Relationship btwn Alcohol and Breast Cancer

Question 4282: spiritual case study

The purpose of this paper is to complete a comparative ethical analysis of the case study *attached* to study George’s situation and decision from the perspective of two worldviews or religions:Christianity and Judaism.

PART 1

In your comparative analysis, address all of the worldview questions in detail for Christianity and the Jewish faith. Refer to the the list of questions below. Once you have outlined the worldview of each religion, begin your ethical analysis from each perspective.
To understand the concept of worldview, answer the following questions:

  • What is prime reality?
  • What is the nature of the world around us?
  • What is a human being?
  • What happens to a person at death?
  • Why is it possible to know anything at all?
  • How do we know what is right and wrong?
  • What is the meaning of human history?

PART 2

In 1,500-2,000 words, provide an ethical analysis based upon the different belief systems, reinforcing
major themes with insights gained from your research, and answering the following questions based on the research: (USE THE ATTACHED CASE STUDY FOR THIS PART)
1. How  would each religion interpret the nature of George’s malady and suffering? Is there a “why” to his disease and suffering? (i.e., is there a reason for why George is ill, beyond the reality of physical malady?)
2. In George’s analysis of his own life, how would each religion think about the  value of his life as a person, and value of his life with ALS?

3. What  Sorts of values and considerations would each religion focus on in deliberating about whether or not George should opt for euthanasia?
4. Given  the above, what options would be morally justified under each religion for George and why?
5. Finally,  present and defend your own view (Christian but does not practice the faith actively, believes in god and jesus, heaven and hell but more conservative in the ideas to choose our own path and life choices vs. god’s will).

Support your position by referencing at least three academic resources in addition to the course readings, lectures, the Bible, and the textbooks for each religion. Each religion must have a primary source included. A total of six references are required according to the specifications listed above.
Incorporate the research into your writing in an appropriate, scholarly manner.
Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is required

Sources that may be utilized:

Moulton, B., & King, J. S. (2010). Aligning Ethics with Medical Decision-Making: The Quest for Informed Patient Choice. Journal Of Law, Medicine & Ethics, 38(1), 85-97. doi:10.1111/j.1748-720X.2010.00469.x
Richard Jason, C. (2012). Making the case for ethical decision-making models. Nurse Prescribing, 10(12), 607-622.
Puchalski, C. M. (2001). The role of spirituality in health care. Proceedings (Baylor University. Medical Center), 14(4), 352-357.
Called to Care: A Christian Worldview for Nursing. http://gcumedia.com/digital-resources/intervarsity- press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php
Attached sources from text readings can also be utilized in addition to bible referencing for each religion as well****

Question 4283:

Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections one answer to each discussion.

Discussion 1

Review the following research questions.

Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?
Identify an appropriate research design.
An appropriate research design for this research question is quantitative research with an experimental design.
Discuss the strengths and weaknesses of the design.
According to Roger Watson (2015), quantitative studies produce numbers that should be interpreted before conclusions may be drawn. This can be considered a strength for this design as numbers allows the researcher to draw conclusion easily. An area of weakness is the idea that the opportunity for error cannot be eliminated entirely. According to Watson (2015) “it is essential to store data carefully, once it has been entered into any package, since loss can jeopardize the study”.
Provide a rationale for the design you selected.
This design allows the research to manipulate the independent variable in order to study the effect it has on the dependent variable. In this case, the researcher is able to identify the effect of soap and water on the prevention of nosocomial infections and the effect is alcohol-based rubs on the prevention if nosocomial infections. The number of occurrences will be compared to draw a conclusion
How effective are anti-depressive medications on anxiety and depression?
Identify an appropriate research design.
An appropriate research design for this research question is qualitative design.
Discuss the strengths and weaknesses of the design.
According to Leslie Gelling (2014), while utilizing qualitative research, nurses to understand health and illness experiences and offer ‘compassionate, person-centered care. This is considered to be a strength for this design. Gelling also stated that “a poorly worded question might lead the research in the wrong
direction, wasting the researcher’s time and, more importantly, wasting the research participants’ time if the chosen methodology is unable to answer the question (Gelling, 2014). This is the weakness of this design.
Provide a rationale for the design you selected.
Qualitative research is an approach to scientific inquiry that allows researchers to explore human experiences in personal and social contexts, and gain greater understanding of the factors influencing these experiences.
What is the difference in attitudes of male and female college students toward condoms?
Identify an appropriate research design.

An appropriate research design for this research question is a qualitative descriptive design. In a descriptive study without manipulating any variables.
Discuss the strengths and weaknesses of the design.
According to Pathak, Jena, and Kalra (2013), qualitative research is now recognized for its ability to add a new dimension to interventional studies that cannot be obtained through measurement of variables alone. This can be considered to be a strength of this design. Qualitative studies should be well-designed and the aims of the study should be meticulously adjudicated (Pathak, Jena, & Kalra, 2013). On the other hand, descriptive research also presents the possibility for error and subjectivity. Confidentiality is the primary weakness of descriptive research (Murphy, n.d.). Often subjects are not truthful as they feel the need to tell the researcher what they think the researcher wants to hear (Murphy, n.d.).

Provide a rationale for the design you selected.
Qualitative method is used to understand people’s beliefs, experiences, attitudes, behavior, and interactions.

References

Gelling, L. (2015). Qualitative research. Nursing Standard, 29(30), 43. Retrieved from,http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.7748/ns.29.30.43.e9749
Murphy, J. (n.d.). Strengths and weaknesses of descriptive research. Retrieved from,http://classroom.synonym.com/strengths-weaknesses-descriptive-research-2596.html
Pathak, V., Jena, B., & Kalra, S. (2013). Qualitative research. Perspectives in Clinical Research, 4(3), 192. Retrieved from http://doi.org/10.4103/2229-3485.115389
Watson, R. (2015). Quantitative research. Nursing Standard, 29(31), 44. Retrieved from,http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.7748/ns.29.31.44.e8681

discussion 2

Use of Soap and Water Versus Alcohol-Based Rubs to Prevent Nosocomial Infections.
The study chosen for this topic researched the effects of waterless hand rubs versus the traditional hand scrubbing method to prevent infections in surgical rooms.  One hundred operating room staff members from different medical centers were divided into two groups of fifty participants (Chen, Han, Kan, Chen & Hung, 2012).  One group used waterless hand rubs and the other group of workers used traditional hand washing techniques as part of the scrubbing process for surgeries.  The hands of the participants
were scrubbed and a bacterial culture was done on the two groups of participants (Chen et al., 2012).
After a forty-eight hour period of bacterial growth of both samples, the results demonstrated bacteria growth was equal among the two groups (Chen et al., 2012).  There were no statistical significance found.  The study concluded that alcohol-based rubs and water provide the same level of protection among operating room staff (Chen et al., 2012).

Strengths and Weaknesses

One of the strengths of the study was the method of conducting the study was the same among the two participant groups (Chen et al., 2012).  The time the participants took in applying the alcohol-based rub and washing hands were the same.  The weakness of the study was the participant sample was rather
small (Chen et al., 2012).  A larger study conducted at different facilities provides better evidence of the findings.  Also, a study with a larger sample population may have also resulted in different findings (Chen et al., 2012).
Rationale for the Design The study selected is a quantitative research that attempted to estimate the required scrubbing times using alcohol-based scrubs and traditional handwashing technique for operating room staff (Chen et al.,
2012).Also the study focused on comparing the use of alcohol-based hand rubs versus the traditional handwashing techniques in prevention of nosocomial infections in the operating room (Chen et al.,2012).

Relationship Between Alcohol and Breast Cancer

The article reviewed focused on possible pathways of alcohol into the breast tissue and possible consequences.  The study also reviewed the women’s age in relations to drinking habits, in an attempt to identify a possible connection between early alcohol consumption among women and breast cancer
(Liu, Nguyen, & Colditz, 2015).  The study concluded that moderate alcohol consumption is associated with higher risk of breast cancer (Liu, Nguyen, & Colditz, 2015).

