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Nursing

Instructions For this assignment it is required to read the two article’s (attac

Instructions
For this assignment it is required to read the two article’s (attached) and provide a summary of the guidelines according to the rubric.
Please provide an APA formatted paper that summarizes the articles in 2 paragraphs that consists of a study design (data found in articles). This paper is required to include a paraphrase of the main objectives/ideas as well as cited quotes from the article.
The reaction paper will be a reflection of:
1. How the topics addressed in the article impact self and health care (example: malpractice)
2. Explain how a student can be a change agent to the events addressed in the articles
This paper will be a total of 5 pages:
Pages 1-2: The two article summary with paraphrased main ideas, the study design(s) and cited quotes.
Pages 3-4: The reaction paper discussing the questions previously stated (Please see the attached screenshot)
Page 5: Reference Page
▪ It is important that you STRICTLY follow and adhere to all criteria as outlined in the rubric (attached).

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Nursing

For this assessment, you will create a 2-4 page report on an interview you have

For this assessment, you will create a 2-4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.
As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:
The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.
It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.
ReferenceInstitute for Healthcare Improvement. (n.d.). How to improve. http://www.ihi.org/resources/Pages/HowtoImprove/de…
Demonstration of ProficiencyCompetency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes. Summarize an interview focused on past or current issues at a health care organization.
Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team. Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals. Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes. Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Professional ContextThis assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.
ScenarioThis assessment is the first of three related assessments in which you will gather interview information (Assessment 2); design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.
For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] for an outline of how to prepare and the types of information you will need to complete this project successfully.
Remember: this is just the first in a series of three assessments.
InstructionsFor this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.
When submitting your plan, use the Interview and Issue Identification Template [DOCX], which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.
Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Summarize an interview focused on past or current issues at a health care organization.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.
Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.
Additional RequirementsLength of submission: Use the provided template. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
APA formatting: Make sure that in-text citations and reference list follow current APA style.

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Nursing

COMPREHENSIVE INTEGRATED PSYCHIATRIC ASSESSMENT Many assessment principles are

COMPREHENSIVE INTEGRATED PSYCHIATRIC ASSESSMENT
Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.
Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges.
In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
TO PREPARE
Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 (can give you details),and Simulation Scenario-Adolescent Risk Assessment videos.
Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.
BY DAY 3 OF WEEK 1
Based on the YMH Boston Vignette 5 video, post answers to the following questions:
What did the practitioner do well? In what areas can the practitioner improve?
At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
What would be your next question, and why?
Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.
Explain why a thorough psychiatric assessment of a child/adolescent is important.
Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
Explain the role parents/guardians play in assessment.
Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
LEARNING RESOURCES
Required Readings
Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental health Links to an external site.. American Psychiatric Association Publishing.Chapter 1, “Introduction”
Chapter 4, “The 15-Minute Pediatric Diagnostic Interview”
Chapter 5, “The 30-Minute Pediatric Diagnostic Interview”
Chapter 6, “DSM-5 Pediatric Diagnostic Interview”
Chapter 9, “The Mental Status Examination: A Psychiatric Glossary”
Chapter 13, “Mental Health Treatment Planning”
Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Clinical practice guidelines for assessment of children and adolescents Links to an external site.. Indian Journal of Psychiatry, 61(2), 158–175. http://doi.org/10.4103/psychiatry.IndianJPsychiatr…
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
Chapter 32, “Clinical assessment and diagnostic formulation”
Required Media
Symptom Media. (2014). Mental status exam B-6 Links to an external site.. [Video]. https://go.openathens.net/redirector/waldenu.edu?u…
Western Australian Clinical Training Network. (2016, August 4). Simulation scenario-adolescent risk assessment Links to an external site. [Video]. YouTube. Links to an external site.
YMH Boston. (2013, May 22). Vignette 5 – Assessing for depression in a mental health appointment Links to an external site. [Video]. YouTube.
Optional Resources
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.Chapter 31, “Child Psychiatry”

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Nursing

Explain the difference between training and development. How does a performance

Explain the difference between training and development. How does a performance management system connect with training and development and compensation strategies? What improvements do you recommend to the performance management system in your organization and why?

