salvages, pt. 2. London.Paul, R. & Elder, L. (February 2008). The Miniature Guide to Critical Thinking Concepts and Tools. Foundation for Critical Thinking Press.

 
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Nursing  HOMEWORKD4

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Address this question: Should antepartal testing be used for reason other than the assessment of fetal health and well-being (e.g., select the “perfect child” on the basis of characteristics, gender, and absence of genetic health problems of any kind)?Support your answers in an APA formatted summary!

 
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