Category: Nursing

Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research

TASK

Prepare a brief of 4 pages to disseminate the findings of this study to your fellow students or colleagues in your practice area 
(Nursing)
 or to another group who would be interested in this research such as clients or patients. This is your target audience.

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The content of your presentation must include -:

A title page indicating the title of the paper,

Who the presenter is (you) and your credentials.

Next, identify your target audience,

The title and reference for the article,

Why you selected this research article, Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research

The research problem/question and/or purpose,

Whether the study uses a qualitative or quantitative approach,

How the researcher(s) to address ethical considerations,

Major findings of the study, and the value of the article to evidence-based practice.

NB// 
MAKE SURE THAT THE ABOVE PARTS 
ARE SEPARATE
. YOU MAY NOT NECESSARILY PUT SUBHEADINGS ALL OVER BUT THIS MAY BE ADDRESSED IN SEPARATE PARAGRAPHS.

Your assignment will also be graded for APA, including a reference list, conciseness, creativity, consistency in terms of font size, style, titles etc., and grammar and spelling.

Make sure that The following content elements are clear and accurate:

Title page (APA)

Target audience identified

Presentation is appropriate for the target audience identified

Reason for article selection

Title and reference for the article

Article published within the last 5 years

Research problem/question and/or purpose

Research approach and design, if known

How the researcher(s) addressed ethical considerations

Major findings

Value of the article to evidence-based practice

Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research

Nurses’ Perceptions of the Concept of Power in Nursing: A Qualitative Research

This is a brief prepared with an objective of disseminating the findings to follow Nursing students. The brief can be beneficial also to individuals already practicing nursing as well as patients or clients.

This article was selected with a goal of explaining the concept of power from the prism of nurses in the field of nursing and with a goal of access the various perspectives that may lead to improved understanding of the issue of power in nursing. It is worth acknowledging the fact that power is a complex and extensive issue in nursing and it has a decisive effect on various aspects such as satisfaction, duties and achievement of set professional objectives. This article provides a definitive understanding of the concept of power in the nursing discipline (Sepasi, et al 2016).

The purpose of this article is to highlight and clarify the concept of power in the nursing profession from the perspective of nurses while drawing specific inferences from the experiences and views of nurses in Iran. Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research

This study is a qualitative research that invoked a content analysis strategy. A qualitative research is designed with a goal of revealing the range of perceptions and behavior of the target audience that drive it with specific reference to the selected issues or topic. The strategy uses in-depth examination of small groups of participants in order to support and guide in the process constructing a hypothesis. The outcomes of a qualitative research are often descriptive. Qualitative research contributes to insightful and rich outcomes of the study (Barnham, 2015).  In this study, the respondents who participated were selected from a pool of nurses, who are active in management, educational and clinical practices with the help of purposive sampling approach. Purposive sampling, known also as, selective, subjective or judgmental sampling, is a non- probability sampling method often used in qualitative research. Purposive sampling approach focuses on sampling approach in which the units being investigated are anchored the researcher’s judgment.  The primary goal of purposive sampling technique is to focus on specific traits of a population that are important to the researcher and can help him or her answer the research questions (Barratt, Ferris & Lenton, 2015). The data collection tools that were used in this study included semi- structured individual interviews. Semi- structured interviews are used best when the researcher is unable to get more than one opportunity to interview the respondent. It is also used when multiple interviewers are sent to the field to gather data. Semi- structured interviews were used in this study because they offered the interviewers with a clear set of instructions and also provided comparable and reliable qualitative data. The results in this study were obtained by using an inductive method and the constant comparison technique to analyze the data. Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research

Ethical issues are extremely critical for establishing limits in research for what the researcher cannot and can do. These limits become critical when health, safety as well as human involvement in research is considered. According to Camille, et al. (2016) all scientific projects have to ethically weighed in to be approved for continuation and checked for safety. Ethical research is premised on safety. If a research is does not adhere to ethical standards, then it means that the outcomes could carry detrimental impacts on the populace. Ethics play a vital role in research straight from the first stage of brainstorming to the administration of the research findings in the public. It is particularly critical in the testing stages since this is when animals and humans come in and comfort and safety must be taken into account. Consequently, this study invoked a number of ethical cautions in order to safeguard the key findings. First, the researcher ensured that all respondents had been briefed prior of the purpose of the study and had given the participants absolute discretion on whether to participate in the research or fail, at any time, to cooperate with the researcher. In addition, the researcher ensured that the identity, bio- data and the information gathered from the interview transcripts were confidentially protected and the respondents were adequately briefed of the manner in which the outcomes of the research were to be made public. Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research

From the study, the following three major findings were made with respect to the power concept in nursing. The first finding was on genesis. From the views of the respondents, the power concept in nursing is formed according to purposed.  Nonetheless, such a genesis is overshadowed by the nursing profession and it is influenced by the profession and can only see the light of the day if multiple power sources are supplied. The genesis source of power is classified into three subgroups: being purposeful, being overshadowed by the nature of the profession and being dependent other sources of power.  In addition, the study found out that strengthening is another formation of the power concept in nursing. Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research. From this finding, it can be deduced that the concept of power in nursing needs to be stabilized and strengthened both externally and internally. The actual power is the inner feeling that strengthens and enhances both the inner power manifestation as well as individual motivation of professional performance. The findings on strengthening concept of power in nursing acknowledged that the nursing discipline is characterized by the connection to fellow employees and other members of the care and treatment team and as a result, power can be suppressed or amplified depending on this communication. This category comprises three subgroups of the concept of power in nursing: being introverted and emotional; flowing and fluidity as well as strengthening the professional communication context. The third key finding of this study is that the power concept in the nursing profession is based on human values. Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research. The respondents in this research linked the concept of the power of nurses with the idea of human values. Reliability, confidentiality, trust, humility, morality and empathy were seen as the key rings that constituted the communication chain. From the view of the participants, behavior and performance linked to good temper, good ethics, respect and maintaining dignity of individuals, in the same breadth exercising power, results to the success of a manager in the improvement of work. On the contrary, disrespecting, insulting others and applying pressure create distance between subordinate staff and the boss. In addition, observing professional communications and business transactions has been viewed as crucial aspects in the successful exercising of power in the nursing profession. Further, power is seen as a concept in which a person who is deemed to possess a positive moral character is viewed as a powerful leader (Sepasi, et al 2016). Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research.

This article attempts to clarify the concept of power from the understanding of nurses and the findings verify the uniqueness of this concept. Relying on the study’s findings it can be concluded that idea of power in the nursing profession is a purposeful idea that flourished in the context of moral, human as well as caring nature of nurses and varies according to needs. Power concept linked to human values, irrigated by professional communication, grows through an ongoing and fluid structure, and prepares and matures fruits such as professional excellence and improved quality of care (Sepasi, Borhani & Abbaszadeh, 2017). Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research

References

Barnham, C. (2015). Quantitative and qualitative research.
International Journal Of Market Research
,
57
(6), 837-854. doi:10.2501/IJMR-2015-070

Barratt, M. J., Ferris, J. A., & Lenton, S. (2015). Hidden Populations, Online Purposive Sampling, and External Validity: Taking off the Blindfold.
Field Methods
,
27
(1), 3-21. doi:10.1177/1525822X14526838

Camille, Y., Nian-Lin Reena, H., & Ban Leong, S. (2016). Legal and ethical issues in research.
Indian Journal Of Anaesthesia
,
60
(9), 76-80. doi:10.4103/0019-5049.190627 Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research

Sepasi, R. R., Abbaszadeh, A., Borhani, F., & Rafiei, H. (2016). Nurses’ Perceptions of the Concept of Power in Nursing: A Qualitative Research.
Journal Of Clinical & Diagnostic Research
,
10
(12), 10-15. doi:10.7860/JCDR/2016/22526.8971

Sepasi, R. R., Borhani, F., & Abbaszadeh, A. (2017). Nurses’ perception of the strategies to gaining professional power: A qualitative study.
Electronic Physician
,
9
(7), 4853-4861. doi:10.19082/4853 Nurses’ Perceptions of the Concept of Power in Nursing EBP Essay: A Qualitative Research

Health Issue Based on Immigrants to Canada essay example

I’m going to send you more details about the population health promotion model IN THE NEXT MAIL because 
that’s what it is based on and you need to chose a health issue based on
 immigrants to Canada

—
GUIDELINE

Learn about issues that impact their health

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— Select a priority issue

— Explore the SDOH impacting that issue

— Complete an evidenced based scholarly literature review to better understand the issue.

Using the PHPM as guide… explore issue

— What is causing the issue?

— What are the underlying factors?

— What epidemiological data exists on this issue?

— Is this an isolated issue or does it exist elsewhere?

— What is being done to manage or address this issue? (strategies currently used)

— What else could be done?

— What are the potential consequences of not addressing this issue?

Health Issue Based on Immigrants to Canada essay example

Peer Reviewed Scholarly Research

—
 FORMAT

— Page 1 – intro paragraph (usually 1/2 page)

— Page 1-4 – then develop your ideas. Clearly show the application of the PHPM and must include evidenced based research to support ideas. Health Issue Based on Immigrants to Canada essay example.

Include a closing paragraph (generally 1/4 page)

— Reference page – APA 6th ed format

 

Canada has one of the highest immigration rates in the world. In fact, among the G8 countries, Canada tops as the country with the highest number of immigrants for seven years in a row. Even though Canada has opened its doors to immigrants seeking employment, such immigrants do not enjoy the same sustained high standards of health like their Canadian-born peers. Health and overall well-being are critical to success in life in addition ensuring that one can positively contribute to the society. However, among others, when employment or work conditions (social determinants of health) are not favorable, the aforementioned cannot be achieved as health of workers get compromised (Anderson, 2010). Immigrants not only have poorer job situations than Canadian-born workers, but they are twice as likely to sustain workplace injuries requiring medical care than workers born in Canada. This paper explores work conditions as a social determinant of health that mainly affects the health of immigrants to Canada. Health Issue Based on Immigrants to Canada essay example

Social determinants of health: Immigrant work conditions

           
According to Lucyk and McLaren (2017), social determinants of health are conditions in which individuals are born, grow, live, work and eventually age. These circumstances are shaped by aspects such as the distribution of power, money and resources at global, local and national levels. Lucyk and McLaren (2017) further note that social determinants of health are mainly responsible for cases of health inequities – the avoidable and unfair differences in health witnessed within and between countries. Health Issue Based on Immigrants to Canada essay example

Work conditions are an apt example of such with the type of conditions in place being a huge determinant of immigrants’ health status. In Canada, immigrants are more likely to be injured at their places of work than the non-immigrants. Majority of them do not have access to a constant supervisor, may lack employment benefits and lack of unionization. Working under such conditions is not favorable at all. For instance, lack of employment benefits such as full medical care in the event of sickness is a matter that majority of immigrants lack, an aspect that put their lives in danger when they fall sick (Preibisch and Otero, 2014).

Immigrant men have in the past and even today continued to report high cases of medically-treated injuries due to work. One explanation is that immigrants mainly work in hazardous settings. Limited access to non-wage employment benefits such as disability insurance may result in stress, which may lead to development of other life threatening diseases such as heart problem, hypertension and high blood pressure (Lucyk and McLaren, 2017).