Strengths and Weaknesses

A strength of the study is there was significant evidence to suggest that the risk of cancer increases by thirty-four percent for those women who had an alcohol intake greater than fifteen drinks per day (Liu, Nguyen, & Colditz, 2015).  A weakness identified in the study was that other lifestyle components that
may increase the risk of breast cancer were not taken into consideration when conducting the study (Liu, Nguyen, & Colditz, 2015).

Rationale for the Design

This research was focused on the possible influence of timing and patterns of alcohol consumption and the possible mechanisms underlying alcohol and breast cancer association.  The possible pathways of alcohol into the breast tissue were studied (Liu, Nguyen, & Colditz, 2015).  The women’s age in relation
to drinking habits for possible connection between early alcohol consumption in women and breast cancer were also studied (Liu, Nguyen, & Colditz, 2015).

Difference in Attitudes Between Male and Female Students Towards Condoms

Female and male participants from a treatment-seeking substance abuse treatment program were studied in relations to their attitudes and skills towards the use of condoms.  The study found that men found more barriers to using condoms than women (Calsyn, Peavy, Wells, Campbell, Hatch-Maillette,
Greenfield & Tross, 2013).  The study used electronic interviews for assessment of skills and attitude towards the use of condom (Calsyn et al., 2013).

Strengths and Weaknesses

A strength of the study was the participants researched were at high risk for unprotected sex practice (Calsyn et al., 2013).  A limitation found in the study was that the information was taken from two different studies that were not designed to compare men and women (Calsyn et al., 2013).  Another limitation of the study was the participants studied were a selected population from a drug abuse
treatment program, which may or may have not influenced the findings (Calsyn et al., 2013).

Rationale for the Design

The reason for the study was to examine the differences between males and females in relationship to condom use; the attitude towards the practice of wearing condom and the skills among both groups
(Calsyn et al., 2013).

References

Calsyn, D. A., Peavy, K. M., Wells, E. A., Campbell, A. N. C., Hatch-Maillette, M. A., Greenfield, S. F., &
Tross, S. (2013). Differences between men and women in condom use, attitudes, and skills in substance abuse treatment seekers. The American Journal on Addictions / American Academy of Psychiatrists in Alcoholism and Addictions, 22(2), 150–157. http://doi.org/10.1111/j.1521-0391.2013.00312.x
Chen, C., Han, C., Kan, C., Chen, S., & Hung, P. W. (2012). Effect of surgical site infections with waterless and traditional hand scrubbing protocols on bacterial growth. American Journal of Infection Control, 40(4), e15. doi:10.1016/j.ajic.2011.09.008
Liu, Y., Nguyen, N., & Colditz, G. A. (2015). Links between alcohol consumption and breast cancer: A look at the evidence. Women’s Health (London, England), 11(1), 6577. doi:10.2217/whe.14.62

Discussion question

Review the following research questions.
1. Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?
2. How effective are anti-depressive medications on anxiety and depression?
3. For patients of 70 years and older, how effective is the use of the influenza vaccine at preventing flu as compared to patients who have not received the vaccine?

4. What is the relationship between alcohol and breast cancer?
5. What is the difference between self-efficacy scores in older adults who exercise and the scores of those who do not?
6. What is the difference in attitudes of male and female college students toward condoms?
Next, select 3 of the above questions and address the following:
 Identify an appropriate research design.
 Discuss the strengths and weaknesses of the design.
 Provide a rationale for the design you selected

Question 4284: Nursing Practice and School Health Privacy

Create a 6–8-slide PowerPoint presentation for a group of school nurses, which addresses the role of the school nurse in managing the unique health concerns of teenagers while adhering to privacy laws.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Show Less
 Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
 Explain the laws that relate to adolescent safety and health privacy in a school setting.
 Explain how the privacy laws affect schools, students, and school nurses.
 Competency 3: Apply professional nursing ethical standards and principles to the decision- making process.
 Describe health and wellness issues specific to the adolescent population.
 Recommend evidence-based ethical strategies relating to health and wellness privacy communication by the school nurse.

 Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
 Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
 Correctly format citations and references using APA style.

Role of the School Nurse

It is the position of the National Association of School Nurses that the professional registered school nurse is the leader in the school community to oversee school health policies and programs. The school nurse serves in a pivotal role to provide expertise and oversight for the provision of school health
services and promotion of health education. Using clinical knowledge and judgment, the school nurse provides health care to students and staff, performs health screenings, and coordinates referrals to the medical home or private health care provider. The school nurse serves as a liaison between school
personnel, family, community and healthcare providers to advocate for health care and a healthy school environment (American Nurses Association & National Association of School Nurses, 2011).
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
 What is FERPA?
 What is HIPAA?
 How do FERPA and HIPAA affect school health privacy?
 What unique health concerns might young people have that differentiate them from adults?

Directions

Create a 6–8-slide PowerPoint presentation that examines the privacy issues unique to nurses serving the high-school age population. Address the following:
 Describe the types of health and wellness issues that can affect adolescents in their high-school years. Be sure you think beyond the usual things and really research the types of issues that are affecting young people today.
 Explain how privacy laws can impact the school nurse in regard to patient safety and health outcomes for adolescents.
 Explain how privacy laws benefit the student, the school, and the school nurse.
 Recommend two specific evidence-based ethical strategies regarding health and wellness privacy communications in a school environment.
Use the notes section of each slide to expand your points and cite your supporting evidence. Also, include a title slide and a reference slide that lists the resources you used in this assessment.
Be creative. Consider your intended audience.

Question 4285: PICOT Statement Paper

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a
comparison to a patient population not currently receiving the intervention, and specify the time frame needed to implement the change process.
Formulate a PICOT statement.  (CHILDWOOD OBESITY). The PICOT statement will provide a framework for your capstone project.
In a paper of 750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. Nursing Practice

Instructions

Prepare this assignment according to the guidelines found in the APA Style.
NO PLAGIARISM PLEASE. CHECK FOR PLAGIARISM BEFORE GIVING THE ANSWER BACK.
SIX REFERENCES PLEASE. USE THE PREVIOUS WEEK TO ANSWER
 Previous_week_CapstoneProjectTopicSelection.docx
 \sample.docx

Question 4286: Statistics for Nursing Research

Use MS Word to complete “Questions to be Graded: Exercise 27” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice. Submit your work in SPSS by copying the output and pasting into the Word document. In addition to the SPSS output, please include explanations of the results where
appropriate.

Question 4287: Advanced Practice Nursing

No Plegarism please, assignment will be checked with Turnitin.
Will need minimum of 3 full content pages, plus title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations. References within 5 years (2014-2018).

Hypertension Case Study

C.D is a 55-year-old African American male who presents to his primary care provider with a 2-day history of a headache and chest pressure.
PMH
Allergic Rhinitis
Depression
Hypothyroidism
Family History
Father died at age 49 from AMI: had HTN
Mother has DM and HTN
Brother died at age 20 from complications of CF
Two younger sisters are A&W

Social History

The patient has been married for 25 years and lives with his wife and two children. The patient is an air traffic controller at the local airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks several beers every evening after work to relax. He does not pay particular attention to sodium, fat, or carbohydrates in the foods he eats. He admits to “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted or exercised.
Medications
Zyrtec 10 mg daily
Allergies
Penicillin
ROS
States that his overall health has been fair to good during the past year.
Weight has increased by approximately 30 pounds in the last 12 months.
States he has been having some occasional chest pressure and headaches for the past 2 days. Shortness
of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis.

