All posts by : chebby

See attached. Thanks

1. Search to find five scholarly qualitative primary research articles that pertain to the PICOT question that you developed in the assignment for Module 1.  Each article must be a primary, qualitative research study.  The articles should all have been written within the last five years.  HINT: When you are searching the database, you can narrow your search by using the search term “qualitative research” in the Subject Terms field. 

     2. Using the Qualitative Research Summary enter the information from each article. 

• Do not leave blanks in the cells. For example, if there is not a theoretical framework used in the study, state that there wasn’t one used. 
• If you use abbreviations, please provide the definition/explanation of what the abbreviation means.
• For each article, you will respond to the guided questions, as delineated below:
  • Are the results of the study valid? Support your answer.
  • How were the participants chosen?  What was the sampling strategy?
  • How believable are the results?
  • What were the results and what are the implications of the results?
  • What was the research methodology used?
  • How was the data collected? Were the data collection procedures clear?
  • How will the results help in improving patient outcomes?
  • Can the findings be implemented in other health care institutions?

      3. At the conclusion of the document, add a Reference page.  Include each of the references from the 5 articles. Use APA format. 

I want to start by saying I love the word cadre in this week’s discussion post! If we consider its definition as a group of people specially trained for a particular purpose or profession it works, OR if we assume it to be a group of activists or other revolutionary organization it works!  Both fit in the role of the DNP as we consider their role in health care.

Melnyk et. al (2012), states that EBP gives nurses a voice, supports nurses as individuals and as a collective, and encourages patient advocacy with the intent to assure quality care.  The research, EBP, and QI processes that give nurses this voice is driven by terminal degree Registered nurses such as the DNP.  The DNP can lead not only by example but by shared advocacy. Whether it be a grassroots campaign to speak with local and state representatives to advocate for nursing or patient initiatives, or by being involved in a task force, activity, or key committees in health systems, our collective accomplishments speak much louder than individual ones.

The DNP cohort can lead the charge to translate evidence into practice by applying quality improvement strategies, heading interprofessional teams, mastering health information technologies, and championing patient-centered care through existing EBP principles (Melnyk, et.al, 2012)

The DNP cohort can lead clinical innovation by using the theories we reviewed in Scientific Underpinnings to inform and change EBP assuring quality patient-centered care. The DNP cadre can also advocate for legislative changes, curriculum changes, and lead research teams looking to address a knowledge gap.  It will be important for the DNP army to be mindful of the interworking of the microsystems, mesosystems, and macrosystems in the organization they are trying to innovate.

Successful change is difficult, and many change initiatives ultimately fail.  Patient care is too important to not overcome those barriers to effective change. As a DNP, my first step prior to implementing the change would be to review my organization’s structure and culture to identify challenges I will be facing regarding staff motivation for change.  It will important that I recognize my own hesitations or transferences, and deal with those prior to addressing the team.  I believe educated employees are empowered employees, so assuring they understand the evidence behind the change movement, and how it will impact the team’s daily tasks will be crucial.  Elisabeth Kubler-Ross taught us many years ago that change is not a linear process, but a curved one where the team goes through shock, fear, acceptance, and commitment. Throughout the informed process, I will need to be consistent and transparent as I lead and coach the change to completion. I will need to ensure adequate communication that is clear, concise, and not overwhelming to staff.  Once the change is implemented, it will be important I give and take feedback on the process and debrief the team.  If the team can witness my dedication and passion to EBP and patient-centered care, they will be more trusting with future initiatives I bring forth.