There are a couple of causes to the above issue. First, Zuberi and Ptashnick (2012) argue that majority of immigrants looking for employment in Canada take on riskier jobs or jobs with unfavorable work conditions due to necessity. Lack of legal status, less education, lower English ability, and fewer opportunities for jobs make them work in unfavorable work conditions that end up affecting their health status. Health Issue Based on Immigrants to Canada essay example

Closely related to the above, some employers across Canada have always preferred hiring undocumented immigrants, an aspect that would ensure that they do not comply with condition necessary for guest worker programs. This is evident by the number of immigrant farm workers or other immigrants occupying jobs with unfavorable work conditions (Zuberi and Ptashnick, 2012).

According to Stilwell et al (2004), during the first five years of migrating to Canada, immigrants are 30% less likely to work on full-time basis, 65% less likely to have unemployment benefits, 40% more likely to be overqualified for their jobs, and more than twice as likely to be working on part-time basis, though wanting to work on full-time basis. Even if they manage to work on full-time basis, majority of immigrant workers are likely to find themselves working under inhumane work conditions, an aspect that has significantly affected their health status. Health Issue Based on Immigrants to Canada essay example.

Of importance to note is that the above trends are not practical to Canada alone. Health harming exposures at work are common even among other first class economies such as the United States, Germany, and the United Kingdom just to mention but a few. Health Issue Based on Immigrants to Canada essay example. Stylized facts do suggest that foreign-born workers in many countries across the globe are more likely to work in risky and health compromising jobs than the natives (Milkman, 2011). For instance, it is not strange to find immigrants having been hugely employed in construction and agricultural sectors and made to perform riskier jobs that compromise their health. For instance, immediately after Hurricane Katrina, it was evident that those doing reconstruction in New Orleans were immigrants who were exposed to dangerous substances and conditions (Milkman, 2011).

Strategies aimed at improving work conditions for immigrant workers in Canada

           
As of now, it is evident that immigrant workers in Canada work in unfavorable work conditions not fit for their health. Luckily though, the Canadian government seems to be aware of this issue to the extent of undertaking some initiatives aimed at addressing unfavorable work condition challenges that majority of immigrants face. Currently, there are some strategies that have been adopted and subsequently put to use. First, the government has made it a necessity to ensure that all firms that hire immigrant workers ensure that they are adequately trained, especially on safety so that their health status are not compromised (Stilwell et al, 2004).

Secondly, there seems to be increased efforts by hiring firms across Canada in enhancing language access to welfare-to-work programs while increasing the availability of English language. By so doing, immigrant workers are placed in a better position to negotiate for better pay and favorable work conditions. Third, majority of firms in Canada are lately putting in place workforce development programs aimed at forging multi-sector partnerships among unions, employers, faith-based organizations, and the government (Stilwell et al, 2004).

Despite of the above, more could be done. Health Issue Based on Immigrants to Canada essay example. First, Stilwell et al (2004) argues that advancement across careers should be put in place. Here, a clear path should be set for immigrants to advance across their career paths while ensuring that immigrants are put in supervisory roles to supervise other immigrants and ensure that they are observant of safety issues. Secondly, adequate research needs to be undertaken on unfavorable work conditions that affect immigrant worker issues so as to inform program and policy development. Third, there needs to be legal services, litigation, and advocacy in place so as to ensure that immigrant worker rights such as the need to compel firms to ensure that favorable work conditions of immigrant workers are enhanced (Stilwell et al, 2004). Health Issue Based on Immigrants to Canada essay example.

 
Potential consequences of failing to address immigrant workers work conditions

           
Canada is slowly transforming to be one of the countries that seem to advancing immigrant workers rights such as the right for such workers to work in favorable work environments that is not compromising to their health status. However, there are potential consequences of failing to address immigrant workers work conditions, especially to employers. Due to laws passed, failure to do so may see employers being sued or made to pay hefty fines if discovered (Milkman, 2011). Immigrant employment rights make it possible for immigrants to sue their employers and demand compensation in the event that work conditions jeopardize their health status.

Another consequence of failing to address immigrant workers job conditions is continued oppression by employers who may take advantage of immigrant desperate measures to secure a job (Milkman, 2011). Health Issue Based on Immigrants to Canada essay example.

Conclusion   

           
Immigrant health status is deteriorating in Canada and other places across the globe due to poor work conditions that face them at the place of work. On most occasions, immigrant workers are forced to undertake riskier jobs to being desperate, lack of education, and lacking official documentation. Changes are however starting to be noticed with the Canadian government undertaking initiatives aimed at addressing Canadian immigrant work condition rights. For long, immigrants’ health has been affected due to unfavorable terms of work. With policy changes starting to be undertaken, immigrant work conditions are beginning to improve bit by bit. Health Issue Based on Immigrants to Canada essay example.

References

Anderson, B. (2010). Migration, immigration controls and the fashioning of precarious workers.
Work, employment and society
,
24
(2), 300-317.

Lucyk, K., & McLaren, L. (2017). Taking stock of the social determinants of health: A scoping review.
Plos ONE
,
12
(5), 1-24.

Milkman, R. (2011). Immigrant workers, precarious work, and the US labor movement.
Globalizations
,
8
(3), 361-372. Health Issue Based on Immigrants to Canada essay example

Preibisch, K., & Otero, G. (2014). Does Citizenship Status Matter in Canadian Agriculture? Workplace Health and Safety for Migrant and Immigrant Laborers.
Rural Sociology
,
79
(2), 174-199.

Stilwell, B., Diallo, K., Zurn, P., Vujicic, M., Adams, O., & Dal Poz, M. (2004). Migration of health-care workers from developing countries: strategic approaches to its management.
Bulletin of the World health Organization
,
82
(8), 595-600.

Zuberi, D., & Ptashnick, M. (2012). In Search of a Better Life: The Experiences of Working Poor Immigrants in Vancouver, Canada.
International Migration
,
50
e60-e93. Health Issue Based on Immigrants to Canada essay example

Nursing Theories and Frameworks sample essay

The intention of this discussion paper is to give students a professional forum to communicate with each other regarding the nursing theories and frameworks they note to be evident in their clinical practice environment. The expectation is that each student will read and learn from each other to gain awareness of evidence informed practice and research in multiple setting of clinical field practice. Nursing Theories and Frameworks sample essay

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TASK

Students are expected to post professional summaries, in APA format, 
minimum 400 words
, that explain how a nursing theory, framework, or evidence based guideline or standard has created improvements to practice and client outcomes in their clinical setting.

 

This
paper
is an essay that discusses one nursing theory and explains how it creates improvements to the clinical and client outcomes. Nursing Theories and Frameworks sample essay

Name of Nursing Theory

Twenty one nursing problems theory.

Discussion

The twenty one nursing problems theory was put forward by Faye Glenn who aimed at knowing the patient in greater detail through the process of answering different questions. Glenn’s theory is centered on the fact that a patient is able to return back to full health once their physical and medical problems are addressed in a comprehensive fashion (Abou et al, 2016) Nursing Theories and Frameworks sample essay. This theory lays a lot of emphasis on the establishment of a cordial and friendly relationship with the patient. It is in so doing that a nurse or physician can be able to explore the sick person in a competent manner and go ahead to suggest the most suitable therapy plan.

The field of nursing is one that is often accompanied by a lot of problems with some of them being too cumbersome for even the most qualified professionals. The twenty one nursing problems theory has enabled doctors, clinicians and nurses to achieve milestones when it comes to the subject matter of patient care (Conard and Pape, 2014). It is through this theory that nurses have been able to understand the importance of questioning their patients and sick clients on a wide array of issues including their health status, communication skills, therapeutic interventions as well as medication alternatives. Nursing Theories and Frameworks sample essay.

The clinical environment is known to have different experiences that all contribute to shaping it in a diverse form. Nursing theories also play their own individual and unique role when it comes to determining the client and practice outcome in a given hospital or medical facility setting (Latif and Nor, 2016). From a personal perspective, I have been able to witness how the twenty one nursing problems theory has been able to make sharp and marked improvements in the practice of nursing. Nursing Theories and Frameworks sample essay The fact that I have seen several clinicians employ this philosophy in their routine operations is a demonstration that this theory makes valuable contributions to the lives of patients and clients.  This deems it important for professionals and experts in the medical and nursing field to embrace such theories in order to improve the delivery of health care to their clients and patients that seek their services.

 

References

Abou El Fadl, R., Blair, M., & Hassounah, S. (2016). Twenty one nursing problems theory.

Conard, P. L., & Pape, T. (. (2014). Roles and Responsibilities Of the Nursing Scholar. Pediatric Nursing, 40(2), 87-90.

Latif, R. A., & Nor, M. M. (2016). Twenty one nursing problems theory. Stressors and Coping     Strategies during Clinical Practices         among Diploma Nursing Students. Education In       Medicine Journal, 8(3), 21-33. doi:10.5959/eimj.v8i3.422

Plos ONE, 11(11), 1-15. doi:10.1371/journal.pone.0166760 Nursing Theories and Frameworks sample essay

Social Determinants of Health Essay Assignment Sample

Assignment Three—Changing the Social Determinants of Health 
40%

In Part Two of the course, we studied how our health is affected by what we eat, where we live, how we work, and our exposure to violence. In Part Three of the course, we will study the political economic context through which our health, or lack of health, is organized. In this Social Determinants of Health Essay Assignment Sample, you will write a short synthesis for each of
week five to week twelve
. Below are guiding questions listed by the corresponding week number:

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What are some of the inherent problems with capitalist food production? How does our social location affect our access to good food?

How does inadequate housing negatively impact our health? What other aspects of our surroundings should we consider? Social Determinants of Health Essay Assignment Sample.

How does the organization of work affect our health? What changes might we make to the way our work is organized to make it safer and healthier for all?

How does violence affect our health? What are some of the forms of violence that affect people locally and/or globally?

What are some policies and practices of settler colonial states toward Indigenous peoples? What are some ways that colonialism affects people’s health locally and/or globally?

How does the capitalist economy affect our health? How does the capitalist economy affect healthcare?

What might medicine look like if it were organized based on human need rather than capitalist imperatives? How might our ideas of health and illness change if we base our society on equity? Social Determinants of Health Essay Assignment Sample

What political interventions are needed to improve people’s health locally and/or globally, especially those who are socially ‘disadvantaged’? What are some challenges to organizing for change?

Assignment Three—The Social Determinants of Health

This paper is an essay that provides answers to several questions related to the study of social determinants of health. Social Determinants of Health Essay Assignment Sample.

Discussion

What are some of the inherent problems with capitalist food production? How does our social location affect our access to good food?

The system of capitalist food production is centered on obtaining food based on a person’s economic and financial capabilities. This means that one’s ability to eat a given meal is particularly pegged on their level of income and standard of living. Capitalist food production poses a lot of problems to the present generation since it denies the poor and underprivileged the chance to enjoy a healthy diet (Varcoe et al, 2016). v

This is because those who have plenty continue to enjoy it at the expense of those who cannot be able to buy a decent meal. The social location is an important factor that determines how people are able to access good and quality food. People who reside in affluent or wealthy neighborhoods are able to enjoy the best quality meals. Additionally, they are able to eat healthy meals because they have the access of all the nutritious food. This is in stark contrast to people living in impoverished places where accessibility to good food is highly limited.