Reports some shortness of breath with activity, especially when climbing stairs and that breathing
difficulties are getting worse.
Denies any nausea, vomiting, diarrhea, or blood in stool.
Self treats for occasional right knee pain with OTC Ibuprofen.
Denies any genitourinary symptoms.
Vital Signs
B/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.
HEENT
TMs intact and clear throughout
No nasal drainage
No exudates or erythema in oropharynx
PERRLA
Funduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledema
Neck
Supple without masses or bruits
Thyroid normal
No lymphadenopathy
Lungs
Mild basilar crackles bilaterally
No wheezes
Heart
RRR
No murmurs or rubs
Abdomen
Soft and non-distended
No masses, bruits, or organomegaly

Normal bowel sounds
Ext
Moves all extremities well
Neuro
No sensory or motor abnormalities
CN’s II-XII intact
DTR’s = 2+
Muscle tone=5/5 throughout
What you should do:
 Develop an evidence-based management plan.
 Include any pertinent diagnostics. (Screening Chest Xray/EKG, LABS, referrals to cardiologist to
eval cardiovascular disease, smoking cessation education, nutritional consult)
 Describe the patient education plan. (lifestyle changes, weight management, AHA/DASH diet)
 Include cultural and lifespan considerations. ( Common in African American )
 Provide information on health promotion or health care maintenance needs.
 Describe the follow-up and referral for this patient.
 Prepare a 3 page paper (not including the title page or reference page).

Question 4288: Depressive Disorders

The National Institutes of Mental Health acknowledges that depression is one of the most common mental disorders in the United States. It is associated with significant disability, fiscal impact, and considerable personal suffering. It may have significant impact on the individual, their family, and their social network. The PMHNP must be capable of providing comprehensive care for depressive disorders, including both psychotherapy and psychopharmacologic approaches.
This week, you will become “captain of the ship” as you take full responsibility for a client with a depressive disorder. You will recommend psychopharmacologic treatment and psychotherapy, identify medical management needs and community support, and recommend follow-up plans. You will also explore how to obtain a DEA license and the responsibilities for safe prescribing and prescription monitoring.
“Captain of the Ship” – Depressive Disorder

As nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the “captain of the ship” concerning caring for a patient population. The “captain of the ship” is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when
physicians were the “captain of the ship” and NPs played a peripheral role.
In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.

Learning Objectives

Students will:
· Recommend psychopharmacologic treatments based on therapeutic endpoints
for clients with depression disorders
· Recommend psychotherapy based on therapeutic endpoints for clients with
depression disorders
· Identify medical management needs for clients with depression disorders
· Identify community support resources for clients with depression disorders
· Recommend follow-up plans for clients with depression disorders
Assignment (Project)
To prepare for this Assignment:
 Select an adult or older adult client with a depressive disorder you have seen in your practicum. In 3–4 pages, write a treatment plan for your client in which you do the following:
 Describe the HPI and clinical impression for the client. Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
 Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for      your choices.

 Identify medical management needs, including primary care needs, specific to this client.
 Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client. Recommend a plan for follow-up intensity and frequency and collaboration with other providers including PCP or medical provider.

Tip for the Assignment

This week assignment, you will ‘captain the ship’ you are the provider and writing the diagnostic work- up and treatment plan for a patient with DEPRESSIVE DISORDER. You will develop plans for a patient
that you have worked with in your practicum.
A few comments about the ‘Captain of the Ship’ assignment. The spirit of the assignment is that you are directing the client’s care, not simply writing a paper about depressive disorder. When you are the team leader, it’s important to provide authoritative direction for other providers. In your treatment plan, it’s
good to outline your collaboration with client’s other providers. Later in the quarter, you will have another opportunity to complete ‘Captain of the Ship’ project.
I have attached an excellent example of a different Captain of the Ship project with this assignment and.
Note that this assignment is on depressive disorder, not on Obsessive Compulsive.

Learning Resources

Required Readings
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 8, “Mood Disorders” (pp. 347–386)
 Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.
 Chapter 12, “Psychotherapy of Mood Disorders”
 Chapter 14, “Pharmacological and Somatic Treatments for      Major Depressive Disorder”
 American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
 “Depressive Disorders”

o Major Depressive Disorder
o Persistent Depressive Disorder (dysthymia)
o Premenstrual Dysphoric Disorder
o Substance/Medication-Induced Depressive Disorder
o Depressive Disorder Due to Another Medical Condition
o Other Specified Depressive Disorder
o Unspecified Depressive Disorder Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY:
Cambridge University Press.
Grieve, S. M., Korgaonkar, M. S., Koslow, S. H., Gordon, E., Williams, L. M. (2013). Widespread reductions in gray matter volume in depression. NeuroImage: Clinical, 3, 332-339. doi:10.1016/j.nicl.2013.08.016
Lach, H. W., Chang, Y-P., & Edwards, D. (2010). Can older adults with dementia accurately report depression using brief forms? Reliability and validity of the Geriatric Depression Scale. Journal of Gerontological Nursing, 36(5), 30–37. doi:10.3928/00989134-20100303-01
Steffens, D. C., McQuoid, D. R., & Potter, G. G. (2014). Amnestic mild cognitive impairment and incident dementia and Alzheimer’s disease in geriatric depression. International Psychogeriatrics, 26(12), 2029–2036. doi:10.1017/S1041610214001446
Drug Enforcement Administration. (n.d.). Drug schedules. Retrieved June 14, 2016, from https://www.dea.gov/druginfo/ds.shtml

Required Media

Hagen, B. (Producer). (n.d.-b). Managing depression [Video file]. Mill Valley, CA: Psychotherapy.net. Optional Resources
Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.
 Chapter 15, “Brain Stimulation Treatments for Mood      Disorders”
 Ahern, E., & Semkovska, M. (2017). Cognitive functioning in the first-episode of major depressive disorder: A systematic review and meta-analysis. Neuropsychology, 31(1), 52–72. doi:10.1037/neu0000319

Anderson, N. D., Damianakis, T., Kröger, E., Wagner, L. M., Dawson, D. R., Binns, M. A., . . . Cook, S. L.(2014). The benefits associated with volunteering among seniors: A critical review and recommendations for future research. Psychological Bulletin, 140(6), 1505–1533. doi:10.1037/a0037610
Inoue, J., Hoshino, R., Nojima, H., Ishida, W., & Okamoto, N. (2016). Additional donepezil treatment for patients with geriatric depression who exhibit cognitive deficit during treatment for depression. Psychogeriatrics, 16(1), 54–61. doi:10.1111/psyg.12121
Sachs-Ericsson, N., Corsentino, E., Moxley, J., Hames, J. L., Rushing, N. C., Sawyer, K., . . . Steffens, D. C. (2013). A longitudinal study of differences in late- and early-onset geriatric depression: Depressive symptoms and psychosocial, cognitive, and neurological functioning. Aging & Mental Health, 17(1),
1–11. doi:10.1080/13607863.2012.717253
Shallcross, A. J., Gross, J. J., Visvanathan, P. D., Kumar, N., Palfrey, A., Ford, B. Q., . . . Mauss, I. B. (2015). Relapse prevention in major depressive disorder: Mindfulness-based cognitive therapy versus an active control condition. Journal of Consulting and Clinical Psychology, 83(5), 964–975. doi:10.1037/ccp0000050
Wanklyn, S. G., Pukay-Martin, N. D., Belus, J. M., St. Cyr, K., Girard, T. A., & Monson, C. M. (2016). Trauma types as differential predictors of posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and their comorbidity. Canadian Journal of Behavioural Science / Revue Canadienne Des Sciences Du Comportement, 48(4), 296–305. doi:10.1037/cbs0000056
 captainoftheshipexample.docx

Question 4289: Group Processes

Group therapy is an effective treatment option for a wide range of disorders and is much more cost- efficient than individual therapy. As a result, many insurance companies are showing preference for group therapy over individual therapy. This has led to more therapists including group therapy in their practices, making it very likely that you will facilitate group therapy in the future. To successfully develop groups and apply this therapeutic approach, it is essential for you to have an understanding of group processes and formation.
This week, as you examine group processes and stages of formation, you explore curative factors of groups and strategies for managing intragroup conflict. You also assess progress for a client family receiving psychotherapy and develop progress and privileged psychotherapy notes for the family.

