In a 1- to 2-page paper, address the following:

Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.

Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.

Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the topic material “Nursing and Health Reform.” Discuss how these two provisions have impacted, or will impact, your current practice of nursing.

Now that you have read, reflected and analyzed various ethical and moral issues in health I’ve selected a case study that I want you to respond to.

The first is a Frontline edition of a program titled Dollars and Dentists aired on June 26, 2012.  

The program was a documentary developed by the Center for Public Integrity and hosted by the Public Broadcasting System (PBS).  The program presents an overview about the poor condition of oral health in this country and some of the issues associated with a broken health care system.  Specifically the program discusses the high cost of dental care, the lack of insurance to cover oral health issues, and how these costs leave many people unable to afford dental care services.  It also calls into question the way corporate America has responded  to fill this need.   Several business models have emerged with big corporate backing. 

While viewing the video you should be able to recognize a number of ethical and moral issues that arise related to access to health care, quality of care, and financial exploitation of disparate populations.

After you’ve watched the video, download and complete  the Dollars and Dentists assignment

.  To see how I’ll grade the assignment, with the  Dollars and Dentists rubric .  

  

Critical Thinking: Organizational Change and Workforce Management (150 Points)

Saudi Hospital System (SHS, a fictitious organization) has been facing many serious issues including leadership problems, staffing deficiencies, and financial hardship. Challenges include:

• High      staff turnover, which doubled to 20% in the past two years, is expected to      rise.
• SHS      is in the process of implementing complex and expensive multi-year      healthcare information systems such as Electronic Health Record and other      critical-need clinical information systems.
• SHS      is facing significant competition from other local healthcare facilities.

Last year, a new Chief Executive Officer (CEO) was hired. He identified the current organizational culture as apathetic, leaderless, and resistant to change. He also noted that the staff was under stress, resisting teamwork, accepting mediocrity, and compromising patient safety values and industry best practices. The CEO noted that critical human resources functions were broken and that financial performance was suffering. He attributed this to a variety of process issues as well as to the lack of focus on the core business of patient care.

In response, he decided to implement the following strategies:

• change      the organizational culture
• improve      human resources and workforce practices and outcomes
• ensure      the organization’s solvency and financial viability in the long run
• cut      costs across the board, including implementing a labor-reduction strategy      (salary and benefits), with an aggressive timeline to turn around the      financial bottom line.

Within a few months after these strategies were implemented, the SHS started to show less of a financial loss and seemed to stabilize financially. The morale of the staff, however, took a significant hit in the wrong direction. Staff turnover increased as the sense of job security decreased and as an increasing number of valued and critical staff in all areas left. Soon, SHS experienced an increase in patient complaints and lowered customer service, with signs of impact on clinical patient outcomes.

Now the CEO wants to create a dynamic long-term organization and human resources strategic plan to put SHS on the right track. To formulate and implement this plan, the CEO hired a well-known consultant who is tasked with performing a system-wide organization and human resources assessment.

Within the scope of this assessment is the development and formulation of a multilevel strategic program. This new program is to be implemented system-wide with the goal of helping SHS leaders to understand the link among finances, employee morale, human resources functions, and patient satisfaction. The end goal of this assessment is to create a culture of accountability; to shift the culture to one of services after two years; to attract, hire, and retain quality staff; and to implement best practices in workforce management. 

Assume that you are the consultant whom the CEO hired to do this assessment project. Your main task is to identify the key components involved in changing the organizational culture and to identify the steps needed to generate sustainable change. Here are the deliverables that the CEO wants to see from you:

1. Develop a comprehensive organization and human resources strategic plan. The plan has two major sections: Organization Development and Human Resources.  The CEO expects you to create your plan using benchmarking and by integrating human resources and organization development best practices from other healthcare organizations, as well as from other industries.

2. The Organization Development section will address the following items:

· Workplace communication

· Motivation

· Conflict Management.

3. The Human Resources section will address the following items:

· Organizational and human resources systems that need to be in place to effect positive organizational outcomes

· Performance management system

· Process of training and development and the contribution to the organization’s bottom line

· Key action steps required to develop the plan.