How does inadequate housing negatively impact our health? What other aspects of our surroundings should we consider?

Housing and accommodation is considered an important determinant to health because it provides shelter against harsh and unfriendly weather. Additionally, good housing is able to offer people the amenities that they need to lead a comfortable life. Social Determinants of Health Essay Assignment Sample. People who live or reside in poor or inadequate housing structures often jeopardize their health because they cannot be able to protect themselves in the right manner (Global Health Watch, 2017).For instance, people who live in homes that are poorly roofed or adequately wired with electricity stand a higher chance of contracting different forms of disease and infections.

In fact, this people are at a higher risk of developing serious illnesses such as breathing complications or even respiratory failure. The opposite is true for people who live in decent housing where they get to be sheltered from all forms of health risks. This is why it is important to live in a decent home where people can be protected from harsh weather and unpredictable climate. It is also crucial for surroundings to be clean so as to maintain good hygiene standards for the benefit of one’s health. Social Determinants of Health Essay Assignment Sample.

 How does the organization of work affect our health? What changes might we make to the way our work is organized to make it safer and healthier for all?

Work is an integral pillar of living that provides people the chance to improve their standards of living. However, there are certain professions that increase the risk of people falling ill based on whether they come into contact with health hazards. For instance, people that work with factory emissions, chemicals or even toxic materials are at a higher risk of contracting serious diseases. Similarly, people that work in an office environment all day also lead a sedentary lifestyle that can negatively impact on health (Global Health Watch, 2017).

The organization of work ought to be done in such a manner that it is both safe and healthy for the employee and employer. This means that protective equipment should be given to people working with health hazards while those who work passively should engage in active exercises for their own personal merit. Social Determinants of Health Essay Assignment Sample.

How does violence affect our health? What are some of the forms of violence that affect people locally and/or globally?

The eruption of violence of any form or design is a serious threat to the health of people. This is because violence affects economic stability and it becomes difficult for people to access health care. additionally, violence is known to cause a lot of injury and suffering to its victims such that some of them are left with lifetime scars (Global Health Watch, 2017). Politically instigated violence is one classic example of violence that affects people both locally and globally. This form of violence is known to have a lot of casualties where people are either injured, harmed or even maimed for life. Social Determinants of Health Essay Assignment Sample. Ethnic and tribal clashes are another form of violence that is common in the African continent and it affects the health of people in a myriad of ways. Political and national leaders have the mandate to shun violence since it is a deterrent to the enjoyment of good health.

 What are some policies and practices of settler colonial states toward Indigenous peoples? What are some ways that colonialism affects people’s health locally and/or globally?

           
Colonialism is an age-old practice that is synonymous with the oppression of indigenous and native citizens. The colonial masters were well known for being high handed such that they denied innocent people the access to basic needs and wants. One example of a practice of colonial settler states is that they made social services a preserve of the rich and denied the indigenous people the chance to enjoy them (Global Health Watch, 2017).This is perfectly demonstrated through amenities such as education, health care or even decent housing. The fact that the local people were denied quality and affordable health care meant that they were left to suffer from the complications brought about even by simple infections. Health care is a right that should be accorded every individual despite their social status or position in society. Social Determinants of Health Essay Assignment Sample.

How does the capitalist economy affect our health? How does the capitalist economy affect healthcare?

The capitalist economy is founded upon the principle that people can only access the commodities and assets based on their financial ability. The same reasoning applies to health were people can only access medical facilities based on whether they can afford it or not. This means that even if a person is critically ill and they do not have the money to pay for medication, then little can be done to help them. The capitalist economy has been blamed for making health care very costly and expensive since other countries have even introduced the concept of insurance covers (Global Health Watch, 2017). Social Determinants of Health Essay Assignment Sample.

The latter are meant to make people pay for their own medical care on a regular fashion so that when they fall sick they can walk into a hospital and receive medical attention even if they do not have tangible money. However, this system is also quite expensive since the insurance premiums are supposed to be paid on a monthly basis. The capitalist economy has redefined the meaning of health care and made it an expensive service that can only be enjoyed by the wealthy in society Social Determinants of Health Essay Assignment Sample.

What might medicine look like if it were organized based on human need rather than capitalist imperatives? How might our ideas of health and illness change if we base our society on equity?

Medication and health care would have a totally new meaning if these amenities were organized based on human need. This would allow people to receive quality medical care at the point they needed it instead of suffering due to lack of money to buy drugs or visit a hospital. Social Determinants of Health Essay Assignment Sample. The idea or notion of health would totally change if people based their reasoning on equality and fairness (Global Health Watch, 2017). This approach would make it possible for a person to walk into a hospital or health center and receive treatment for the disease or infection that they may have.

This is a function that has not been made possible by capitalist imperatives which peg a lot of importance on first come first served basis. Additionally, capitalism has made people believe that money is the only resource that dictates whether a person can enjoy good health or not. This reasoning ought to be overturned by social equity as it would streamline the health sector and every person would be assured and guaranteed of accessing medical attention even when they lack enough money. Social Determinants of Health Essay Assignment Sample.

What political interventions are needed to improve people’s health locally and/or globally, especially those who are socially ‘disadvantaged’? What are some challenges to organizing for change?

The improvement of health care requires to be done in an urgent fashion so that it can benefit the people who are termed as socially disadvantaged. This process needs to be done through political interventions where people in power ought to come up with policies and regulations that can fight for the poor and underprivileged in society (Global Health Watch, 2017). An example of how to go about this is by streamlining the medical sector and making health care affordable to every person. Social Determinants of Health Essay Assignment Sample.

This can be done by placing a fair price on medication and at the same time ensuring that doctors do not charge exorbitant prices for their services. However, there are several challenges that are bound to come with the process of organizing for change in the medical sector. Social Determinants of Health Essay Assignment Sample The first one is the issue of financial and monetary resources where it would be such an expensive affair to introduce a streamlined process for accessing medical care. It would require political governments a lot of money to try to equalize the health sector such that people pay the same cost and charge for a similar diagnostic test (Global Health Watch, 2017).

The achievement of equity in a local or global scale is not an easy journey but it would be worthwhile to put it to the test and evaluate its performance in intervals. The evaluation of these questions has shed a lot of light on the topic of social determinants of health and it demonstrates how external factors influence the quality of medical care. Social Determinants of Health Essay Assignment Sample.

 

References

Global Health Watch. 2017. The Revival Of Community Health Workers In National Health        Systems.

Global Health Watch .2017. Climate Cr.

Global Health Watch. 2017.  UNICEF and the ‘medicalisation’ of ­malnutrition in children.

Global Health Watch .2017 Private Sector Influence On Public Health Policy. Social Determinants of Health Essay Assignment Sample

Global Health Watch .2017. The pharmaceutical industry and pharmaceutical endeavor.

Global Health Watch .2017. Cholera Epidemic In Haiti

Global Health Watch .2017. The Movement For Change.

Global Health Watch .2017.  Cuba’s International Cooperation In Health

Global Health Watch .2017. Aboriginal Communit Y-Controlled Health Services In Australia.

Global Health Watch .2017. Aboriginal Community-Controlled Health Services In Australia.

Varcoe, C. Pauly, B and Shari. L. (2016). Intersecting justice and influencing policy. Health         Inequities in Canada : Intersectional Frameworks and Practices. Social Determinants of Health Essay Assignment Sample

Families dealing with Dementia Essay

Develop a paper on the topic :
Families dealing with Dementia

Introduction

 Overview of paper -content, organization, objectives

 Identification and defense of topic choice

 Inform the reader what the paper will be discussing

Overview and Background-Key aspects of topic related to family health

 The student will assess current resources and services available to the target population of families and identify areas that reflect gaps in care. Families dealing with Dementia Essay.

 Discussion of what is currently being done? Who does this effect? How does this effect nursing care provided?

 What circumstances have changed or needs to be changed that makes a new nursing approach necessary?

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Critical analysis

 Discussion regarding impact of issue on the family and nursing, supported by literature

 Critical analysis of the literature using nursing research and practice-based sources. Families dealing with Dementia Essay.

 Investigate the quantitative and qualitative research that identifies gaps, barriers or areas of struggle for families as related to the health care system and/or nursing care.

 Discussion of your ideas, including critical analysis and rationale for recommendations and options that would fill the gap and serve family care.

 Integration of appropriate scholarly literature

 Demonstration of critical thinking and scholarly thought

New Recommendation

 Discussion of new nursing recommendation/approach

 Discussion of pros and cons related to new recommendation/approach

 Identifies how new approach can be implemented. Families dealing with Dementia Essay.

 Uses creativity in developing different nursing approach(es) that will address any gap(s). Explain how the new approach may be implemented and the role of the nurse. Throughout this paper ensure to maintain a nursing focus related to families and support your ideas with references. Families dealing with Dementia Essay.

Conclusion

 

When referring to Dementia one must recognize the fact that it is a broad categorization of diseases/ illnesses. However, all are related and attack the same specific part of the body in human anatomy. Dementia is, therefore, a broad category of brain-related ailments, its long-term effects include gradual decrease in the ability of an individual to think and remember things that are core to human existence. These, in turn, lead to interruptions of daily functioning of the ailing patient. Several notable symptoms consist of problems with language, emotional difficulties and persistent decrease in motivation. Families dealing with Dementia Essay. Interestingly consciousness is not affected. Other functions that get changed are; ability to pay attention and focus continuously, visual perception, coordination and motor functions, judgment and reasoning capacity as well as communication. People battling the above often have a short memory, for instance, it is hard to remember pending bills, commitments regarding dates and appointments. Keeping track of personal belongings for example wallets and purses may also prove to be daunting.  There are different types of dementia which are; vascular dementia, Lewy body, Frontotemporal, Parkinson’s disease and others. However the most common and occurring is Alzheimer’s disease, of all reported and diagnosed cases it accounts for two-thirds of the patients making it the most popular form of Dementia (Clarke et al, 2016). It is common to have various types of Dementia in one body, and some cases run through the family hence passed down through generations genetically Families dealing with Dementia Essay. It is worth noting that these cases are very few. These diseases have no known cure, the efforts taken globally are to reduce the risk factors that may bring about the development of dementia. High blood pressure, obesity, diabetes, smoking must end. For a family living with Dementia, it is troubling to see your kin suffer, some have spent a considerable amount of wealth in search of a cure rendering their families impoverished. Denial, anger, loneliness, and fear may engulf the patient and the family due to various myths and misconceptions circulated not understanding that the condition is manageable. In today’s world, it is impossible for the working class to take care of their kin once diagnosed with this ailment. Families dealing with Dementia Essay. These are due to their commitments, and they also need to work to provide for their families, this fact is apparent that the typical human being is not able to give the recommended professional care. Both the rich and the unfortunately result into placing the sick into the hand of caregivers who provide quality services either at home or at their facilities. Families dealing with Dementia Essay.

