We begin our journey into discovering the new world of research and evidence-based practice (EBP) by exploring our past.. What are your thoughts pro or con? This is a little different than the discussion for Week 3. Find at least one article to support your opinion.
Author: Brian Leakey
A Financial and Ethical Dilemma
You are the chief nursing executive for a small rural clinic that provides contraception services to low-income individuals. An insurer, providing care under the Affordable Care Act (ACA), has rejected paying the claims, stating that they are a not-for-profit religious organization and are not obliged to cover these services. You check your records and find that nonpayment for contraception places a significant financial burden on the clinic. These individuals do not have access to any other health care services in the region.
• What would you do to advocate for the patients of the clinic affected by the change?
• How do you justify your actions based on legal and ethical guidelines? Be sure to support your position with a scholarly source.
Research and evidence-based practice (EBP) by exploring our past.
We begin our journey into discovering the new world of research and evidence-based practice (EBP) by exploring our past. After completing the required readings and lesson, answer the following:
• Explain how research has evolved since the Florence Nightingale era.
• Discuss how research and EBP are different; include how you believe research supports EBP for nursing.
• Describe one past/historical unethical breach of research conduct; then, share how you would ensure care of a study participant using one ethical or legal research consideration (guideline/principle).
Community related to a diverse identity (gender identity/expression, race/ethnicity
To prepare: Attend a cultural event or activity in your community related to a diverse identity (gender identity/expression, race/ethnicity, class, religion, ability, sexual orientation, or age).As a guest at this experience, remember to take a stance of cultural humility and respectfully participate.
Submit a 2- to 3-page paper in which you do the following:
• Describe the cultural experience you attended, explaining why the experience represented a cultural event.
• Describe the thoughts and feelings you experienced during the event.
• Reflect on and analyze your reactions.
• Describe what you learned about the cultural group.
• Explain how you could apply this knowledge to social work practice.
• Apply concepts and material from the course resources to the experience.
o Support your application of resources using APA citations and a reference page.
Care expressed and practiced in professional nursing models
Care expressed and practiced in professional nursing models provides a way of looking at the nursing role from the aspect of care. It may seem excessive to consider aspects of caring and compassion in nursing. However, precisely because it IS nursing makes it crucial to our continual progress of defining and upholding one of our central professional principles.
Address each of these items:
• Reflect on a caring and compassionate experience with a patient or family encountered in your practice.
• How was your compassion demonstrated?
• How does your thinking about compassion expand to include self and colleagues?
• Reflect on the iCARE Self-Assessment and share an insight related to this discussion.
AACN Essentials Informatics Self-Assessment
As you reflect on your score, identify areas where your knowledge could use improvement. Whether you are a new graduate or a seasoned nurse, it is important to keep in mind that all professional nurses are knowledge workers. Utilizing the readings from your textbook, describe your current knowledge base in informatics and how you can improve your knowledge as they relate to nursing informatics and AACN essential. What additional questions do you have as they relate to nursing informatics and the AACN essentials?
Common are somatoform disorders
How common are somatoform disorders? Discuss some risk factors that are associated with somatoform disorders? How are these disorders diagnosed and treated?
Features of major dissociative disorders
Describe features of major dissociative disorders. How common are these types of disorders? What is a host personality and subpersonalities? What types of relationships might subpersonalities have with one another? Are there recommended treatments for dissociative disorders?
Evaluation and Evidence-Based Practice in Recreational Therapy
James Jensen is a 55-year-old artist. He is on VA disability benefits and cannot work. He has two grown children and was recently divorced after 20 years of marriage. He was diagnosed with bipolar disorder after an incident of drunk driving 10 years ago. He has since joined Alcoholics Anonymous and treats his bipolar with medication. The divorce has caused him to sink into a depression.He lives alone in the home where he raised his children with his ex-wife. He is independent in all ADLs, including driving and community mobility at an ambulatory level. He has lost interest in his artwork and is gaining weight rapidly from inactivity. He loves the outdoors, especially hiking and fishing, but has recently lacked the motivation to go. He has a few close friends in the arts community, and his children visit him often.James saw his therapist for a routine medication check. The doctor is concerned with his weight gain and depressed state and is increasing cognitive behavioral therapy and adjusting his antidepressant. He has referred James to you, a CTRS at the outpatient mental health VA facility, to help him reach his goals. James’ provider shares the following information from his most recent visit:
Significant past medical history: Disability discharge VA due to mental health. Patient has a history of alcohol abuse. Mood stabilized with medication. Patient has a tendency to self-medicate. Lithium used as requires patient to complete routine blood work.
Medications: Lithium 600 mg orally in the morning and at nighttime. Lurasidone (Latuda) 40 mg orally once a day.
Cognition/perception: Current depressive state due to social situation. Vacillates between mania and depression. Maintained with medication. Patient reports high level of sadness and lack of motivation. Patient tends to stop medication when mood elevates.
Physical Examination: WNL”
Client Goals
1.Increase social supports
2.Learn techniques to cope with stress
3.Increase exercise to maintain healthy weight
- Create a treatment plan for James Jensen, using evidence-based practice to guide your decision on appropriate interventions following the DENT problem-solving method
a. Define the problem: Clearly identify and articulate the specific problem or challenge that needs to be addressed. This involves understanding the current situation, desired outcomes, and any constraints or limitations (1 paragraph)
b.Explore possible solutions: Generate a range of potential solutions or approaches to solving the problem. Encourage creative thinking and consider different perspectives or alternative options.(1 paragraph)
c. Narrow down options: Evaluate the potential solutions and select the most feasible and effective ones. Consider the advantages, disadvantages, and potential risks associated with each option.(1 paragraph)
d. Take action: Implement the chosen solution or solutions. Develop a plan, allocate resources, and set specific goals and timelines for execution. (1 paragraph)
2.What assessment would be most appropriate for you to give to James? (1 paragraph: Question 2 and Question 3)
3.What factors must be considered when planning James’ intervention?
4.What is your PICO question? (1 paragraph: Question 4 and Question 5)
5.What outcomes do you anticipate from your treatment plan?
6.How will you evaluate the outcomes of your treatment plan? (1 paragraph: Question 6 and Question 7)
7.What contraindications should you consider in James’ treatment? (1 paragraph)
8.What recreational activities would be appropriate considering James’ interests, goals, and current functioning level?” 1 paragraph)
5 Components of Human Communication Dean Barnlund
Describe either an effective or ineffective workplace experience and analyze it in light of a human behavior communication theory. Using scholarly research, first explain the theory and then provide your rationale for its effectiveness.