Topic: C-T-E
Conceptual-Theory-Empirical (C-T-E) formalization is a way to analyze research by systematically testing or generating theory. The function of theory is to help us better understand the world. The C-T-E system is a whole system of nursing knowledge. Review the holarchy of nursing knowledge, note its application to real-world practice.
Writing in the voice of your chosen theorist, describe the Conceptual-Theory-Empirical (C-T-E) structure process you used in creating your theory?
Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.
In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?
Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.
Review the rubric for further information on how your assignment will be graded.
Due: Sunday, 11:59 p.m. (Pacific time)
Points: 60
TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases
Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals of treatment?
3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options?
5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?
Patient Preferences: The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks, understood this information, and given consent?
2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences?
5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy
1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?
2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?
3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
6. What are plans and rationale to forgo life-sustaining treatment?
7. What is the legal and ethical status of suicide?
Contextual Features: The Principles of Justice and Fairness
1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
4. Are there financial factors that create conflicts of interest in clinical decisions?
5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
6. Are there religious issues that might influence clinical decisions?
7. What are the legal issues that might affect clinical decisions?
8. Are there considerations of clinical research and education that might affect clinical decisions?
9. Are there issues of public health and safety that affect clinical decisions?
10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?
Research and write a report on : diabetes
The body of your paper must be 2-3 pages in length (not including reference list). Your report should contain:
APA style reference
Group therapy may be beneficial for children and adolescents, because it often provides an environment that normalizes clients’ thoughts, feelings, and behaviors. However, as with any therapeutic approach, group therapy might not be appropriate for every client, every setting, or even every therapist. When selecting therapies, you must always consider the psychodynamics of the client and your own skill set.
This week, as you assess and develop diagnoses for clients presenting for child and adolescent group psychotherapy, you examine the effectiveness of this therapeutic approach. You also consider legal and ethical implications of counseling children and adolescent clients with psychiatric disorders.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!
Post an explanation of the most likely DSM-5 diagnosis for the client in the case study. Be sure to link those behaviors to the criteria in the DSM-5. Then, explain group therapeutic approaches you might use with this client. Explain expected outcomes for the client based on these therapeutic approaches. Finally consider legal and ethical implications of counseling children and adolescent clients with psychiatric disorders. Support your approach with evidence-based literature.
essay
I am a tutor of nursing
Select one of the organizational or behavioral change models which were used successfully for evidence-based practice change in healthcare for many years. Select one model or theory from the readings or lesson this week and:
• List the steps or the components in the change model or theory.
• Does the model or theory contain a component for appraising the evidence?
• Does the model or theory contain a component for networking with the stakeholders during all phases of practice change?
• Does the model contain components for identifying barriers and addressing barriers to implementation?
1. What is meditation? Discuss the benefits of meditation? (mention at least 3).
2. Is there any research study that support the benefits discussed? Have you ever practiced meditation? Discuss your experience?
Guidelines: The answer should be based on the knowledge obtained from reading the book (only the last part of the question is your opinion/ experience). You must answer all the questions. Your grade will be an average of all parts of the question.
Grading Criteria: Discuss what is meditation? (25%). Discuss the benefits of meditation? (mention at least 3) (30% – 10 points each). Is there any research study that supports the benefits discussed? (30%). Have you ever practiced meditation? Discuss your experience? (15%).
Using the input and suggestions from the peer-edited first draft, write the final version of your research paper in 2,500 and 3,000 words.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required. Use your chosen peer-reviewed journal for in-text citations and references.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
Using your research paper, write an extended outline of how the content of the paper could be converted into an oral presentation. Structure the outline to include all the major sections of the paper and write out the text that would appear for each section.
Use the “Sample PowerPoint Presentation” as an example for your PowerPoint presentation. It is provided as a template, but it is not required to be used if you wish to use a different PowerPoint presentation template.
Produce a 12–20 slide PowerPoint presentation to report the results of your research paper. Refer to the lectures, the textbook chapters, and the article above to design your talk.
Include suggestions of which figures in your paper should be included in the talk and how they may or may not need to be modified.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
As our population continues to rise along with life expectancy, large cadres of nursing practice and research scholars are needed to address the pressing healthcare issues in our society. Utilization of nursing inquiry and the ability to translate evidence into practice for the betterment of patient care and overall outcomes is key. Additionally, they are well prepared to address system challenges and concerns and implement changes for improvement here as well. The work of the cadre will enhance the translation of evidence into practice, with the utilization of learned quality improvement methodologies aimed to both improve and transform the delivery of healthcare (Trautman et al., 2018).
In an effort to lead clinical innovation the cadre needs to become strong leaders and influencers. They are positioned to negotiate and work highly groups to effect change with the implementation of any or all aspects of nursing inquiry (Fuller & Hansen, 2019). Forming professional relationships through networking is also beneficial. These relationships afford the person leading change a consortium of resources to support and assist with change.
Simply implementing a change in any type of environment is rarely successful and/or sustainable. Providing the audience with the evidence and outcomes when implementing a desired change in practice is important. We as healthcare workers should be providing care with a patient centered approach and possess a common desire to attain high quality and safety outcomes. As leaders of change, we must possess strong self-awareness along with the characteristic of approachability and adaptability. As we implement changes, we along with our teams, can identify limitations and make adjustments according for optimal results.
I need a comment for this post at least 2 paragraphs and use 2 sources no later than 5 years.