OVERVIEW AND BACKGROUND

Several organizations have emerged due to the needs that have arisen. These groups exist for the sole purpose of supporting, educating and training people on the disease. For instance, relatives need to understand that there is a change in the patients functioning, this prevents them from scolding the patients every time they mess up but put up systems to facilitate them on their duties. Training on how to handle patients is undertaken for example to ensure medication prescribed is accurate (Backhouse et al, 2017). In nations such as New Zealand, such organizations have established websites. Here families get to interact among themselves and share their journey. These give motivation to others to also conquer some of the difficulties they may face. It may not be possible to visit a physiatrist and afford the consultation fees required, but these organizations offer free clinics, free advice to patients and check up on them. However people still discriminate against this ailment terming the patients mad, others brutalized for lack of information, neglected as the cost of treatment is high. These is as a result of the presence of gaps in the areas of training staff, caregivers and family members. There is also a problem with patients receiving medication and help too late into the ailment Families dealing with Dementia Essay. The help becomes of little impact in improving his/ her health. Information Technology system is not compatible enough to provide better and quality services to detect faint symptoms during its earliest stages.

The existence of online communities globally is essential in sensitization to this diseases, people today take healthier food, control weight, and blood sugar to avoid such complications in future. One of the most significant of the progress is the publications of side effects of smoking on the tobacco packages globally. This act has led to a consistent decline in smoking. Funding is pumped into research and health organizations to develop cures as well as treat the ill. It has led to the hiring of more competent caregivers who can go round attending to those at home. These provide affordable and standard treatment by qualified professionals hence the patients are living a more dignified life. The world health organization projects that minimising the risk factors prevents 50.07% of infections it has therefore recognized the need to have nurses conduct training and sensitization camps to help educate the public in what is now health promotion and client education Families dealing with Dementia Essay.

Earlier nursing homes did not attract a considerable number of ailing patients due to problems like lack of individualized care. Families dealing with Dementia Essay. Those caregivers doing rounds in dwellings suffered a lot. For instance, through the hands of families and friends of the victims who become relentless and do not provide adequate operating space to work. These led to the development of a new approach to facilitate the smooth running of nursing homes, provide sufficient and quality based care as well as winning hearts of the patient’s family and friends. Simple and innovative ways, such as improving quality of life is the way to go (Leahey et al, 2016). For the patient and their family comfort is all they require, simple tasks like carrying a doll or eating a specific snack provide the patient with peace of mind and joy, calming them down and cooling erratic behaviours. Research that drew significant improvements in the patients evidently proved that one should identify tasks that are of the patient’s interest and develop a plan on how to implement them on a daily basis. It is recorded that engagement in this activities reduce argumentativeness and agitation by patients improving their confidence significantly Families dealing with Dementia Essay.

CRITICAL ANALYSIS

Occurring in mostly the aged, most people suffering from dementing illnesses require care by a family member, this brings about social, physical, monetary and psychological effects on the family. These may significantly affect one’s career due to high-stress levels and clinical depression which occur in the affected. Many people often have to pick and choose whether to take care of an ailing family member or involve caregivers and institutions. It has created jobs in the health sector whereby more nurses are hired to take care of patients at their homes or in caregiving institutions. An, estimated 30 million people have dementia Families dealing with Dementia Essay. The number also doubles every 20 years. These translates to about 10 million people in the United States of America providing care to family members. In the world, 75% of the patients eventually are taken in by family members who include their sibling, children, and spouses who contribute the highest number of caregivers. Most spouses, wives consist of the most senior number taking care of, their husbands 60%, there is also the most significant proportion of informal caregivers who do not benefit from any amount regarding a salary of allowance (Lethin et al 2016). Families dealing with Dementia Essay.

Estimations show that 44% of those providing care in globally are below the age of 18 this translates into a 306 billion dollars of unpaid wages and allowances. These young ones are mostly looking after their aged parent or grandparents hence may not even recognize the urge to request payments due to the bonds formed during parenting and lack of better alternatives. Families dealing with Dementia Essay Of all caregivers Sanders noted that between 55% and 90% of the caregiving family members, enjoyed activities with their relatives, sense of togetherness, increased faith, feeling of a reciprocal bond and feelings of accomplishments and mastery during the period which they provided care (Kasper et al 2015). Following the above those who wish to propel their careers and do not prefer to provide care themselves they admit their ailing into homes. Similarly, they too are not immune to, stress and depression. Their only delegated duty is providing round the clock care which nurses do at the shelters. Nurses identify the various types of dementia and understand the roadmap through which to provide care to their residents. They hence focus on the remaining abilities of the ailing to promote their well-being. Families dealing with Dementia Essay.

Being a broad spectrum of activities caregiving homes should take advantage and establish proper systems to distance themselves with ancient beliefs tainting their names. Disease brought down families physically and financially, once an individual gets convinced of quality care of their relative, there would be no hesitation in admitting them in a residency.  Majority of people living with dementia symptoms live in developing countries. These outline the need for their relatives to work to support the other family members. In developing countries, there is a wide gap between the rich and poor and majority living below the poverty line. Therefore no one should quit a job to give care (DILLARD 2016). Work is essential for survival. Consequently, it is vital for the government and all stakeholders to invest heavily in technology to detect the disease at an early stage. It is also crucial that the public sensitization on the need to avoid social norms that lead to Dementia later on as they age. Families dealing with Dementia Essay.

NEW RECOMMENDATION

The sad reality is that Dementia currently has no cure. It implies that those who have it must live and die with it. Research has shown that half of that population of octogenarians die in nursing homes. These have sparked outrage all over by stakeholders demanding for a gentler approach to how they are taken care off at the hospices. Due to the constant rise in the number of the aged and that of the ailment, the current personal-based and the recovery based approach have been reviewed to establish the better method in the care of the elderly living with Dementia. The recovery-based model is broader and underlines the personal based responsibility. It is better as it allows the patient’s involvement in the activities undertaken. It is a form of empowerment as one chooses how they wish to live in their community. The approach advocates for social inclusion, self-management, and hope in all activities undertaken. Through various studies, it has shown significant progress in boosting confidence and self-esteem among the ailing (Yerushalmi et al, 2014) Families dealing with Dementia Essay.

The recovery-based approach requires one to be their own expert whereby they even identify critical stress point and ways on how to manage them. With the help of a nurse, the patients acquire guidance on methods or techniques through which they can implement their plan. For example, one may be required to eat a favourite snack or hold a doll to divert attention from a stress point. This method has revolutionized mental health treatment. People are provided with a sense of comfort and hope that Families dealing with Dementia Essay.  This approach, however, adds burdens to already overstretched families this therapy is expensive, it also undermines the role of professionalism in treating mental problems in the society.

CONCLUSION

Mental health is not a walk in the park, any form of dementia however faint is a call to distress however it is a manageable ailment when discovered early. It is therefore essential that one undergoes check-ups and establishes a healthy living plan to avoid the stress factors that may lead to them. Having no cure adds to the discord in some cases people abandoned by their families at nursing homes seen as a burden. The development of a new approach by nursing institutions is changing the tide and bringing about hope in tackling the ailment. However, more support from all stakeholders is required to reduce the enormous numbers anticipated in the future. Families dealing with Dementia Essay.

 

References

Backhouse, A., Ukoumunne, O. C., Richards, D. A., McCabe, R., Watkins, R., & Dickens, C. (2017). The effectiveness of community-based coordinating interventions in dementia care: a meta-analysis and subgroup analysis of intervention components.
BMC Health Services Research
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17
1-10. doi:10.1186/s12913-017-2677-2

Clarke, P. B., Adams, J. K., Wilkerson, J. R., & Shaw, E. G. (2016). Wellness-Based Counseling for Caregivers of Persons with Dementia.
Journal Of Mental Health Counseling
,
38
(3), 263-277. Families dealing with Dementia Essay.

DILLARD, B. (2016). Bridging the gap.
Fort Worth Business Press
,
29
(28), 18.

Kasper, J. D., Freedman, V. A., Spillman, B. C., & Wolff, J. L. (2015). The Disproportionate Impact Of Dementia On Family And Unpaid Caregiving To Older Adults.
Health Affairs
,
34
(10), 1642-1649. doi:10.1377/hlthaff.2015.0536

Leahey, M., & Wright, L. M. (2016). Application of the Calgary Family Assessment and Intervention Models.
Journal Of Family Nursing
,
22
(4), 450-459. doi:10.1177/1074840716667972

Lethin, C., Hallberg, I. R., Karlsson, S., & Janlöv, A. (2016). Family caregivers experiences of formal care when caring for persons with dementia through the process of the disease.
Scandinavian Journal Of Caring Sciences
,
30
(3), 526-534. doi:10.1111/scs.12275

Yerushalmi, H., & Lysaker, P. H. (2014). The Recovery Approach to Rehabilitation: Implementation in Supervision.
Journal Of Social Work Practice
,
28
(1), 59-73. doi:10.1080/02650533.2013.828277 Families dealing with Dementia Essay.

Quality Improvement Initiative Evaluation Essay Assignment.

Assignment: Quality Improvement Initiative Evaluation

Deliver a 5 page analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to specific disease, condition, or public health issue of personal or professional interest to you.

Too often, discussions about quality health care, care costs, and outcome measures take place in isolation—each group talking among themselves about results and enhancements. Because nurses are critical to the delivery of high-quality, efficient health care, it is essential that they develop the proficiency to review, evaluate performance reports, and be able to effectively communicate outcome measures related to quality initiatives. The nursing staff’s perspective and the need to collaborate on quality care initiatives are fundamental to patient safety and positive institutional health care outcomes. Quality Improvement Initiative Evaluation Essay Assignment.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

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o Competency 2: Plan quality improvement initiatives in response to routine data surveillance.

 Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.

o Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.

 Analyze a current quality improvement initiative in a health care setting.

 Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.

o Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality

 Incorporate interprofessional perspectives related to initiative functionality and outcomes.

o Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.

 Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling. Quality Improvement Initiative Evaluation Essay Assignment.

 Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

 Context

The purpose of the report is to assess whether specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics. Nurses and other health professionals with specializations and/or interest in the condition, disease, or the selected issue are your target audience.

Questions to Consider

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 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. Quality Improvement Initiative Evaluation Essay Assignment.

Reflect upon data use in your organization as it relates to adverse events and near-miss incidents.

o How does your organization manage and report on adverse events or near-miss incidents?

o What data from your organization’s dashboards help inform adverse events and near-miss incidents?

o What additional metrics or technology are you aware of that would help ensure patient safety?

o What changes would you like to see implemented to help the interprofessional team better understand data use and data trends as quality and safety improvement tools?

• Resources

Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The Nursing Masters (MSN) Research Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Capella provides a thorough selection of online resources to help you understand APA style and use it effectively.

o APA Module. Quality Improvement Initiative Evaluation Essay Assignment.

Quality Improvement Initiatives

These resources explore how quality initiatives are applied in clinical settings.

o Vachon, B., Desorcy, B., Gaboury, I., Camirand, M., Rodrigue, J., Quesnel, L., . . . Grimshaw, J. (2015). Combining administrative data feedback, reflection and action planning to engage primary care professionals in quality improvement: Qualitative assessment of short term program outcomes. BMC Health Services Research, 15, 1–8.

o Abdallah, A. (2014). Implementing quality initiatives in healthcare organizations: Drivers and challenges. International Journal of Health Care Quality Assurance, 27(3), 166–181.