Assignment: Group Processes and Stages of Formation
In your role, you must understand group processes and stages of formation, as this will help you develop groups and determine an individual’s appropriateness for group therapy. Whether you are at the beginning stages of group formation or facilitating a session for a developed group, it is important to consider factors that may influence individual client progress.
For this Assignment, as you examine the video Group Therapy: A Live Demonstration in this week’s

Learning Resources

Consider the group’s processes, stages of formation, and other factors that might
impact the effectiveness of group therapy for clients.
To prepare:
· Review this week’s Learning Resources and reflect on the insights they provide
on group processes.
· View the media, Group Therapy: A Live Demonstration, and consider the group
dynamics. (THE VIDEO TRANSCRIPT IS ATTACHED TO THIS ASSIGNMENT)

The Assignment
In 3-page paper, address the following:
· Explain the group’s processes and stage of formation.
· Explain curative factors that occurred in the group. Include how these factors
might impact client progress.
· Explain intragroup conflict that occurred and recommend strategies for
managing the conflict. Support your recommendations with evidence-based
literature.
N.B: REMEMBER TO INCLUDE INTRODUCTION, CONCLUSION AND REFERENCES

Learning Resources

Required Readings
Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.
The Theory and Practice of Group Psychotherapy, 5th Edition by Yalom, Irvin D. ; Leszcz, Molyn. Copyright 2005 by Hachette Books Group. Reprinted by permission of Hachette Books Group via the Copyright Clearance Center.
Chapter 5, “The Therapist: Basic Tasks” (pp. 117–140)

Chapter 8, “The Selection of Clients” (pp. 231–258)
Chapter 9, “The Composition of Therapy Groups” (pp. 259–280)
Crane-Okada, R. (2012). The concept of presence in group psychotherapy: An operational definition. Perspectives in Psychiatric Care, 48(3), 156–164. doi:10.1111/j.1744-6163.2011.00320.x

Lerner, M. D., McLeod, B. D., & Mikami, A. Y. (2013). Preliminary evaluation of an observational measure of group cohesion for group psychotherapy. Journal of Clinical Psychology, 69(3), 191–208. doi:10.1002/jclp.21933
Nicholson, R. (2002). The dilemma of psychotherapy notes and HIPAA. Journal of AHIMA, 73(2), 38–39. Retrieved from http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://library.ahima.org/doc?oid=58162#.V5J0__
krLZ4
U.S. Department of Health & Human Services. (n.d.). HIPAA privacy rule and sharing information related to mental health. Retrieved March 18, 2017, from http://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/

Required Media

Psychotherapy.net (Producer). (2011a). Group therapy: A live demonstration. [Video file]. Mill Valley, CA:
Author. (SEE THE ATTACHED VIDEO TRANSCRIPT)
Optional Resources
American Counseling Association (Producer). (2015). Leading counseling groups with adults: A demonstration of the art of engagement. [Video file]. Alexandria, VA: Author.
 Part1_GroupTherapy–ALiveDemonstration1.txt
 Part1_GroupTherapy–ALiveDemonstration.txt
 Part2_GroupTherapy–ALiveDemonstration1.txt
 Part2_GroupTherapy–ALiveDemonstration.txt

Question 4290:

Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP project. Why? Has your mentor used either theory, and to what result? This is for a nursing school assignment.
This is for a nursing school assignment. My project is catheter related urinary tract infection(UTI), and the theory supposed to be a nursing field. I need it as soon as possible. At least two references (peer reviewed research paper or a 1 book and 1 research paper).

Question 4291: Planned Change in a Department or Unit

Assignment: Application: Planned Change
in a Department or Unit Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.
For this Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.
To prepare:
 Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.
 Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.
 Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
 Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.
 Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.
To complete:By Day 7
Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:
 Identify a problem, inefficiency, or issue within a specific department/unit.
 Describe a specific, realistic change that could be made to address the issue.
 Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

 Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.
 Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.
 Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

Question 4292: ESSENTIALS OF EVIDENCE-BASED PRACTICE

Course Project: Part 3—Translating Evidence Into Practice

In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.

(Link for part 1 – https://www.homeworkmarket.com/content/nurs-5052nurs-6052-essentials- evidence-based-practice-course-project-part-1-grading-rubic-an)

(Link for part 2 – https://www.homeworkmarket.com/content/nurs-5052nurs-6052-essentials- evidence-based-practice-course-project-part-2-grading-rubic-an)

Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.

To prepare:

Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?

With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
Explore possible consequences of failing to adopt the evidence-based practice that you identified.
Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

To complete:

In a 3- to 4-page paper:

Restate your PICOT question and its significance to nursing practice.
Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.
Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.
Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues.
Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?

This part of the Course Project is due. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.
Note: In addition, include a 1-page summary of your project.
You will combine Parts 1, 2, and 3 of your Course Project (assigned in Weeks 2, 4, and 8 respectively) into one cohesive and cogent paper.

For this final iteration, you will need to:

Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in
this week’s Learning Resources). All papers submitted must use this formatting.

Please follow the belo link for Templates:

http://academicguides.waldenu.edu/writingcenter/templates

Required Readings

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 12, “Sampling in Quantitative Research”
This chapter introduces key concepts concerning sampling in quantitative research. This includes such concepts as a description of populations, different types of sampling and their uses, and how to determine a manageable, yet sufficient number to be included in a sample. The chapter also includes
suggestions for implementing a sampling plan.

Chapter 13, “Data Collection in Quantitative Research”
Once a sampling design is complete, the next step is to collect the data, and this is the focus of Chapter 13. The chapter describes how to develop a data collection plan, and provides information about the different types of instruments that can be used, such as structured observation and biophysiologic measures.

Chapter 22, “Sampling in Qualitative Research”

The focus of this chapter is on the sampling process in qualitative research. The chapter describes the different types of sampling and when they are commonly used. Sampling techniques in the three main qualitative traditions (ethnography, phenomenological studies and grounded theory studies) are highlighted.

Chapter 23, “Data Collection in Qualitative Research”

This chapter examines the process of data collection in qualitative research as well as key issues surrounding data collection. This includes such methods as self-reporting, surveys, interviews, and personal journal keeping. The chapter also highlights important considerations when utilizing unstructured observations to gather data and how to record field notes.
Keough, V. A., & Tanabe, P. (2011). Survey research: An effective design for conducting nursing research.
Journal of Nursing Regulation, 1(4), 37–44. Copyright 2011 by Elsevier Science & Technology Journals.
Used with permission of Elsevier  Science & Technology Journals via the Copyright Clearance Center.

This text emphasizes the advantages of survey research. The authors describe the nuances of survey research projects, including their design, methods, analysis, and limitations.
Walden University. (n.d.a.). Paper templates. Retrieved July 23, 2012,
from http://writingcenter.waldenu.edu/57.htm

This resource provides you access to the School of Nursing Sample Paper, which will serve as a template for formatting your papers.
Media Laureate Education (Producer). (2012b). Data collection. Baltimore, MD: Author.

Note: The approximate length of this media piece is 4 minutes.

Dr. Kristen Mauk discusses how she collected data for her DNP project in this video. She describes the details of her pre- and post-tests used to track nurses’ knowledge in a rehabilitation unit.

Optional Resources

Krainovich-Miller, B., Haber, J., Yost, J., & Jacobs, S. (2009). Evidence-based practice challenge: teaching critical appraisal of systematic reviews and clinical practice guidelines to graduate students. Journal of Nursing Education, 48(4), 186–195.

