Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines,
1. Describe a situation in which the nurse manager would use problem resolution in the workplace. Describe a situation in which the nurse manager would use negotiation to resolve a conflict (or potential conflict) in the workplace.
2. Compare and contrast strategies for resolving a conflict, using first the informal negotiation method and then the formal negotiation method.
3. Explore the American Nurses Association website for information on collective bargaining for nurses. Which states have nursing unions? Debate the issue of joining a union with another group of students.
4. PART 1: Log onto the website of your state nurses association and search for information on collective bargaining. Search for news articles, union websites, and other recent information on collective bargaining for nurses in your state. Is there a great deal of collective bargaining activity in your state? If not, why? If yes, what are the primary issues under discussion?
PART 2: Review the pros and cons of becoming part of a collective bargaining unit. If you were a full-time staff nurse, would you want to join a union? Why or why not?
Post a critique of the research study in which you:
The Use of Literature Checklist and Problem Statement Checklist serve as guides for your evaluations. Please do not respond to the checklists in a Yes/No format in writing your Discussion post.
Be sure to support your Main Issue Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.
I NEED A RESPONSE FOR THIS ASSIGNMENT
2 REFERENCES
1 PAGE
This week we focus on group therapy paying special attention to children and adolescents. Children and adolescents have different needs when it comes to therapy. The therapy should be tailored to the child’s developmental level and should be delivered within the here and now. With that in mind, we will review the case study, “I feel like I’m going crazy” and offer treatment options that are evidence based.
The case study presents a Native American child that is 15 years old. He lives with his single mom who works a lot and is not home often. He has been inflicting self harm for about 10 months by cutting with a razor. The client reports problems with sleep onset, low self-esteem, low energy level, and previous suicide attempts. He reports feelings of abandonment from his boyfriend and a recent loss of friendships. He also reports that he identifies as a pansexual and has been dating a male peer for two months. The client’s chief complaint is, “I am feeling like I’m going crazy!”.
The client needs further assessment and evaluation to rule out major depressive disorder (MDD), borderline personality disorder (BPD), and other potential personality and anxiety disorders. At this assessment the client is denying any suicidal ideation. With that, the most appropriate diagnosis is nonsuicidal self injury (NSSI). NSSI is a behavior that includes cutting, burning, scratching, hair pulling, hitting, head banging, and interfering with wound healing (Hornor, 2016). NSSI has a close relationship with borderline personality disorder. However, the DSM-5 allowed for NSSI to stand alone as its own diagnosis. This was the first time NSSI was not tied to the diagnosis of BPD as a symptom only. NSSI is also differentiated from suicidal behavior disorder in the DSM-5.
According to the DSM-5 the criteria for NSSI are: five days of self harming in the last year, patient self harm actions are unlikely to result in death, the client engages in self harm to resolve an interpersonal difficulty, the behavior is not sanctioned such as tattoos or piercings, the self harm interferes with clients academics, the self harm did not occur during an acute manic or psychotic episode nor while on or withdrawing from substances (American Psychiatric Association [APA], 2015). The client meets the diagnostic criteria to make this diagnosis. The clients behaviors appear to surround feelings of abandonment, and low self esteem, The client has been cutting for 10 months and has scarring. The client was unable to attend class one day due to bleeding. Additionally, the client does not appear psychotic or manic on current assessment. If the clients suicide attempts had been related to the cutting then a diagnosis of suicidal behavior disorder may be appropriate. The gold standard is to assess for suicidal ideation before, during, and after diagnosis of NSSI (Plener et al., 2016).
Treatment for NSSI should be outpatient if possible to minimize impaired functioning. Mentalization based treatment (MBT) and dialectical behavior therapy (DBT) are both recommended for the treatment of NSSI (Plener et al., 2016). While evidence is lacking in regards to adolescents and much more research is needed, these approaches have shown improvement in symptoms and have been found effective with adults. MBT focuses on secure attachment through the clients’ capacity to mentalize. Basically the client should learn to think about thinking in that they are attempting to understand how the mental state of oneself directly affects overt behaviors. DBT has an interesting focus on opposites occurring at the same time and both being truthful (Dbt 101: What Does ‘Dialectical’ Even Mean?, n.d.). For example, I can love my sister very much, AND be very angry with her for not calling me for a month. These are seemingly opposing facts, but both are truthful at the same time. Through these dialectics the client and therapist look for acceptance and change. With either or both treatments I would expect outcomes that show symptom reduction from NSSI. Clients may want to also consider individual therapy. It is also important to note that medications are not recommended for this client (Plener et al., 2016).
Ethical concerns are ever present when working with children and families. In regard to NSSI it is important for the therapist to check their biases at the door and approach treatment nonjudgementally. NSSI has been shown to evoke intense emotion from counselors often evoking enough fear that the therapist may want to enter into a “safety contract” right away prior to giving the client substitute coping skills. Additionally, therapists may find themselves lecturing clients that self harm, ultimately reducing the therapeutic alliance (Whisenhunt et al., 2016).
References
American Psychiatric Association. (2015). Use of the manual. In Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.useofdsm5
Dbt 101: What does ‘dialectical’ even mean? (n.d.). Sheppard Pratt. https://www.sheppardpratt.org/news-views/story/dbt-101-what-does-dialectical-even-mean/
Hornor, G. (2016). Nonsuicidal self-injury. Journal of Pediatric Health Care, 30(3), 261–267. https://doi.org/10.1016/j.pedhc.2015.06.012
Plener, P. L., Brunner, R., Fegert, J. M., Groschwitz, R. C., In-Albon, T., Kaess, M., Kapusta, N. D., Resch, F., & Becker, K. (2016). Treating nonsuicidal self-injury (nssi) in adolescents: Consensus based german guidelines. Child and Adolescent Psychiatry and Mental Health, 10(1). https://doi.org/10.1186/s13034-016-0134-3
Whisenhunt, J., Stargell, N., & Perjessy, C. (2016, July 24). Addressing ethical issues in treating client self-injury – counseling today. Counseling Today. https://ct.counseling.org/2016/07/addressing-ethical-issues-treating-client-self-injury/
Zetterqvist, M. (2015). The dsm-5 diagnosis of nonsuicidal self-injury disorder: A review of the empirical literature. Child and Adolescent Psychiatry and Mental Health, 9(1). https://doi.org/10.1186/s13034-015-0062-7
no more than 21% plagiarims
In a Microsoft Word document of 5-6 pages formatted in APA style, you will focus on health promotion for a population of your choosing. Please note that the title and reference pages should not be included in the total page count of your paper.
Include the following in your paper:
On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template
When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.
In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.
To Prepare:
Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.
Design a newspaper article explaining to people why they should learn CPR and First Aid. Pretend you are a reporter and writer for the Bristol Herald Courier and write the article. Remember your deadline is the end of the day Thursday, November 19th. Please feel free to have an editor (family member) profread your article document.
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
The Assignment: (Evidence-Based Project)
Part 5: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Note: You will access this article from the Walden Library databases.
Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396
Note: You will access this article from the Walden Library databases.
Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483
Note: You will access this article from the Walden Library databases.
Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x
Note: You will access this article from the Walden Library databases.
i sent you the old assign via word document
Of the major health concerns and objectives in the United States identified by Healthy People 2020, which in your opinion has the most impact on the health of the individuals, families, and the community? Why? Base your response on the topics listed here: https://www.healthypeople.gov/2020/topics-objectives