This article addresses competing quality improvement projects in organizations.

o Nyström, M. E., Garvare, R., Westerlund, A., & Weinehall, L. (2014). Concurrent implementation of quality improvement programs: Coordination or conflict? International Journal of Health Care Quality Assurance, 27(3), 190–208 Quality Improvement Initiative Evaluation Essay Assignment.

Benchmarks for Quality Indicators

These databases provide recognized benchmarks for quality indicators.

o Montalvo, I. (2007).The national database of nursing quality indicators. Online Journal of Issues in Nursing, 12(3), 1–11.

o The Joint Commission. (2017). National patient safety goals. Retrieved from https://www.jointcommission.org/standards_information/npsgs.aspx

• Assessment Instructions

Preparation

You have been asked to prepare and deliver an analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to a specific disease, condition, or public health issue of personal or professional interest to you. The purpose of the report is to assess whether specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics.

Your target audience consists of nurses and other health professionals with specializations or interest in your selected condition, disease, or issue. In your report, you will define the disease, analyze how the condition is managed, identify the core performance measurements used to treat or manage the condition, and evaluate the impact of the quality indicators on the health care facility:

Note: Remember, you can submit all, or a portion of, your draft to Smarthinking for feedback, before you submit the final version of your analysis for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service. Quality Improvement Initiative Evaluation Essay Assignment.

The numbered points below correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Quality Improvement Initiative Evaluation addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels that relate to each grading criterion.

1. Analyze a current quality improvement initiative in a health care setting.

 Evaluate a QI initiative and explain what prompted the implementation. Detail problems that were not addressed and any issues that arose from the initiative. Quality Improvement Initiative Evaluation Essay Assignment.

2. Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.

 Analyze the benchmarks that were used to evaluate success. Detail what was the most successful, as well as what outcome measures are missing or could be added.

3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.

 Integrate the perspectives of interprofessional team members involved in the initiative. Detail who you talked to, their professions, and the impact of their perspectives on your analysis.

4. Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative. Assignment: Quality Improvement Initiative Evaluation

 Recommend specific process or protocol changes as well as added technologies that would improve quality outcomes.

5. Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.

6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Submission Requirements

o Length of submission: A minimum of five but no more than seven double-spaced, typed pages.

o Number of references: Cite a minimum of four sources (no older than seven years, unless seminal work) of scholarly peer reviewed or professional evidence that support your interpretation and analysis.

o APA formatting: Resources and citations are formatted according to current APA style and formatting. Quality Improvement Initiative Evaluation Essay Assignment.

Quality Improvement Initiative Evaluation Scoring Guide

Quality Improvement Initiative Evaluation Scoring Guide

Criteria Non-performance Basic Proficient Distinguished

Analyze a current quality improvement initiative in a health care setting. Does not describe a current quality improvement initiative in a health care setting. Describes a current quality improvement initiative in a health care setting, but fails to analyze the origins and results of the initiative. Analyzes a current quality improvement initiative in a health care setting. Analyzes a current quality improvement initiative in a health care setting, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis) Quality Improvement Initiative Evaluation Essay Assignment.

Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures. Does not evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures. Attempts to evaluate the success of a quality improvement initiative, but fails to use recognized benchmarks and outcome measures. Evaluates the success of a current quality improvement initiative through recognized benchmarks and outcome measures. Evaluates the success of a current quality improvement initiative through recognized benchmarks and outcome measures, and identifies assumptions on which the analysis is based.  Assignment: Quality Improvement Initiative Evaluation

Incorporate interprofessional perspectives related to initiative functionality and outcomes. Does not incorporate interprofessional perspectives related to initiative functionality and outcomes. Attempts to incorporate interprofessional perspectives, but includes insufficient interprofessional feedback related to initiative functionality and outcomes. Incorporates interprofessional perspectives related to initiative functionality and outcomes. Incorporates interprofessional perspectives related to initiative functionality and outcomes, and identifies areas of uncertainty, knowledge gaps, and additional information that would be needed in order to gain a more complete understanding. Quality Improvement Initiative Evaluation Essay Assignment.

Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative. Does not recommend additional indicators and protocols to improve and expand outcomes of a quality initiative. Attempts to recommend additional indicators and protocols, but fails to make a case for why recommendations could improve or expand quality outcomes. Recommends additional indicators and protocols to improve and expand outcomes of a quality initiative. Recommends additional indicators and protocols to improve and expand outcomes of a quality initiative, and impartially explains the pros and cons of these recommendations.

Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling. Quality Improvement Initiative Evaluation Essay Assignment. Does not communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling. Attempts to communicate evaluation and analysis in a professional and effective manner, but content is not consistently clear and logical, or errors in use of grammar, punctuation, or spelling distract from the message. Communicates evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling. Communicates evaluation and analysis in a professional and effective manner. Content is clear, logical, and persuasive; grammar, punctuation, and spelling are without errors. Quality Improvement Initiative Evaluation Essay Assignment.

Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style. Does not integrate relevant sources to support arguments, correctly formatting citations and references using current APA style. Sources lack relevance or are poorly integrated, or citations or references are incorrectly formatted. Integrates relevant sources to support arguments, correctly formatting citations and references using current APA style. Integrates relevant sources to support assertions, correctly formatting citations and references using current APA style. Citations are free from all errors. Assignment: Quality Improvement Initiative Evaluation. Quality Improvement Initiative Evaluation Essay Assignment

Assessment 3: Data Analysis and Quality Improvement Initiative Proposal Overview

Prepare an 8-page data analysis and quality improvement initiative proposal based on a health issue of professional interest to you. The audience for your analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative.

”A basic principle of quality measurement is: If you can’t measure it, you can’t improve it” (Agency for Healthcare Research and Quality, 2013).

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Health care providers are on an endless quest to improve both care quality and patient safety. This unwavering commitment requires hospitals and care givers to increase their attention and adherence to treatment protocols to improve patient outcomes. Health informatics, along with new and improved technologies and procedures, are at the core of virtually all quality improvement initiatives. The data gathered by providers, along with process improvement models and recognized quality benchmarks, are all part of a collaborative, continuing effort. As such, it is essential that professional nurses are able to correctly interpret, and effectively communicate information revealed on dashboards that display critical care metrics. Assessment 3: Data Analysis and Quality Improvement Initiative Proposal.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

o Competency 2: Plan quality improvement initiatives in response to routine data surveillance.

 Outline a QI initiative proposal based on a selected health issue and supporting data analysis.

o Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.

 Analyze data to identify a health care issue or area of concern.

o Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality. Assessment 3: Data Analysis and Quality Improvement Initiative Proposal.

 Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.

o Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.

 Apply effective communication strategies to promote quality improvement of interprofessional care.

 Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.

Reference

Agency for Healthcare Research and Quality. (2013). Preventing falls in hospitals. Retrieved from https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk5.html#tiptop\

Questions to Consider. Assessment 3: Data Analysis and Quality Improvement Initiative Proposal

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 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. Assessment 3: Data Analysis and Quality Improvement Initiative Proposal.

Reflect on QI initiatives focused on measuring and improving patient outcomes with which you are familiar.

o How important is the role of nurses in QI initiatives?

o What quality improvement initiatives have made the biggest difference? Why?

o When a QI initiative does not succeed as planned, what steps are taken to improve or revise the effort?

Required Resources

MSN Program Journey

Please review this guide for your degree program. It can help you stay on track for your practicum experience, so you may wish to bookmark it for later reference.

Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The Nursing Masters (MSN) Research Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Capella Resources Assessment 3: Data Analysis and Quality Improvement Initiative Proposal.

Capella provides a thorough selection of online resources to help you understand APA style and use it effectively.

o APA Module.

Capella Multimedia

Use this media piece if you do not have access to dashboard metrics to complete the final assessment.

o Vila Health: Data Analysis | Transcript. Assessment 3: Data Analysis and Quality Improvement Initiative Proposal

Quality Improvement Examples and Results

These resources explore the effectiveness and lessons learned from various quality improvement initiatives.

o Ohde, S., Terai, M., Oizumi, A., Takahashi, O., Deshpande, G. A., Takekata, M., . . . Fukui, T. (2012). The effectiveness of a multidisciplinary QI activity for accidental fall prevention: Staff compliance is critical. BMC Health Services Research, 12, 197.

o Berman, J., Nkabane, E. L., Malope, S., Machai, S., Jack, B., & Bicknell, W. (2014). Developing a hospital quality improvement initiative in Lesotho. International Journal of Health Care Quality Assurance, 27(1), 15–24.

These articles showcase examples of strategic QI projects.

o Nazir, A., Dennis, M. E., & Unroe, K. T. (2015). Implementation of a heart failure quality initiative in a skilled nursing facility: Lessons learned. Journal of Gerontological Nursing, 41(5), 26–33.

o Schoenfelder, S. L., Wych, S., Willows, C. A., Harrington, J., Christoffel, K. K., & Becker, A. B. (2013). Engaging Chicago hospitals in the baby-friendly hospital initiative. Maternal and Child Health Journal, 17(9), 1712–1717.

This resource evaluates a QI initiative based on a communication strategy.

o Wysham, N. G., Mularski, R. A., Schmidt, D. M., Nord, S. C., Louis, D. L., Shuster, E., . . . Mosen, D. M. (2014). Long-term persistence of quality improvements for an intensive care unit communication initiative using the VALUE strategy. Journal of Critical Care, 29(3), 450–454 Assessment 3: Data Analysis and Quality Improvement Initiative Proposal.

Benchmarks for Quality Indicators

These databases provide recognized benchmarks for quality indicators.

o Montalvo, I. (2007). The national database of nursing quality indicators. Online Journal of Issues in Nursing, 12(3), 1–11.

o The Joint Commission. (2017). National patient safety goals. Retrieved from https://www.jointcommission.org/standards_information/npsgs.aspx

• Assessment Instructions

Preparation

In this assessment, you will propose a quality improvement (QI) initiative proposal based on a health issue of professional interest to you. The QI initiative proposal will be based on an analysis of dashboard metrics from a health care facility. Assessment 3: Data Analysis and Quality Improvement Initiative Proposal You have one of two options:

Option 1

If you have access to dashboard metrics related to a QI initiative proposal of interest to you:

o Analyze data from the health care facility to identify a health care issue or area of concern. You will need access to reports and data related to care quality and patient safety. If you work in hospital setting, contact the quality management department to obtain the data you need.

o You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. Assessment 3: Data Analysis and Quality Improvement Initiative Proposal. You are expected to abide by HIPAA compliance standards.

Option 2

If you do not have access to a dashboard or metrics related to a QI initiative proposal:

o You may use the hospital data set provided in the media piece titled Vila Health: Data Analysis. You will analyze the data to identify a health care issue or area of concern.

o You will follow the same instructions and provide the same deliverables as your peers who select Option 1.

Instructions

Analyze dashboard metrics related to the selected issue.

o Provide the selected data set in the proposal Assessment 3: Data Analysis and Quality Improvement Initiative Proposal.

 Assess the stability of processes or outcomes.

 Delineate any problematic variations or performance failures.

o Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.

 Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.

o Outline a QI initiative proposal based on the selected health issue and data analysis.

 Identify target areas for improvement.