This text emphasizes the advantages of survey research. The authors describe the nuances of survey research projects, including their design, methods, analysis, and limitations.
Horsley, T., Hyde, C., Santesso, N., Parkes, J., Milne, R., & Stewart, R. (2011). Teaching critical appraisal skills in healthcare settings. Cochrane Database of Systematic Reviews (Online), 11, Art. No.: CD001270.
Melnyk, B., Fineout-Overholt, E., & Mays, M. (2009). The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments. Worldviews on Evidence-
Based Nursing, 6(1), 49. Fawcett, J., & Garity, J. (2009). Evaluating research for evidence-based nursing. Philadelphia, PA: F.A.
David Company. Chapter 9, “Evaluation of Research Instruments and Experimental Conditions”

Question 4293:

Short term goals can usually be achieved by the end of your shift 1. Short term goals can usually be achieved by the end of your shift. Long term goals are usually achieved by discharge. Write one short term and one long term goal for the following nursing diagnosis.
2. Nursing Diagnosis:  Impaired physical mobility related to ventilation-perfusion mismatch as evidenced by shortness of breath on ambulation and inability to ambulate more than 10 feet independently.
3. Registered nurses perform interventions based on the following actions: (MEATA)

 Monitor
 Evaluate
 Assess
 Teach
 Administer

Provide 2 RN interventions for each goal that you developed in #1. Provide rationale for each intervention being performed by an RN.

Short term goals can usually be achieved by the end of your shift. Long term goals are usually achieved by discharge. Write one short term and one long term goal for the following nursing diagnosis.
Nursing Diagnosis:  Impaired physical mobility related to ventilation-perfusion mismatch as evidenced by shortness of breath on ambulation and inability to ambulate more than 10 feet independently.
Registered nurses perform interventions based on the following actions: (MEATA)
Monitor Evaluate
Assess
Teach
Administer
Provide 2 RN interventions for each goal that you developed in #1. Provide rationale for each intervention being performed by an RN.

Question 4294:

Diagnosis and Management of Eye, Ear, Nose, and Throat Disorders

Case Study 2:

Kaitlyn is a 4-year-old with a 2-day history of nasal congestion and cough in the early morning. Her mother reports thick, green nasal discharge. She is afebrile, and appetite and sleep are normal.
Physical examination reveals: lungs clear to auscultation, tympanic membranes pearly gray without fluid in a neutral position, no cervical adenopathy, nasal turbinates are red, and clear rhinorrhea and postnasal drip.

To prepare:

•Review “Eye Disorders” and “Ear Disorders” in the Burns et al. text.

•Review your selected  case studies. Analyze the patient information, including the parent’s perspective.
•Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

•Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.

•Consider strategies for educating parents on the child’s disorder and reducing any concerns/fears presented in the case study.

Post 1 to 2 page paper on  : An explanation of the differential diagnosis for the patient in the case study you selected.

Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis.

Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments.

Finally, explain strategies for educating parents on their child’s disorder and reducing any concerns/fears presented in the case study.

References

Readings

• Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

◦ Chapter 28, “Eye Disorders” (pp. 622–651)

◦Chapter 29, “Ear Disorders” (pp. 652–668)

American Academy of Pediatrics. (2004). Clinical practice guideline: Diagnosis and management of acute otitis media. Pediatrics, 113(5), 1451–1465.

Chow , A.W., Benninger, M.S., Brook, I., Brozek, J.L., Goldstein, E.J.C., Hicks, L.A., Pankey, G.A., Seleznick, M., Volturo, G., Wald, E.R., & File Jr, T.M. (2012). IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clinical Infectious Diseases , 54(8), 72-112.

Question 4295: 16 y/o adolescent discussion

As a family nurse practitioner you are working in a rural health clinic. You are evaluating a 16-year-old adolescent patient who comes complaining of having a difficulty concentrating in school. On exam you also note that the patient is very thin and frail in appearance and is asking you for diet pills. Explain the
following questions in a 2 page Word document:
1. What are some initial areas for concern?
2. What screening tools can help lead you closer to your diagnosis?
3. Describe 1 health promotion strategy you can discuss with the patient.
4. Make a plan of care that addresses the following: possible pharmacological and non-pharmacological (OTC) interventions, labs, follow-up, teaching, and referrals.
Support your work with a minimum of two (2) evidence-based guidelines and/or articles published within 3-5 years.

Reference:

Centers for Disease Control and Prevention. (2013). Youth risk behavior surveillance system (YRBSS).
Retrieved from http://www.cdc.gov/healthyyouth/data/yrbs/index.htm

Question 4296: Low birth weight babies

Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity.
Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies.
Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post.
Consider the following patient scenario:
A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart).
Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.

Question 4297: Care of the Child in Inpatient and Outpatient Settings

CASE STUDIES
I- Case Study: Care of the Child in Inpatient and Outpatient Settings
Jordan is 9-year-old male who is a direct admit for observation. He has a history of vomiting and diarrhea for 48 hours.
Subjective Data
 Nausea and vomiting for 24 hours
 Has not voided today
 Unable to tolerate oral fluids Objective Data
 Vital signs: T 37.8° C, P 120, R24, BP 110/60
 Weight: 34 kg

 Hyperactive bowel sounds to auscultation
1. Question 1
When should the discharge teaching begin for Jordan and his family?
2. Question 2
What is the best way to approach Jordan regarding the IV that has been ordered.
3. Question 3
What would be good distractions for a child of Jordan’s age?
II- Case Study: Pediatric Cancer
Mario is a 7-year-old male who presents with a 1-week history of body aches and pallor. He has a 2-day history of fever to 103° F and a 1-day history of bruising and lethargy.

Subjective Data

 Complains of hurting all over
 States he feels very tired
 States he feels dizzy when he stands up
Objective Data
 Weight 26.1 kg
 Vital signs: T 38.9° C, P 140, R 40, BP 108/54, O2 sat 100%
 Purpural rash on extremities
 WBC 0.7
 HGB 3.1
 Hct 8.5
 Plt .08
 ANC 0.1
4. Question 1
Which of Mario’s presenting symptoms must be treated and stabilized before chemotherapy induction?

5. Question 2
What testing is required for a definitive diagnosis of meningitis?
6. Question 3
What should the nurse do in this clinical situation? Prioritize actions.
III-  Case Study: Pediatric Respiratory System
Will is a 4-month-old infant born at 34 weeks of gestation. Will’s mother states that he has not been able to go to day care because he has been coughing with a fever for the past 3 days. She states today he is unable to feed well from the bottle because of nasal secretions.

Subjective Data

 Mother complains that infant has had cough for 3 days
 Mother states that infant is having trouble sleeping
 Not voided in past 6 hours

Objective Data

 Birth Weight: 1.9 kg
 Today’s Weight: 5.5 kg
 Vital Signs: T 38° C, P 186, R 60, BP 90/52, Pulse Oximetry 93%
 Thick yellow nasal secretions
 Nasal flaring with moderate intercostal retractions
 Breath sounds decreased with crackles bilaterally to auscultation
7. Question 1
What risk factors does Will have for contracting bronchiolitis?
8. Question 2
What is the first priority for Will’s treatment?
9. Question 3
What should the nurse do in this clinical situation? Prioritize actions.
IV-  Case Study: Pediatric Gastrointestinal System

Lucy is a 44-day-old formula-fed infant who presents with a 4-day history of vomiting.