REFERENCE

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2012). The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators. Journal of Nursing Administration, 42(9), 410–417. https://doi.org/10.1097/NNA.0b013e3182664e0

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

 Madeleine Leininger Transcultural Nursing TheoryAssignment 

Discuss the applicability of the theory of culture care diversity and universality to discover nursing knowledge and provide culturally congruent care. Take into consideration the current trends of consumers of health care, cultural diversity factors, and changes in medical and nursing school curricula. The following are examples of trends you may use as a thread to start your discussion:

a. The importance of transcultural nursing knowledge in an increasingly diverse world

b. The growth of lay support groups to provide information and sharing of experiences and support for clients, families, and groups experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse or similar cultures

c. Cultural values, beliefs, health practices, and research knowledge in undergraduate and graduate nursing curricula across the life span

d. Inclusion of alternative or generic care in nursing curricula, such as medicine men, Native American healers, curers, and herbalists in the Southwest and selected substantiated Chinese and Ayurvedic medicine methods shown to be effective for the treatment of both acute and chronic diseases

e. The increased access to health care information from the Internet and the growing number of books, audio recordings, and video recordings published on health maintenance, alternative medicine, herbs, vitamins, minerals, and over-the-counter medications and preparations

f. Spiraling health care costs; use of health maintenance organizations, preferred provider organizations (PPO), or internal plan provider lists; lack of health insurance; increased reliance on self-diagnosis, treatment, and care; and increased availability of diagnostic kits for home-based self-diagnostic testing

g. Problems related to cultural conflicts, stress, pain, and cultural imposition practices

h. Increased suspiciousness and mistrust or distrust of cultural, religious, and political groups because of increased terrorist activities worldwide

1. What competitor information categories are useful in competitor analysis? Are these categories appropriate for health care organizations? How can these information categories provide focus for information gathering and strategic decision making?
2. Why is it important to clearly define the service area? How does managed care penetration affect service area definition?

Professional Development: 

Conduct a service area competitor analysis within your community. Keep it fairly small in scope (i.e. laser hair removal business, extended care facility for ventilator-dependant patients, etc.) so that it is manageable. Begin by introducing the macro issues (general and health care) and then use this outline as an initial guide:

1. Specify the Service Category
2. Delineate the Service Area.
   1. General
   2. Economic
   3. Demographic
   4. Psychographic
   5. Health Status
3. Perform a Service Area Structure Analysis
   1. Threat of New Entrants
   2. Intensity of Rivalry
   3. Threat of Substitutes
   4. Power of Customers
   5. Power of Suppliers
4. Do a Competitor Analysis/Identify Service Category Critical Success Factors
   1. Competitor Strengths and Weaknesses
   2. Critical Success Factors
   3. Strategic Groups
   4. Map Competitors
   5. Likely Responses of Competitors
5. Identify and Map Strategic Groups
6. Provide a Synthesis.

i need a response

3 reference

Cognitive behavioral therapy is short-term psychotherapy that emphasizes the need for attitude change to maintain and promote behavior modification (Nichols, 2014). Cognitive behavior therapy (CBT) has been found to be effective in a broad range of disorders. CBT can be done as an individual treatment or in a family setting. Individual CBT has a broadly defined framework with an emphasis on harm-reduction, especially with clients that have anxiety and substance abuse (Wheeler, 2014).

Cognitive-behavioral therapy for families is also brief and is solution-focused. Family CBT is focused on supporting members to act and think in a more adaptive manner, along with learning to make better decisions to create a friendlier, calmer family environment (Nichols, 2014). An example from practicum is a male (T.M) that participates in individual CBT once a week and family CBT once a week. T.M is struggling with alcoholism.

He originally presented for individual CBT because he had been “told by his wife” that he had a problem with alcohol. He reported that he drank “a few vodka drinks” three times a week but none for six weeks. Individual CBT therapy is a collaborative process between the therapist and client that takes schemas and physiology into consideration when deciding the plan of care (Wheeler, 2014). We worked with him using open-ended questions to assist with obtaining cognitive and situational information.  He would become angry easily and it was a felt that he was not being truthful about his alcohol use. Each time he was questioned about it, the story would change. He attended two individual sessions and it was then recommended he begin family CBT with his significant other (S.M) because “things were not going well at home.”