 Define what processes can be modified to improve outcomes.

 Propose strategies to improve quality.

 Define interprofessional roles and responsibilities as they relate to the QI initiative.

 Provide recommendations for effective communication strategies for the interprofessional team to ensure the success of the QI initiative. Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team.

o Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Note: Remember, you can submit all, or a portion of, your draft to Smarthinking for feedback, before you submit the final version of your analysis for this assessment Assessment 3: Data Analysis and Quality Improvement Initiative Proposal. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.

The numbered points below correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Quality Improvement Initiative Evaluation addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels that relate to each grading criterion.

1. Analyze data to identify a health care issue or area of concern.

 Identify the type of data you are analyzing (from your institution or from the media piece).

 Discuss why the data matters, what it is telling you, and what is missing.

 Analyze dashboard metrics and provide the data set in the proposal.

 Present dashboard metrics related to the selected issue.

 Delineate any problematic variations or performance failures.

 Assess the stability of processes or outcomes.

 Evaluate the quality of the data and what can be learned from it.

 Identify trends, outcome measures and information needed to calculate specific rates.

 Analyze what metrics indicate opportunities for quality improvement.

2. Outline a QI initiative proposal based on a selected health issue and supporting data analysis.

 Identify benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.

 Identify existing QI initiatives related to the selected issue, and explain why they are insufficient.

 Identify target areas for improvement, and define what processes can be modified to improve outcomes.

 Propose evidence-based strategies to improve quality. Assessment 3: Data Analysis and Quality Improvement Initiative Proposal.

 Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.

 Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.

3. Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.

 Define interprofessional roles and responsibilities as they relate to the data and the QI initiative.

 Explain how you would you make sure that all relevant roles are fully engaged in this effort.

 Explain what non-nursing concepts would you incorporate into the initiative?

 Identify how outcomes to measure the effect of the intervention affect the interprofessional team.

 Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team. Describe how work-life quality is improved or enriched by the initiative.

4. Apply effective communication strategies to promote quality improvement of interprofessional care.

 Identify the kind of interprofessional communication strategies that will be effective to promote and ensure the success of this performance improvement plan or quality improvement initiative.

 In addition to writing, identify communication models (like CUS, SBAR) that you would include in your initiative proposal.

5. Communicate evaluation aAssessment 3: Data Analysis and Quality Improvement Initiative Proposalnd analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.

6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Submission Requirements

o Length of submission: 8 double-spaced, typed pages, not including title and reference page.

o Number of references: Cite a minimum of five sources (no older than seven years, unless seminal work) of scholarly, peer-reviewed, or professional evidence that support your evaluation, recommendations, and plans. Assessment 3: Data Analysis and Quality Improvement Initiative Proposal.

NUR 315 Case Study: Wound Healing and Tissue Repair Essay

NUR 315 1-2 Case Study: Wound Healing and Tissue Repair

Case Study: Wound Healing and Tissue Repair

You are a nurse working the day shift and have been assigned to five patients. One of your patients is an 89-year-old male with a stage III decubitus ulcer to his coccyx. The healthcare provider is planning to discharge him to a long-term facility today and would like you to discuss wound healing with him and his wife. Please use the following prompts to guide your analysis, and use evidence from the literature to support your answers. NUR 315 Case Study: Wound Healing and Tissue Repair Essay.

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Distinguish between the main types of healing: first-intention and second-intention.

Discuss at least three factors that can delay wound healing, and identify some strategies to improve wound healing.

Explain the four phases of wound healing, identifying the role that the extracellular matrix plays in the process.

For additional details, please refer to the 
Case Study Guidelines and Rubric
 document.

Case Study: Wound Healing and Tissue Repair

NUR 315 Case Study Guidelines and Rubric

Critical thinking is a habit of mind characterized by the comprehensive exploration of issues, ideas, artifacts, and events before accepting or formulating an opinion or conclusion. Case studies are meant to connect real-world scenarios with theoretical teachings. You are expected to test assumptions and find creative ways to consider all the facets contributing to analysis of the case.

Case Study: Wound Healing and Tissue Repair

Prompt:

For each case study, be sure to:

Introduce main elements and concerns and identify the

Use the associated questions to guide your paper and explain the pathology in the development of a plan of

Explain the role patient-care technologies (i.e., point of care testing, computer provider order entry, bar-coding medication administration, EMR/EHR) in caring for the individual(s). NUR 315 Case Study: Wound Healing and Tissue Repair Essay.

Apply critical thinking in analyzing and interpreting the

Include evidence to support your analysis of the

Write clearly and concisely, following standard rules of

 

Guidelines for Submission: 
Your paper must be submitted as at least a 2-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least two peer-reviewed sources cited in APA format.

 

Critical Elements

Exemplary (100%)

Proficient (85%)

Needs Improvement (55%)

Not Evident (0%)

Value

Pathology: Introduction and Identification

Meets “Proficient” criteria and uses industry-specific language and is exceptionally clear and well-informed

Introduces the reader to specific themes and main elements of the assigned case study without any gaps and precisely identifies specificpathology

Introduces the reader to specific themes and main elements of the assigned case study and identifies the pathology, but with gaps ininformation presented

Does not accurately introduce the reader to specific themes and main elements of the assigned case study and does not identify the pathology

15

Pathology: Explanation and Plan of Care

Meets “Proficient” criteria and uses industry-specific language to establish expertise

Comprehensively explains the pathological condition in the development of plan of care for the individual in the assignedcase study without any gaps

Explains the pathological condition in the development of plan of care for the individual in the assigned case study, butwith gaps

Does not explain the pathological condition in the development of plan of care for the individual in the assignedcase study

20

Response to Questions

Meets “Proficient” criteria and seamlessly incorporates these responses into the submission

Thoroughly addresses all prompts from the case study and comprehensively exploresissues, ideas, and concerns

Adequately addresses most prompts included in the case study, but does not exploreissues, ideas, or concerns

Addresses less than half of the prompts from the case study

NUR 315 Case Study: Wound Healing and Tissue Repair Essay

25

 

 

Patient-Care Technologies

Meets “Proficient” criteria, and explanation is exceptionally clear and well-informed

NUR 315 Case Study: Wound Healing and Tissue Repair Essay

Accurately explains the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study without anygaps

Accurately explains the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study, but withgaps in information given

Does not accurately explain the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study

15

Incorporation of Resources

Incorporates more than two discipline-specific, peer- reviewed journal articles and one source from an interdisciplinary, peer-reviewed journal. Viewpoints of expertsare analyzed and well-informed

Incorporates sources of evidence from at least two discipline-specific, peer- reviewed journal articles

Incorporates at least two sources of evidence from peer- reviewed journals, but fails to make connection to case study clear

Does not incorporate at least two sources of evidence from a peer-reviewed journal

15

Articulation of Response (APA/Mechanics)

Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-readformat

Submission has no major errors related to citations, grammar, spelling, syntax, or organization

Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation ofmain ideas

Submission has critical errors related to citations, grammar, spelling, syntax, or organization that obstruct understanding

10

Earned Total NUR 315 Case Study: Wound Healing and Tissue Repair Essay

100%

Mental Health Case Study – gender identity disorder sample essay

Mental Health Case Study

This paper is an essay that evaluates a fictional clinical case and provides solutions based on a sampled medical and mental condition.

Case Study-Paulee.

Response

How would you respond to Semara in trying to help her be assessed by a professional given   what sounds like an emergency situation? (3 marks)

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Paulee is a patient who is suffering from gender identity disorder and this condition has affected her emotional and mental well-being. This lady believes that she is supposed to be a man and her thoughts have clogged her mind such that she has developed suicidal tendencies. The best approach of responding to such a situation is to try and reach out to her through other people who are either transgender or are activists of such issues (Carabez and Scott, 2016). Mental Health Case Study – gender identity disorder sample essay.

The process of relating to a person who is struggling with the same issue is known to be therapeutic and it can even help Paulee to heal from depression and even drop her suicidal thoughts.  This people can also convince her to accept to talk to a professional because her cutting stints are an indication that she is definitely in an emergency situation (Chapman et al, 2012). I believe that communicating with the transgender community and also seeking professional help can really save Paulee from taking her own life. Mental Health Case Study – gender identity disorder sample essay.

Form(s)

What form(s) would she be admitted into the hospital under and why? (3 marks)

The above response is one of the approaches that can be used to persuade or even influence Paulee to seek help from a professional counselor or medic regarding her present medical condition. However, it is possible that she may not play along with the plan or even agree to visit the hospital. Hence, it would be critical if some other form of intervention is used since even her partner has been unable to check her into a medical facility. One of the ways to get Paulee into the hospital is by sedating her. Mental Health Case Study – gender identity disorder sample essay.

The latter is one option that can help in this scenario as the patient often gets violent and throws dangerous objects at people  (Faught, 2016). As such, the patient deserves to be in an incapacitated state where she is not in control and can be carried by others. Mental Health Case Study – gender identity disorder sample essay. Alternatively, Paula can also be anesthetized and then taken to the hospital (Levitt, 2015). This means that she would be unconscious for sometime and this would allow her partner as well as the physician to  transport her to a medical facility with ease.

Conditions/Concerns

What type of condition(s) do you think that Paulee has and what are your concerns? (3 marks)

I believe that Paulee is possibly suffering from gender identity disorder, which is a condition where a person believes that their sex does not match with the gender they have. Further, this type of condition is known to manifest in people who believe that they were born as the wrong person and they require to transition to another form in order for them to accept themselves  (Lim and Bernstein, 2012). Mental Health Case Study – gender identity disorder sample essay. This is the same scenario that has affected Paulee because she keeps on cutting herself around her inner thighs and this reflects that she believes she was supposed to be a man.

Additionally, the depressive state that this patient often suffers from could be a symptom of dysphoria where the person feels as though they are in a distressful situation. Dysphoria is known to affect most people who are struggling with transgender issues because they feel that they are not satisfied with the identity of their gender (Roller et al, 2015). Consequently, they begin to develop serious thoughts that if not treated deteriorate to become suicidal and depressive in nature. Paulee is suffering from these two conditions that and she ought to seek medical attention in order to save her life.

Nursing Care

What type of nursing care would you try to provide for Paulee if she was admitted to your unit? Think about the priorities of care as well as on-going care within the unit (6 marks)

The best form of nursing care that Paulee deserves to get is the personalized care where the patient gets to be assisted by a medical personnel in a different way from the conventional diagnose-treat approach. Personal care centers its efforts on making sure that the patient can be able to be attended to by the nurse at all times and in an all-rounded manner (Margolies, 2014).

The nurse in this case should be able to offer Paulee much more than the usual medicines. One way of going about it is trying to establish a connection with the patient so as to understand what troubles them deeply. From here, the nurse can be able to know how to help them deal with their depressive thoughts such as encouraging them to think positively and embrace themselves (Margolies, 2014). The nurse could even offer advice in case they have worked with transgender patients before so that Paulee can be able to relate.

It would also help to keep motivating the patient by helping them to focus on their good sides and achievements in life. In so doing, this person can be able to look above her gender identity disorder, her disability and even relationship troubles so that she can heal much faster. Personal care in nursing has been known to yield positive results as the patient often feels that her troubles, concerns and worries are taken up by another individual who is equally anxious and desires to see them get better by the day. Mental Health Case Study – gender identity disorder sample essay.
 