Subjective Data

1. Mother states infant has been vomiting undigested formula after feedings
2. Mother states that infant has not had fever or diarrhea
3. Mother states that infant has had 8 wet diapers in the past 24 hours

Objective Data

1. Weight 4.8 kg (birth weight 3.5 kg)
2. Vital signs: T 37.1° C (rectal), P 130, R 30, BP 92/52
3. Mucous membranes moist, anterior fontanel flat and soft
4. Awake and alert, lusty cry
5. Good muscle tone
6. Olive-sized mass palpated at epigastrium
10. Question 1
What test will be used to diagnose pyloric stenosis?
11. Question 2
What should the nurse do in this clinical situation? Using the case study above, the first prioritization
step the nurse would take is ____.
12. Question 3
The second prioritization step the nurse would take is ____.
13. Question 4
The third prioritization step the nurse would take is ____.
14. Question 5
The fourth prioritization step the nurse would take is ____.
15. Question 6
The fifth prioritization step the nurse would take is ____.
16. Question 7

The sixth prioritization step the nurse would take is ____.
17. Question 8
The seventh prioritization step the nurse would take is ____.
18. Question 9
The eighth prioritization step the nurse would take is ____.
V- Case Study: Pediatric Cardiovascular System
Michael is a 7-week-old breastfed infant who presents with a 2-day history of irritability and poor feeding.

Subjective Data

 Mom states patient has been “fussy” for past 2 days
 Only feeds for a “few” minutes at a time
 Breathing heavily and fast for 2 days
Question 4298: Professional Capstone and Practicum Reflective Journal

48Throughout the course, students will engage in weekly reflection and scholarly activities. These assignments are presented in Topic 1 to allow students to plan ahead, and incorporate the deliverables into the Individual Success Plan if they so choose.
The weekly reflective journals and scholarly activities will not be submitted in LoudCloud each week; a final, culminating submission will be due in Topic 10. No submission is required until Topic 10.
Professional Capstone and Practicum Reflective Journal
Students are required to maintain weekly reflective narratives throughout the course to combine into a final, course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. This course-long journal assignment will be
due in Topic 10.
In each week’s entry, you should reflect on the personal knowledge and skills gained throughout the Professional Capstone and Practicum course. Your entry should address a variable combination of the following, dependent on the specific practice immersion clinical experiences you encountered that
week:
1. New      practice approaches

2. Intraprofessional      collaboration
3. Health      care delivery and clinical systems
4. Ethical      considerations in health care
5. Population      health concerns
6. The      role of technology in improving health care outcomes
7. Health      policy
8. Leadership      and economic models
9. Health      disparities
In the Topic 10 submission, each of the areas should be addressed in one or more of the weekly entries.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how they met competencies and course objectives.

Scholarly Activities

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary
committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.
You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.
In Topic 10, you will submit a summary report of your scholarly activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.
NRS-490-RS-ScholarlyActivitySummary.docx

Question 4299: Safety Risks

Provide your answers to the following questions in a 2-page paper. Use APA Editorial Format for all citations and references used.
1. What should the “culture and environment of safety” look like when preparing and administering medications?

2. Discuss a common breach of mediation administration.
3. Identify three (3) factors that lead to errors in documentation related to medication administration.
4. What can I do to prevent medication errors?

Question 4300: Breast Cancer

Mrs. V is a 47 year old white female who noted a lump near the lower, outer edge of her right breast.
After undergoing work up, Mrs. V. was diagnosed with breast cancer. She underwent a right mastectomy without surgical reconstruction.
The pathology report relative to the patient’s tumor revealed the tumor was estrogen receptor positive.
Assignment Questions
1. What chemotherapeutic agent would be anticipated for this patient’s treatment plan? Support your discussion with a reference from a scholarly source.
2. Discuss the mechanism of action for the anticipated chemotherapeutic agent. Support your discussion with a reference from a scholarly source.
3. Discuss what the anticipated side effects of the chemotherapeutic agent are. Support your discussion with a reference from a scholarly source.
4. Anticipating the potential side effects of the treatment plan, what are the key elements to include in the patient education plan? Support your discussion with a reference from a scholarly source.

Instructions

 Prepare and submit a 3-4 page paper [total] in length (not including APA format).
 Answer all the questions above.
 Support your position with examples.
 Please review the rubric to ensure that your assignment meets criteria.
 Submit the following documents to the Submit Assignments/Assessments area:
 Case Study: Breast Cancer

Question 4301: Mental Health Practicum

Client Termination Summary

Although termination is an inevitable part of the therapeutic process, it is often difficult for clients.
However, by discussing termination throughout therapy, you can better prepare your clients for life without you. Once a client has achieved his or her therapeutic goals, termination sessions should be held and documented in a client termination summary.
For this Assignment, you have the opportunity to practice writing a termination summary for a client with whom you have worked during your practicum experience.

Learning Objectives

Students will:
· Develop client termination summaries
To prepare:
· For guidance on writing a client termination summary, review pages 693–712 of
Wheeler (2014) in this week’s Learning Resources.
· Identify a client who may be ready to terminate therapy.
The Assignment
· Identifying information of client (e.g., hypothetical name and age)
· Date the client initially contacted therapist, date therapy began, duration of
therapy, and date therapy will end
· Total number of sessions, including number of missed sessions
· Whether termination was planned or unplanned
· Presenting problem
· Major psychosocial issues
· Types of services rendered (e.g., individual, couple/family therapy, group therapy)
· Overview of treatment process
· Goal status (goals met, partially met, unmet)
· Treatment limitations (if any)
· Remaining difficulties and/or concerns
· Recommendations

· Follow-up plan (if indicated)
· Instructions for future contact
· Signatures With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:

Learning Resources

Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
 Chapter 17, “Psychotherapy with Children” (pp. 597–624)
 Chapter      20, “Termination and Outcome Evaluation” (pp. 693–712)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Washington, DC: Author.
McGillivray, J. A., & Evert, H. T. (2014). Group cognitive behavioural therapy program shows potential in reducing symptoms of depression and stress among young people with ASD. Journal of Autism and Developmental Disorders, 44(8), 2041–2051. doi:10.1007/s10803-014-2087-9
Restek-Petrović, B., Bogović, A., Mihanović, M., Grah, M., Mayer, N., & Ivezić, E. (2014). Changes in aspects of cognitive functioning in young patients with schizophrenia during group psychodynamic psychotherapy: A preliminary study. Nordic Journal of Psychiatry, 68(5), 333–340.
doi:10.3109/08039488.2013.839738

Required Media

Microtraining Associates (Producer). (2009). Leading groups with adolescents [Video file]. Alexandria,
VA: Author. Psychotherapy.net (Producer). (2002). Adlerian parent consultation [Video file]. Mill Valley, CA: Author.
Optional Resources Psychotherapy.net (Producer). (2012). Group counseling with adolescents: A multicultural approach [Video file]. Mill Valley, CA: Author.
PLEASE PART OF THE CONTRACT IS TO HAVE IT DONE IN 12 HOURS

Question 4302:

Statistics for 2008 to 2009 indicated that 20.7% of children lived in poverty. What health implications can be drawn from this statistic?

Question 1 Statistics for 2008 to 2009 indicated that 20.7% of children lived in poverty. What health implications can be drawn from this statistic?
Select all that apply.
1. These children run a higher risk of poor overall health status.
2. Public health clinics can provide preventive care.
3. Medicaid assistance can enable these children to receive health care.
4. Increased funding for children’s health has resulted from these statistics.
Question 2 Which criterion limits access to health care?
1. No public transportation
2. Employment opportunities
3. Transition programs for newly arrived legal residents
4. Advocacy groups for immigrants
Question 3 A patient in the Emergency Department is concerned about the cost of treatment because of no financial income. What areas would the nurse include when assessing this patient?
Select all that apply.
1. Preventive care
2. Nutritional status
3. Number of accidents
4. Shelter
5. Status of current immunizations
Question 4 While taking the health history, a Black Hispanic patient tells the nurse about having difficulty finding employment. The nurse realizes that which is a factor that causes income disparity within this segment of the population?
1. Shift to labor requiring higher technological skills
2. Increase in the real minimum wage potential
3. Increase in traditional labor skills for these groups
4. Shift of skilled jobs to unskilled labor