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Nursing

1.Prepare a 2-page pamphlet based on the Teaching Work Plan and present the info

1.Prepare a 2-page pamphlet based on the Teaching Work Plan and present the information to your community. You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
2.Complete and submit the “Clinical Practice Hours: Teaching Project” Form as indicated to document your clinical experience. In order to receive a passing grade in the course, students are required to have met the required number of clinical practice hours.
Attachments: https://halo.gcu.edu/resource/37939ced-f8ce-48ab-b…
3.Before presenting your “Community Teaching Plan: Community Presentation” to the community, seek approval from an agency administrator or representative. Upon receiving approval from the agency, submit the completed “Community Teaching Experience Approval Form.”
Attachment: https://halo.gcu.edu/resource/79fa9086-18cb-4208-8..
4. This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:
Summary of teaching plan
Epidemiological rationale for topic
Evaluation of teaching experience
Community response to teaching
Areas of strengths and areas of improvement
You are required to cite a minimum of three sources to complete this assignment.
Requirements: 2 page pamphlet, 1,500 word essay Times New Roman Size 12 Font Double-Spaced APA Format Excluding the Title and Reference Pages | .doc file
Please be sure to carefully follow the instructions
No plagiarism & No Course Hero & No Chegg. The assignment will be checked for originality via the Turnitin plagiarism tool
Please be sure to include at least one in-text citation in each body paragraph
Please be sure to use credible or scholarly sources
For the essay Please be sure to include an introduction with a clear thesis statement in the last sentence of the introduction paragraph and a conclusion paragraph

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Nursing

Please use APA 7th edition and 3 references dated less than 2 years A recent pat

Please use APA 7th edition and 3 references dated less than 2 years
A recent patient I had during my clinical experience was a 55-year-old male who came into the office with chest pain lasting 8 hours. His pain was described as crushing, severe, chest pain that radiated to his right arm. The patient was also diaphoretic and pale in appearance. His 12 initial lead EKG showed a heart rate of 102, low voltage QRS, sinus rhythm, a first-degree AV block, and an ongoing anterior wall infarct. While the ECG in the setting of NSTE-ACS may be normal in more than 30% of patients, characteristic abnormalities include ST-segment depression, transient ST-segment elevation, and T-wave changes (Collet et al., 2021).
The patient’s vital signs were 180/97, 95, and O2 92%. His lung exam showed no alterations. He did have a history of hypertension and hyperlipidemia and was a smoker. Aspirin was given in the office and the paramedics delivered 5 mg of metoprolol on the way to the hospital according to hospital records.
The patient was hesitant over the phone when he made a primary care visit, we urged the patient to go to the Emergency Room stating repeatedly the consequences of his decision. He wanted only to be seen in the office. After all, he finally agreed to go to the Emergency room after we did what interventions we could do in the office.
Chest pain is not a common occurrence in primary care but it does occur once in a while. Therefore, clinicians must raise red flags when appropriate, have low thresholds for referring patients to EMS, and know when it is appropriate to send them to EMS. According to a study by Andersson et al., (2018), a total of 688 patients with MI, 519 men and 169 women, with a mean age of 66 years, one in five people contacted primary care instead of the recommended EMS, and 94% of these patients experienced cardinal symptoms of an acute MI; i.e., chest pain, and/or radiating pain in the arms, and/or cold sweat.
Primary care providers must rely primarily on history taking, physical exams, and past experiences to make a diagnosis or establish the need to have the patient be seen by EMS (Harskamp et al., 2019). The common working differentials include less frequent but urgent diagnoses of chest pain, such as acute coronary syndrome, or pulmonary embolism, from more common but less urgent diagnoses (such as gastroesophageal reflux, musculoskeletal pain, or anxiety) ( Harskamp et al., 2019).
Chronic care management may be a number of interventions at this patient’s hospital follow-up visit. A few examples are heart failure (HF) management and education, labs to assess kidney function while on Lisinopril, or medication management. The patient may also need a referral to a cardiologist or a referral or a nutritionist to discuss heart-friendly diets. He may also need to be on cardiac drugs for life that may need ongoing labs to assess the metabolic functioning of other organs, such as the kidneys. The patient may also need to have ongoing discussions about smoking cessation and encouragement to stop as well. All in all, the medical care provided at the hospital, the hospital discharge report, and the patient’s needs will all help dictate what he needs for chronic care management.
References
Andersson, P. O., Lawesson, S. S., Karlsson, J. E., Nilsson, S., Thylén, I., & SymTime Study Group (2018). Characteristics of patients with acute myocardial infarction contacting primary healthcare before hospitalization: a cross-sectional study. BMC family practice, 19(1), 167. https://doi.org/10.1186/s12875-018-0849-8
Collet, J. P., Thiele, H., Barbato, E., Barthélémy, O., Bauersachs, J., Bhatt, D. L., Dendale, P., Dorobantu, M., Edvardsen, T., Folliguet, T., Gale, C. P., Gilard, M., Jobs, A., Jüni, P., Lambrinou, E., Lewis, B. S., Mehilli, J., Meliga, E., Merkely, B., Mueller, C., … ESC Scientific Document Group (2021). 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. European heart journal, 42(14), 1289–1367. https://doi.org/10.1093/eurheartj/ehaa575
Harskamp, R. E., Laeven, S. C., Himmelreich, J. C., Lucassen, W. A. M., & van Weert, H. C. P. M. (2019). Chest pain in general practice: a systematic review of prediction rules. BMJ open, 9(2), e027081. https://doi.org/10.1136/bmjopen-2018-027081