References

Carabez, R., & Scott, M. (2016). ‘Nurses don’t deal with these issues’: nurses’ role in advance care planning for lesbian, gay, bisexual and transgender patients. Journal Of Clinical Nursing, 25(23/24), 3707-3715. doi:10.1111/jocn.13336

Chapman, R., Watkins, R., Zappia, T., Nicol, P., & Shields, L. (2012). Nursing and medical students’ attitude, knowledge and beliefs regarding lesbian, gay, bisexual and transgender parents seeking health care for their children. Journal Of Clinical Nursing, 21(7/8), 938-945. doi:10.1111/j.1365-2702.2011.03892.x Mental Health Case Study – gender identity disorder sample essay

Faught, D. D. (2016). Professional Issues. Coming Full Circle: The Old Becomes New Again — Cultural Competence and the Transgender Client. MEDSURG Nursing, 25(4), 285-286.

Levitt, N. (2015). Clinical Nursing Care for Transgender Patients With Cancer. Clinical Journal Of Oncology Nursing, 19(3), 362-367. doi:10.1188/15.CJON.362-366

Lim, F. A., & Bernstein, I. (2012). Promoting Awareness Of LGBT Issues In Aging in a Baccalaureate Nursing Program. Nursing Education Perspectives (National League For Nursing), 33(3), 170-175. doi:10.5480/1536-5026-33.3.170

Margolies, L. (2014). The Psychosocial Needs of Lesbian, Gay, Bisexual, or Transgender Patients With Cancer. Clinical Journal Of Oncology Nursing, 18(4), 462-464. doi:10.1188/14.CJON.462-464

Roller, C. G., Sedlak, C., & Draucker, C. B. (2015). Navigating the System: How Transgender Individuals Engage in Health Care Services. Journal Of Nursing Scholarship, 47(5), 417-424. doi:10.1111/jnu.12160

 

Case Study (15%)

 

The case study provides you with an opportunity to directly apply your knowledge learned this semester to case study. Please choose one of the two following case studies and analyze it directly according to the questions posted:

Feel free to use a first person perspective where you link ideas of yourself within your paper (i.e., the reason you chose your topic).

The paper should be no longer than 3 1/2 pages in length double spaced. Please note this means you must be succinct and thorough. Do not write in point form but use the usual paragraphs and sentences for this assignment.

Pages beyond the 3/12-page content limit will not be marked.

The page count will not include the cover page and reference list.

It is strongly recommended that you use headings as per the rubric and address the content required carefully.

3 current scholarly peer- reviewed articles should be incorporated in this paper. Government or professional organization resources will be considered “extra” references.

*Please note this essay must be written using strong APA format (i.e., title page, body of your paper and reference section). As mentioned, you can use a first person perspective when required in your writing for this course.

Enclosed you will find the headings expected for each case study. Remember that all you have to do is one case study. Ensure you follow the marking scheme beside the question in the syllabus. This will help you guage how many points you need per question.

Please ensure you review the syllabus carefully before addressing each question.

Case Study-
Paulee

Please use these headings if addressing this case study:

Response

Form(s)

Conditions/Concerns

Nursing Care

Case study-
Jorden

Please use the following headings if addressing this case study: 

Questions

Concerns

Form(s)

Worries

Hallucination Interventions

 

 

 

 

Case Study One – Paulee  

You are a nurse who is employed in a large city assertive community health outreach team. You have been assigned a 25 year old woman named Paulee. She lives with her partner in an apartment she rents using her disability support.

You have been asked to see this woman as she has been admitted to the hospital 5 times in the past year. The reason for admission has been self-inflicted injuries to her wrist and inner thigh region.

Upon meeting her at her home she says “I just can’t work or get it together.” She admits to feeling depressed and is having significant problems with her partner. She says “we are always fighting and things keep changing in our relationship.”

On your second visit to see Paulee she admits to you that she believes she “has always been transgender and that she cuts to relieve the stress she feels from her ongoing suicidal thoughts.” She said to you one day “I don’t care if I die. Even this stupid cutting that I am doing is not helping me anymore. Nothing helps..not the pills they give me or the booze I drink even touches my pain.”

One day you are in your office and you get a call from her partner Semara who says to you “I know you have been coming to see her as her nurse. I can’t take it anymore. I come home and find blood all over the bathroom from her constant cutting. She has been throwing things at me and is again threatening suicide. She is not eating anymore and keeps saying she will never fit -in and that our relationship is doomed because she wants to be a man.”  Semara continues saying “Paulee refuses to go to the hospital and I am afraid to leave her alone. I think she needs another admission. I don’t know what to do? How can I get to her to the emergency department on my own?

Questions

How would you respond to Semara in trying to help her be assessed by a professional given what sounds like an emergency situation? (3 marks)

What form(s) would she be admitted into the hospital under and why? (3 marks)

What type of condition(s) do you think that Paulee has and what are your concerns? (3 marks)

What type of nursing care would you try to provide for Paulee if she was admitted to your unit? Think about the priorities of care as well as on-going care within the unit (6 marks)

 

 

 

 

Case Study Two – Jorden 

You are a nurse working evenings in the emergency department of an urban hospital. A 19 year of male patient named Jorden comes into your agency accompanied by his parents.

In relaying the reason for bringing Jorden into your setting his parent’s say “we don’t know what is wrong with him but we are starting to get worried. For a few weeks now we notice he is not speaking and is over eating. He used to be a very outgoing boy but we find that he is much more sullen and at times appears to be off in space day dreaming.”

They tell you that he was a star athlete on his hockey team up until he got into a fight during a game and hit his head a few months ago. They say he was admitted at your hospital with a fairly major concussion. Since then he has stopped playing hockey and just wants to watch T.V. holed up in his room and smoke pot. He has been eating more but refusing to go out with friends saying “they freak him out and that they are out to get him.” They say we have tried to reason with him but he is insistent he is being followed.

Since the incident he has not returned to school and interacts minimally with the family. They said the only time he goes out of the house is to get his marijuana and come home.

The parents say their family doctor has been worried about him and started him on a low dose of an antidepressant.  The parents say “enough is enough, he won’t shower and is eating us out of house and home and there is something wrong with how he is thinking—it is like he is paranoid about everything. He is just not the same kid we knew. He needs some help? Mental Health Case Study – gender identity disorder sample essay

When you meet Jorden you notice he is disheveled. He cannot maintain eye contact and does appear preoccupied in thought. He is mute and is refusing to speak. You sense that he is angry that his parents brought him to the hospital and that he has no insight into why he is here. In observing him you notice he turns his head to the side and whispers. In between times you are trying to engage him he returns to listening to his ear phones on full volume.

Questions

Upon admission, what type of questions would you ask of Jorden?  How would you address his preoccupation? Try to think of ways you could approach him to elicit answers?  (3)

What type of concerns would you have for this young man in terms of diagnosis (s) and why? (3)

If admitted to the hospital what form(s) would he be admitted under and why? (3)

What worries do you have in terms of his marijuana use and why? (3 marks)

How would you plan to interact with someone who has paranoia and may be experiencing hallucinations? (3). Mental Health Case Study – gender identity disorder sample essay

 

Appendix A

 

 Promoting Healthy Aging: The Role of the Nurse

 

Topic:
ELDERLY ABUSE

 

Research Question in PICO format:  

DOES PATIENT EDUCATION, COMPARED TO NURSING EDUCATION PREVENTS ABUSE AMONG OLDER ADULTS.

P (Population/Patient) = Older adults, I (Intervention) = Patient Education, C (Comparative) = Nursing Education, O (Outcome) = Prevention of abuse (or even reduction)

 

Note
: Education here may or may not necessarily means degree or schooling. It also involves, learning, awareness, enlightenment, knowledge, counselling, guidance, literacy etc. Mental Health Case Study – gender identity disorder sample essay

 

Purpose:

This paper allows students to explore a contemporary issue that affects the healthy aging of older Canadian adults.  Students will analyze their chosen issue within the context of healthy aging.

 

                                              Marking and Paper Format Scheme                               

Marks

Introduction, Purpose and Background

·         Clearly define and describe the issue. Explain why this issue is important to: (a) the health of Canadian older adults; and (b) nursing practice (10 marks).

·         Clearly state your purpose or researchable question (5 marks). Mental Health Case Study – gender identity disorder sample essay

 

 

 

15

Strategies to Promote/Protect Health

·         Clearly and concisely describe your literature search strategy and the results of your search (5 marks).

·         Report
three
evidence-based interventions (2012 – 2017)
from research articles
that address your chosen issue. For each intervention (10 marks), report the following:

1.    Major findings: Describe the intervention in detail.

2.Relevance: How is the intervention relevant to your topic?

3.Usefulness: Are there any limitations (research or practical) to its usefulness for your selected topic?

4.    Reliability of data: Do the authors convince you that the evidence regarding this intervention is reliable? Why or why not?

5.    Credibility: Is the resource credible? Explain. Mental Health Case Study – gender identity disorder sample essay

 

 

 

 

 

 

35

The Nurse’s Role in Health Promotion/ Protection

·         What is the role of the nurse when addressing this issue in healthy aging? Consider:

1.the CNA (2015) Framework for the Practice of Registered Nurses in Canada (5 marks)

2.the holistic needs of older adults (physical, psychological, social, cultural, spiritual) (5 marks).

·         What are potential barriers/challenges for the nurse to consider when he/she is implementing the interventions (5 marks), and how might they be overcome? (5 marks)

 

 

 

 

20

Summary and Conclusions

·         Briefly summarize the purpose and main findings, and offer conclusions.

 

 

5

Writing Process

·         APA format (6
th
edition APA, second printing)

·         Scholarly Writing (spelling, grammar, organization, flow, depth of discussion)

·         Peer feedback form completed and submitted (signed by author and reviewer). Written paragraph that clearly summarizes the areas upon which you focused to improve your paper (refer to marker feedback provided in 63-171) Mental Health Case Study – gender identity disorder sample essay

 

10

10

 

5

 

 

Total

/100

 

Students must submit their own papers.

Important Information:

Page length is
four
double-spaced pages. Use APA 6
th
edition, second printing for format and writing style. Pages beyond
four
will not be marked nor read. The page limit does

not
include the title page, reference list, or appendix.

 

A minimum of three peer-reviewed articles, from scholarly sources will be used to support evidence based strategies and interventions. In addition, textbooks and other scholarly sources may be used to support your analyses. These articles
must
also be submitted with your paper, or your paper will be deemed late until they are submitted. Mental Health Case Study – gender identity disorder sample essay

 

All papers must be submitted to a plagiarism detection software for assessment. The originality report, with written explanation of similarity, must be submitted. Refer to course outline for detailed policies.

 

The paper must be submitted in a plain envelope, with your student number marked on the outside, otherwise the paper will not be accepted by the instructor.

 

Electronic paper submission is not permitted.

 

See the marking scheme and rubric for further detailed grading criteria

 

Writing style deductions will apply to papers. One mark will be deducted for every new spelling, grammar and sentence structure error, up to a maximum of 10 marks. Mental Health Case Study – gender identity disorder sample essay

 

Rubric for Grading Written Assignments

 

Category

Superior

Very Good

Average

Failing grade

Response to the Assignment

Applicable, plausible

Sophisticated insight into the concept of health within current and future trends. Many new ideas expressed.