Question 5 The nurse notes that a larger number of foreign-born patients are being seen in the hospital. From which countries are the majority of foreign-born legal permanent residents?
Select all that apply.
1. Mexico
2. China
3. India
4. Europe
5. South America
Question 6 A patient explains how a former job has been outsourced to another country. What impact has globalization had on the economy?
1. Increased income inequality for some groups in the United States
2. Improved income for all minority groups in the United States
3. Increased membership in labor unions
4. Decreased immigration
Question 7 Legal permanent residents tend to initially settle in urban areas. What can be inferred from this?
1. Employment may be found but will probably be in lesser-paying jobs.
2. Unemployment will not be a concern.
3. Employment is easy to obtain in urban areas.
4. Income earning potential is higher.
Question 8 A foreign-born patient tells the nurse about preparing for the naturalization exam. What kinds of questions will be on this exam?
Select all that apply.
1. Questions about the Constitution
2. Parts of the US government
3. Who makes federal laws
4. The number of justices on the Supreme Court

5. Words of the US national anthem
Question 9 While shifts in the population profile are occurring, what is an important consideration to address in health care?
1. Cultural health needs of varying groups must be considered.
2. Health care needs to be streamlined for consistent care delivery.
3. More physicians need to be trained to deliver health care.
4. Health care providers need to be younger to care for an aging population.
Question 10 According to the 2010 Census, the percentage of the 65+ population of White non- Hispanics is at 13%. How will health planning needs be affected by this percentage?
1. This population will have greater demands on the health care system as it ages.
2. Planning needs for other segments of the population can be revised downwards.
3. There is no need to increase manufacture of childhood immunizations.
4. Cultural accommodations for other minority groups can be decreased.
Question 11 A patient tells the nurse that she lives in Section 8 housing. The nurse realizes that eligibility for this program is determined by:
1. Low-income guidelines
2. Family size
3. Geographic address
4. Employment history
Question 12 A patient, an immigrant from another country, is waiting to be seen in the Emergency Department. What difficulties is this patient dealing with since coming to a new country?
Select all that apply.
1. Learning a new language
2. Adapting to a new climate
3. Eating new foods
4. Fitting in with the new culture
5. Rejecting old customs in favor of new ones

Question 13 The nurse is comparing the patient population at a health care organization with the US Bureau of the Census population statistics. Which statement would the nurse use to make this comparison?
1. The percentage of US citizens who were people of color in 2010 was 36.3% of the population.
2. The percentage of Black Americans dropped considerably between 2000 and 2010.
3. People of color are the majority population within the United States.
4. People of color as a percentage of the overall US population are decreasing.
Question 14 Prior to completing an admission assessment, a foreign-born patient provides the nurse with a green card. What does this green card represent?
Select all that apply.
1. Proof of legal permanent residency
2. All rights of a US citizen with exceptions
3. Inability to vote
4. Restrictions to become a citizen
5. Automatic US citizenship
Question 15 When determining health care needs for a patient population, the health care organization
analyzes the percentage of races represented within the organization with those of the US Census. What was the change in the White population between the 2000 and 2010 censuses?
1. 2.7%
2. 1.2%
3. 0.3%
4. 3.8%
Question 16 While completing demographics for a new admission, the nurse notes that there are separate categories for race and Hispanic origin.What influenced this change to occur in demographic data  reporting?
1. Federal guidelines written in 1997 separated race and Hispanic origin as two separate concepts.
2. The number of people identified as non-White was increasing out of proportion to the population.
3. Identifies which health plans the patient is eligible to enroll in

4. Better differentiates categories within the African-American group
Question 17 How might immigration contribute to income inequality in the United States?
1. Many immigrants’ willingness to do jobs for less money than native-born residents
2. Being the primary income earners in the family
3. Advocating for higher minimum wages
4. A willingness to join labor unions as in previous immigrant trends
Question 18 Which characteristic would the nurse assess in a family experiencing multi-generational
poverty?
1. Repeated cycles of decreased educational opportunities leading to poorer income potential and poorer health outcomes
2. Members not wishing to improve their life circumstances
3. Decreased interest by lawmakers in reducing poverty circumstances
4. Increased government efforts to provide money to improve incomes
Question 19 The health care administrator is comparing the 2000 Census Bureau data with patient demographic data. Which cultural group represented 12.5% of the population in 2000?
1. Hispanic or Latino
2. Asian
3. African American
4. American Indian and Alaskan Native
Question 20 What does the nurse identify as reasons why income influences health?
Select all that apply.
1. Increases access to health care
2. Enables people to live in better neighborhoods
3. Enables people to afford better housing
4. Enables people to live in areas without environmental hazards
5. Reduces despair

Question 4303:

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.
max Points: 20.0
This is the case study 1 :
The case scenario provided will be used to answer the discussion questions that follow.
Case Scenario
Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.
Subjective Data
 Complains of pain and heaviness in her leg.
 States she cannot bear weight on her leg and has been in bed for 3 days.
 Lives alone and has not had anyone to help her with meals.
Objective Data
 Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with
moderate amount of thick yellow drainage
 Left leg red from knee to ankle
 Calf measurement on left 3 in > than right
 Temperature: 38.9 degrees C
 Height: 160 cm; Weight: 83.7 kg
Laboratory Results
 WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
 Wound culture: Staphylococcus aureus

Critical Thinking Questions

1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”

3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

Question 4304:

Professional Capstone and Practicum Reflective Journal
800-1000 words Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
1. New practice approaches
2. Intraprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Population health concerns
6. The role of technology in improving health care outcomes
7. Health policy
8. Leadership and economic models
9. Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to
this course.
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.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student
Success Center.

Question 4305:

Core Principles & Values of Effective Team-Based Health
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.
QUESTION 1: Core Principles & Values of Effective Team-Based Health
In the assigned article, “Core Principles & Values of Effective Team-Based Health Care”( https://www.nationalahec.org/pdfs/VSRT-Team-Based-Care-Principles-Values.pdf )
the authors state that “the incorporation of multiple perspectives in health care offers the benefit of diverse knowledge and experience; however, in practice, shared responsibility without high-quality teamwork can be fraught with peril.” Describe the perils that the authors say lead to uncoordinated care and unnecessary waste and cost. How do communication and interdisciplinary collaboration prevent adverse events?
A minimum of THREE academic references from credible sources are required for this assignment

Question 4306: Journal Entry

Journal 1 Entry
Reflect on a patient who is beyond 20 weeks gestation and presented with a health problem that commonly arises during pregnancy. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain the implications of the patient’s health problem. If you did not have an opportunity to evaluate a patient with this background during the last eight weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.
(Health Problem: Alcohol Consumption)

Journal 2 Entry

Reflect on a patient who presented with postpartum depression during your Practicum Experience.
Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care.
Then, explain the implications of the patient’s postpartum depression, including how this might impact the entire family unit. If you did not have an opportunity to evaluate a patient with this background during the last nine weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

Journal 3 Entry

Reflect on a patient who presented with a cardiovascular, neurologic, respiratory, or gastrointestinal disorder during your Practicum Experience. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain how the patient’s gender might have impacted or influenced her care. If you did not have an opportunity to evaluate a patient with this background during the last 10 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.
(Health Problem: Hyperlipidemia)

Reference

Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.
Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers.
And any other.
Requirement : One and half page each.

Question 4307:

Developmental Assessment and the School-Aged Child
The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school- aged child between the ages of 5 and 12 years old and discuss the following:
1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.
Prepare this assignment according to the guidelines found in the APA Style Guide An abstract/thesis is required.Developmental Assessment and the School-Aged Child

Question 4308:

Evidence based practice-Pediatric acute bacterial sinusitis
Please read instructions carefully to ensure maximum grade.
Applying Current Evidence Based Practice Guidelines for the Diagnosis and Treatment of Acute
Bacterial Sinusitis in Pediatric Patients Using Healthcare Informatics.
This assignment will demonstrate your ability to use healthcare informatics to apply current evidence-based practice guidelines to the management of a pediatric patient diagnosed with acute bacterial sinusitis.
The guidelines that you are to use are in the following article available in the online Purdue Global library.
Hauk, L. (2014). AAP releases guideline on diagnosis and management of acute bacterial sinusitis in children one to 18 years of age. American Family Physician, 89(8), 676-681.
This assignment has a template that you will use to fill in the requested information.
 MN580_Unit_6_Assignment_Template.docx
 MN580_Unit6_Assignment_Rubric.xlsx

Question 4309:Case Study: Healing and Autonomy

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:
1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?
Prepare this assignment according to the 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.