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Nursing

Submission Instructions: Your initial post should be at least 500 words, formatt

Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Categories
Nursing

Assignment Description:Healthcare Coverage Gap The ACA was meant to provide qual

Assignment Description:Healthcare Coverage Gap
The ACA was meant to provide quality health care coverage for all yet a coverage gap for some populations especially in states that oppose Medicaid expansion. Based on what you have learned so far in this course, create a PowerPoint presentation that addresses the coverage gap problem, who is impacted by the coverage gap, the role the ACA plays in the coverage gap, why the coverage gap should be closed, and solutions/ recommendations for closing the gap. Address the following in your PowerPoint:
Select one state opposed to Medicaid expansion and describe why. Then, consider your own state. What are the benefits and drawbacks to Medicaid expansion in your state?
Define what the coverage gap is (problem/issue)
Discuss how the coverage gap impact low income healthcare consumers population.
What role does the ACA have in widening or closing the coverage gap?
Why is it important to close the gap (implications for positive social change)?
What are some solutions to closing the coverage gap and how can healthcare equity help close the gap? Include recommendations and/or solutions.
Your PowerPoint presentation should include/address:
Title Slide (1 slide)
Objectives Slide (1 slide)
Medicaid expansion (1-2 slides)
Coverage gap – define/problem/issue (1-2 slides)
Coverage gap impact on low income healthcare consumers (2-3 slides)
Role ACA has in widening or closing the coverage gap (1-2 slides)
Close the gap (1-2 slides)
Solutions to closing the coverage gap and how can healthcare equity help close the gap? (2-3 slides)
Reference slide (1-2 slides).

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Nursing

Discussion Question:Explain the difference between internal and external evidenc

Discussion Question:Explain the difference between internal and external evidence. How can each of these types of evidence be utilized for quality improvement in the clinical setting?

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Nursing

Assignment Description:Quantitative Research Write a fully developed and detaile

Assignment Description:Quantitative Research
Write a fully developed and detailed APA essay addressing each of the following points/questions. There is no required word count; be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least one (1) source using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page are required. Review the rubric criteria for this assignment.
Conduct a literature search to select a quantitative research study related to the problem identified in Module 1 and conduct an initial critical appraisal. Respond to the overview questions for the critical appraisal of quantitative studies, including:
Is this quantitative research report a case study, case control study, cohort study, randomized control trial or systematic review?
Where does the study fall in the hierarchy of evidence in terms of reliability and risk of bias?
Why was the study done? (Define the problem and purpose.)
Were the steps of the study clearly identified?
What was the sample size?
Are the measurements of major variables reliable and valid? Explain.
How were the data analyzed?
Were there any untoward events during the conduct of the study?
How do the results fit with previous research in the area? (This may be reflected in the literature review.)
What does this research mean to clinical practice?
Additionally, be sure to include the rapid appraisal questions for the specific research design of the quantitative study that you have chosen. These can be found in Chapter 5 of the textbook (Melnyk and Fineout-Overholt, 2015).
This critical appraisal should be written in complete sentences (not just a numbered list) using APA format.
Provide a reference for the article according to APA format and a copy of the article.