Describes new concepts accurately.

Some insight and originality demonstrated.

 

Uses familiar concepts, offers few new concepts. Response to the assignment is adequate.

Lack of comprehensive thought or structure. Does not meet criteria for assignment.

Use of Evidence 

 

Logical reasoning and support for statements.

 

Examples of primary sources evident. Critiques, analyzes, generates unanswered questions. Excellent integration of cited material into paper.

Mental Health Case Study – gender identity disorder sample essay

 

Examples of primary sources present.

Citations well integrated.

Some examples from the literature used to support points.

Quotes not well integrated.

 

No evidence of support from the literature referred to.

Quotes “plopped into the paper” Not integrated into sentences in a meaningful way.

Degree of Analysis

 

Analysis is fresh and exciting, poses new ways to view material and concepts.

Evidence related although points may not be clear.

Analysis offers nothing new, quotes do not relate to analysis

No attempt to link evidence to argument.

Application to Practice

Clear and definitive implications to self development are evident.

Application to self described: fair degree of breadth / depth of argument.

Surface level degree of application.

No application to self demonstrated or inappropriate application.

Professional Writing

Excellence throughout and is creative and original in thought. Excellent flow of logic and reason.

Free of grammatical errors and APA errors, presents ideas clearly and professionally. Mental Health Case Study – gender identity disorder sample essay

Presents ideas clearly and professionally. Good flow of logic and reason.

Free of grammatical errors and APA errors.

Presents ideas adequately with some laps in logic and reason.

Some grammatical or APA errors.

Writing clarity and flow is poor. No logical follow through of ideas.

Many grammatical and APA errors.

Change Initiative: Creating Vision Essay

In a written paper of 1,250-1,500 words, evaluate the current forces driving change in your field or industry. As a leader, or considering the role of a leader, assess your organization and evaluate how well it is responding to the forces, and identify where there is a need for change. Develop a vision to inspire this change. Include the following:

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Describe your organization, include the organization’s mission, and identify the various stakeholders.

Identify the external and internal forces that drive organizational change in your field or industry. Explain the origin or reason for these internal or external driving forces. Explain how these forces directly affect the viability of your organization. Change Initiative: Creating Vision Essay.

Choose one of the driving forces. Describe the specific issues this driving force creates, or will potentially create, for your organization or department.

Propose the steps needed for your organization or department to respond to this driving force.

Predict how employees at various levels in the organization will respond to your proposed change initiative.

Develop a vision for change. Describe how this vision correlates with the organization’s mission, and how you will present this vision to internal stakeholders.

Predict how you think your vision will assist internal stakeholders in supporting the change initiative. Identify potential considerations posed by stakeholders, and discuss how you will respond. Change Initiative: Creating Vision Essay.

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. Change Initiative: Creating Vision Essay.

Due Date: 
25-Sep-2019

 Change Initiative: Creating Vision – Rubric

No of Criteria: 10 Achievement Levels: 5

Criteria

Achievement Levels

Description

Percentage

Unsatisfactory

0.00 %

Less than Satisfactory

74.00 %

Satisfactory

79.00 %

Good

87.00 %

Excellent

100.00 %

Content

70.0

Presentation of Organization (Mission, Stakeholders, Driving Forces in the Industry or Field, Viability of Organization, etc.)

10.0

No organizational description is presented. Change Initiative: Creating Vision Essay.

An incomplete description of the organization is presented; significant details regarding the mission and stakeholders have been omitted. Evaluation of organizational viability and driving forces is missing or incomplete.

A general description of the organization is provided; some details necessary to understanding the mission of the organization, and its stakeholders are missing. Evaluation of organizational viability and driving forces is incomplete or lacks of support.

A description of the organization is provided, including most major details necessary to understanding the mission of the organization and its stakeholders. Evaluation of organizational viability and driving forces provides insight into organizational viability, but evaluation lacks sufficient support and some minor details are missing. Change Initiative: Creating Vision

A description of the organization is provided, including all major details necessary to understanding the mission of the organization and insight into the various organizational stakeholders. Evaluation of organizational viability and driving forces contains strong support and provides clear insight into organizational viability.

Analysis of the Effect of Specific Driving Force on Organization or Department

15.0

Analysis of specific driving force and the effect of this force on the organization or department is not presented.

Analysis of specific driving force is presented, but it is incomplete. Specific organizational or departmental issues resulting from the driving force are not discussed.

Analysis of specific driving force is presented, but it lacks details and supporting evidence. Specific organizational or departmental issues resulting from the driving force are generally discussed.

Analysis of specific driving force is presented, including major details and general supporting evidence. Specific organizational or departmental issues resulting from the driving force are discussed.

Analysis of specific driving force is logically presented, including all relevant details and strong supporting evidence. Specific organizational or departmental issues resulting from the driving force are clearly discussed. Analysis provides unique insight into the effects of the driving force on the viability of the organization or department.

Proposal of Steps for Responding to Change Change Initiative: Creating Vision Essay

15.0

No steps are proposed to respond to change.

A general recommendation for responding to change is referenced, but it lacks specific steps. No prediction of stakeholder response to change is presented, or prediction is vague and lacks supportive evidence.

Some steps are proposed responding to change, but they lack a logical sequence and major detail. A general prediction of stakeholder response to change is presented, but the prediction lacks major detail and evidence to support claims.

Steps are proposed for responding to change through logical sequence. A prediction of stakeholder response to change is presented, with general evidence to support claims.

Detailed steps are proposed for responding to change through a clear and logical sequence. A well-developed prediction of stakeholder response to change is presented, with with strong evidence to support claims Change Initiative: Creating Vision Essay.

Development of Vision for Change

20.0

No vision is presented.

A vision is presented, but it lacks rationale. Vision does not correlate with the mission of the organization, or the mission is not stated. Steps for presenting the vision to stakeholders are incomplete or missing.

A vision is presented with some supporting rationale. Vision loosely correlates with the mission of the organization. Steps for presenting the vision to stakeholders are generally presented.

A vision is presented with rationale. Vision correlates with the mission of the organization. Steps for presenting the vison to stakeholders are presented. Overall, vision contains elements conducive to supporting a change initiative.

A detailed vision is presented with strong supporting rationale. Vision correlates directly with the mission of the organization. Detailed steps for presenting the vision to all internal stakeholders are presented. Presentation of vision facilitates stakeholder involvement. Change Initiative: Creating Vision Essay. Overall, vision is strongly conducive to supporting a change initiative.

Evaluation of Stakeholder Response and Considerations to Change and Vision

10.0

No stakeholder evaluation is presented.

A partial stakeholder evaluation of response to change is presented, but it is incomplete.

A stakeholder evaluation of response to change is generally presented. Stakeholder considerations to change and proposed vison are generally discussed; no clear plan for responding to these considerations is proposed.

A stakeholder evaluation of response to change is presented. Stakeholder considerations to change and proposed vison are discussed; a general plan for responding to these considerations is proposed.

A detailed evaluation of stakeholder response to change is presented. Stakeholder considerations to change and proposed vison are clearly identified and discussed in detail; a clear and well-supported plan for responding to these considerations is proposed. Change Initiative: Creating Vision Essay.

Organization and Effectiveness

20.0

 

Thesis Development and Purpose

7.0

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Change Initiative: Creating Vision Essay.

Argument Logic and Construction

8.0

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Change Initiative: Creating Vision Essay.

Mechanics of Writing (includes spelling, punctuation,

5.0

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in command of standard, written, academic English. Change Initiative: Creating Vision Essay.

Format

10.0

 

Paper Format (use of appropriate style for the major and assignment)

5.0

Template is not used appropriately or documentation format is rarely followed correctly.

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

Appropriate template is used. Formatting is correct, although some minor errors may be present.

Appropriate template is fully used. There are virtually no errors in formatting style.

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style

5.0

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

1 DQ1

 

Describe the role of organizational development in contemporary organizations. How does organizational development help organizations prepare for or implement change? Provide an example from your organization. Change Initiative: Creating Vision Essay.

 

1 DQ 2

 

What environmental forces drive organization development in your field or industry? What are the steps successful organizations take when responding to change? Have you experienced forces of change in your work environment? How did the changes affect your organization?

 

2 DQ1

 

Why is vision essential to facilitating successful change in an organization? What is the correlation between a leader’s role/vision and a successful change initiative? Describe a vision that you have seen/heard/read/viewed that you felt inspired successful change. How did this vision influence people’s behavior and attitudes toward a major change initiative? Change Initiative: Creating Vision Essay.

 

2 DQ 2

 

According to the textbook, people are more motivated when “they are shown a truth that influences their feelings” than they are by analysis. Discuss the relevance of this statement for organizations growing and responding to change. What responsibility does a leader have to honor stakeholder concerns when “feelings” are the primary basis for the concerns?

 

1 DQ1

Describe the role of organizational development in contemporary organizations. How does organizational development help organizations prepare for or implement change? Provide an example from your organization. Change Initiative: Creating Vision Essay.

Due Date: Sept 14

 

1 DQ 2

What environmental forces drive organization development in your field or industry? What are the steps successful organizations take when responding to change? Have you experienced forces of change in your work environment? How did the changes affect your organization?

Due Date: Sept 16

 

2 DQ1

Why is vision essential to facilitating successful change in an organization? What is the correlation between a leader’s role/vision and a successful change initiative? Change Initiative: Creating Vision Essay. Describe a vision that you have seen/heard/read/viewed that you felt inspired successful change. How did this vision influence people’s behavior and attitudes toward a major change initiative?

Due Date: Sept 21

 

2 DQ 2

According to the textbook, people are more motivated when “they are shown a truth that influences their feelings” than they are by analysis. Discuss the relevance of this statement for organizations growing and responding to change. What responsibility does a leader have to honor stakeholder concerns when “feelings” are the primary basis for the concerns?

Due Date: Sept 23

 

3 DQ 1

Compare and contrast two different change models. What leadership approach would you use to implement your preferred model? Why? Change Initiative: Creating Vision Essay.

Due Date: Sept 28

 

3 DQ 2

What is “disruptive change,” and how is this different from “incremental change?” How does disruptive change affect an organization? Provide an example.

Due Date: Sept 30

 

4 DQ 1

Discuss the importance of a change agent and a guiding team. What is the purpose of each, and what traits make them successful?

Due Date: Oct 4

 

4 DQ 2

Discuss two strategies that can be used for leading change. How do these strategies increase stakeholder support and create momentum for a change initiative to be successful? Why might you want to consider including the most vocal critic of the change initiative in your guiding team?

Due Date: Oct 7

 

5 DQ 1

Explain how successful communication is used throughout a change process to convey vision and strategies to stakeholders. What may be occurring with the communication process if the change process begins to fail?

Due Date: Oct 12

5 DQ 2

Why is effective and frequent communication so critical to a successful change effort? Describe either a good or a bad example of this from your organization or one that you have studied. Describe how the communication affected the various stakeholders affected by the change effort. Change Initiative: Creating Vision Essay.

Due Date: Oct 14