Question 4310: Identifying a Researchable Problem

For the Course Project, you identify and apply relevant research to a specific nursing topic or problem.
You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice.

Before you begin, review the Course Project Overview document located in this week’s Learning

Resources.

Course Project: Part 1—Identifying a Researchable Problem
One of the most challenging aspects of EBP is to actually identify the answerable question.—Karen Sue Davies
Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools
will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.
In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.
To prepare:
 Review the article, “Formulating the Evidence Based      Practice Question: A Review of the Frameworks,” found in the Learning      Resources for this week. Focus on the PICOT model for guiding the development of research questions.
 Review the section beginning on page 71 of the course      text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.
 Reflect on an issue or problem that you have noticed in      your nursing practice. Consider the significance of this issue or problem.
 Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.
 Formulate a preliminary PICO question—one that is answerable—based      on your analysis.
What are the PICO variables (patient/population,      intervention/issue, comparison, and outcome) for this question?
Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.

 Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.
To complete:
Write a 3- to 4-page paper that includes the following:
 A summary of your area of interest, an identification      of the problem that you have selected, and an explanation of the      significance of this problem for nursing practice
 The 5 questions you have generated and a description of      how you analyzed them for feasibility
 Your preliminary PICOT question and a description of      each PICOT variable relevant to your question
 At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections

Question 4311: Dashboard Benchmark Evaluation

Review the performance dashboard for a health care organization, as well as relevant local, state, and federal laws and policies. Then, write a report for senior leaders in the organization that communicates your analysis and evaluation of the current state of organizational performance, including a recommended metric to target for improvement.
Maintaining standards and promoting quality in modern health care are crucial, not only for the care of patients, but also for the continuing success and financial viability of health care organizations. In the era of health care reform, health care leaders must understand what quality care entails and how quality in health care connects to the standards set by relevant federal, state, and local laws and
policies. An understanding of relevant benchmarks that result from these laws and policies, and how they relate to quality care and regulatory standards, is also vitally important.
· Health care is a dynamic, complex, and heavily regulated industry. For this reason, you will be expected to constantly scan the external environment for emerging laws, new regulations, and changing industry standards. You may discover that as new policies are enacted into law, ambiguity in interpretation of
various facets of the law may occur. Sometimes, new laws conflict with preexisting laws and regulations, or unexpected implementation issues arise, which may warrant further clarification from lawmakers.
Adding partisan politics and social media to the mix can further complicate understanding of the process and buy-in from stakeholders.
How many health care laws can you name that affect your practice in your current or future workplace?
How do they impact your daily work? How many regulatory agencies oversee the types of services your health care organization provides? Which regulatory agencies apply to your workplace setting? Are you familiar with the process of complying with those agencies in order to maintain certification? You might
be overwhelmed as you consider these broad questions.
· As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend or family member, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
What local, state, or federal health care policies or laws set benchmarks and standards reflected in performance dashboards common in your professional area of practice?
· What are the potential challenges or opportunities for health care organizations or interprofessional teams in meeting prescribed performance benchmarks and standards? Factors you might consider include the organization’s mission, its size and resources, operational policies and procedures, and the population the organization serves.
· Preparation
For this assessment, you may choose one of the following three options for a performance dashboard to use as the basis for your benchmark evaluation.
Option 1: Dashboard and Health Care Benchmark Evaluation Simulation
If you decide to use one of the simulation dashboards for your evaluation, review both dashboards, as well as the relevant local, state, and federal laws and policies linked in each dashboard. Choose one of the dashboards and consider the metrics within it  that are falling short of the prescribed benchmarks.
Option 2: Actual Dashboard From a Professional Practice Setting
If you choose an actual dashboard from a professional practice setting for your evaluation, be sure to add a brief description of the organization and setting that includes:
· The size of the facility that the dashboard is reporting on.
· The specific type of care delivery.
· The population diversity and ethnicity demographics.
· The socioeconomic level of the population served by the organization.
Note: Ensure that your data is Health Insurance Portability and Accountability Act (HIPAA) compliant. Do
not use any easily identifiable organization or patient information.
Option 3: Hypothetical Dashboard Based on a Professional Practice Setting

If you have a sophisticated understanding of dashboards that are relevant to your own practice, you
may also construct a hypothetical dashboard for your evaluation, based on that setting. Your hypothetical dashboard must present at least four different metrics, at least two of which must be under-performing the relevant benchmark set forth by a federal, state, or local laws or policies. In addition, be sure to add a brief description of the organization and setting that includes:
· The size of the facility that the dashboard is reporting on.
· The specific type of care delivery.
· The population diversity and ethnicity demographics.
· The socioeconomic level of the population served by the organization.
Note: Ensure that your data is HIPAA compliant. Do not use any easily identifiable organization or patient information.

Report Requirements

Structure your report in such a way that it would be easy for a colleague or supervisor to locate the information they need. Be sure to cite relevant local, state, or federal health care laws or policies when evaluating metric performance against prescribed benchmarks. Cite an additional 2–4 credible sources
to support your analysis and evaluation of the challenges in meeting the benchmarks, the potential for performance improvement, and your advocacy for ethical action.
Note: The tasks outlined below correspond to grading criteria in the scoring guide.
In your report, be sure to:
· Evaluate dashboard metrics against the benchmarks set by local, state, or federal health care laws or policies.
9. Which metrics are below the mandated benchmarks in the organization? Evaluate weaknesses within the entire set of benchmarks.
9. What are the local, state, or federal health care laws or policies that set these benchmarks?
. Analyze challenges that meeting prescribed benchmarks can pose for the organization or for an interprofessional team.
10. What are the specific challenges or opportunities that the organization or interprofessional team might have in meeting the benchmarks? For example, consider:
1. The strategic direction of the organization.
1. The organization’s mission.
1. Available resources:

3. Staffing.
3. Operational and capital funding.
3. Physical space.
3. Support services (any ancillary department that supports a specific care unit in the organization, such as a pharmacy, cleaning services, and dietary services).
1. Cultural diversity in the organization.
1. Cultural diversity in the community.
1. Organizational processes and procedures.
10. How might these challenges be contributing to benchmark underperformance?
. Evaluate a benchmark underperformance in the organization or interprofessional team that has the potential for greatly improving overall quality or performance.
11. Which metric is underperforming its benchmark by the greatest degree?
11. Which benchmark underperformance is the most widespread throughout the organization or interprofessional team?
11. Which benchmark affects the greatest number of patients?
11. Which benchmark affects the greatest number of staff?
11. How does this underperformance affect the community the organization serves?
11. Where is the greatest opportunity for improvement in the overall quality or performance of the organization or interpersonal team—and ultimately in patient outcomes?
. Advocate for ethical action in addressing the benchmark underperformance that has the potential for greatly improving overall quality or performance.
12. At which group of stakeholders should your advocacy be directed? Which group could be expected to take the appropriate action to improve the benchmark metric?
12. What are some ethical actions that the stakeholder group could take that support improved benchmark performance?
12. Why should the stakeholder group take action?
. Communicate your findings and recommendations in a professional and effective manner.
13. Ensure that your report is well organized and easy to read.

13. Write clearly and logically, using correct grammar, punctuation, and mechanics.
. Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.
14. Did you cite relevant local, state, or federal health care laws or policies when discussing the mandated benchmarks?

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