With family CBT, cognitions, emotions, and behaviors are seen as having a mutual influence on one another (Nichols, 2014). The first session was stressful, to say the least. T.M began talking about his alcohol use. S.M interrupted and said, “what about that one-time last month at the hotel. You were seeing things.” He became defensive, raised his voice, and said, “I was drugged. It had nothing to do with drinking.” She then looked down and was tearful. When he left the room to use the bathroom, S.M questioned if he could be tested for alcohol. This led the therapist to believe that T.M’s last use was not six weeks ago.

T.M’s automatic thoughts were that his alcoholism was not a problem in the marriage or in life. One of the core principles in using CBT for SUDs is that the substance of abuse serves as a reinforcement of behavior (McHugh et al., 2010). Over time, the positive and negative reinforcing agents become associated with daily activities. CBT tries to decrease these effects by improving the events associated with abstinence or by developing skills to assist with reduction (McHugh et al., 2010).

It was noticed that when T.M was alone, his stories would change. But when his wife was in the room, he would look at her while he spoke to ensure what he was saying was accurate. The therapist informed the client that it would be appropriate to continue individual therapy and family CBT once a week with the recommendation of joining the ready for change group. The CBT model for substance use states that, when a person is trying to maintain sobriety or reduce substance use, they are likely to have a relapse (Morin et al., 2017).

Ready for change meetings was recommended because like this week’s media showed, clients may relate to others that are going through similar situations. Getting T.M to realize that his alcohol use is a problem, is the primary goal currently. This example was shared because it shows the difficulties that may be encountered with psychotherapy and that both individual and family may be needed to ensure that goals are met. Some challenges that counselors face when using CBT in the family setting are wondering if the structure of the session and if the proper techniques were effective (Ringle et al., 2015). Evaluating and consulting with peers may also assist with meeting client and family goals.

References

McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010). Cognitive behavioral therapy for substance use disorders. The Psychiatric clinics of North America, 33(3), 511-25. doi:10.1016/j.psc.2010.04.012

Morin, J., Harris, M., & Conrod, P.  (2017, October 05). A Review of CBT Treatments for Substance Use Disorders. Oxford Handbooks Online. Ed.  Retrieved fromhttp://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780199935291.001.0001/oxfordhb-9780199935291-e-57.

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

Patterson, T. (2014). A Cognitive-Behavioral Systems Approach to Family Therapy. Journal of Family Psychotherapy, 25(2), 132–144. https://doi-org.ezp.waldenulibrary.org/10.1080/08975353.2014.910023

Ringle, V. A., Read, K. L., Edmunds, J. M., Brodman, D. M., Kendall, P. C., Barg, F., & Beidas, R. S. (2015). Barriers to and Facilitators in the Implementation of Cognitive-Behavioral Therapy for Youth Anxiety in the Community. Psychiatric services (Washington, D.C.), 66(9), 938-45. doi:10.1176/appi.ps.201400134

Chapter 9: Planning for Community Change

1. Explain the planning process of community health improvement. Choose one of the models / tools for community health planning discussed in your book and explain it. (Please, mention which model / tool you chose).  ONLY 21% OF PLAGIARISM 

Please do a powerpoint presentation on the attached link below/ Nursing Journal on HPV: An updated Guide on Treatment and prevention. PLEASE No plagiarism, proof of turnitin document. Please add pictures and a possible short min film. Precise and complete. References/GUIDelines no older than 5 years!!  

Read the following chapters in Financial Management for Nurse Managers and Executives, 5 ed., Jones (2019):

Chapter 3- The financing of health care

Chapter 4- Key issues in applied economics

Chapter 6 – Accounting Principles 

Write 150-300 words post Identifying healthcare FINANCIAL MANAGEMENT ISSUES for nurse managers.

You may use Google scholars or any other nursing journal or book.

Make sure all reference sources are within 5 years.

APA format.

Plagiarism receipt requires