Your well-written paper should meet the following requirements:

• Be      6-8 pages in length, not including the required cover and reference pages.
• Formatted      according to Saudi Electronic University and APA writing guidelines.
• Provide      support for your statements with in-text citations from a minimum of six      scholarly articles from peer-reviewed journal articles.

  

Please READ the COMPETENCES at the end.

Create a one-page patient education tool that explains usage of a medication and factors that can affect outcomes. 

Then, write 2–3 pages in which you explain how the tool promotes patient safety and quality outcomes, and adheres to the principles and practices of cultural competence.

Assessment Instructions 

Imagine your supervisor has asked you to develop a patient education tool for new medication starts in your current area of practice. This tool needs to provide important information to the patient, yet be concise enough to require no more than one page.

Preparation

Review the suggested list of possible topics in Part 1 of the Requirements and then search the Internet for supporting resources. You will need to provide support for the information you choose to include in the patient education tool.

Requirements

Complete both Part 1 and Part 2 of this assessment. You may submit both parts in one document or submit them as separate documents. Be sure you complete both parts!

Submit a total of 4–5 pages. Write no more than one page for Part 1. Write 2–3 pages, plus a separate reference page, for Part 2.

Part 1: Patient Education Tool

Complete the following:

1. Choose one of the following topics as the basis for your patient education tool: 

o Antibiotics (Amoxil/Amoxicillin) for pediatric ear infections.

o Statin therapy (Zocor/Simvastatin) for a newly diagnosed patient with hypercholesterolemia.

o Antihypertensive (ACE inhibitors/Lisinopril/Zestril) for a patient who was discovered to have hypertension at a health screening at work.

o Drugs for treating gastric acidity (Proton pump inhibitors/antacids/H2 blockers) for a patient complaining of chronic indigestion and heartburn.

o Ear drops or eye drops (or both) for an elderly patient.

o Any newly released medication for a patient in your area of practice. This might be a new drug for diabetes, hypertension, or arthritis or a new antibiotic.

2. Include the following in your patient education tool: 

o Explain appropriate use of the medication.

o Identify specific factors (age, access, culture, and so on) that may affect the efficacy of the medication.

o Describe possible chemical interactions, side effects, or other negative reactions patients need to be aware of.

o Explain correct handling, storage, and disposal of the medication.

o Include any other information you feel would be beneficial and promote patient safety and quality outcomes.

You may format Part 1, the patient education tool, any way you wish, but be sure it is logical and understandable by the typical patient who would use it. Feel free to include pictures or diagrams to reinforce the information.

Part 2: Evidence-Based Practice

Provide evidence for the information you included in the patient education tool:

· Explain how the information in the patient education tool promotes patient safety and quality outcomes.

· Explain how the patient education tool adheres to the principles and practices of cultural competence. In other words, is the tool appropriate for all cultures, genders, ages, et cetera; or could it be easily adapted for specific needs?

Format Part 2 according to APA guidelines. This is not a document you would provide to a patient but, for this assessment, it will provide faculty with the academic and professional principles necessary to evaluate your work.

Additional Requirements

· At least 2 current scholarly or professional resources.

· For Part 2 only: 

o Use Times New Roman font, 12 point, double-spaced font.

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

· Competency 1: Apply practice guidelines and standards of evidence-based practice related to pharmacology for safe and effective nursing practice. 

o Explain the appropriate use of a medication.

o Explain how a patient education tool promotes patient safety related to pharmacology.

· Competency 2: Explain the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology and psychopharmacology. 

o Identify specific factors that may affect the efficacy of a medication.

o Describe possible chemical reactions, side effects, or other negative reactions a patient may experience from a medication.

o Explain correct handling, storage, and disposal of a medication.

· Competency 3: Apply the principles and practices of cultural competence with regard to pharmacological interventions. 

o Explain how a patient education tool adheres to the principles and practices of cultural competence.

· Competency 4: Communicate in a manner that is scholarly, professional, and consistent with the expectations of a nursing professional. 

o Write content clearly and logically with correct use of grammar, punctuation, and mechanics.

o Correctly format paper, citations, and references using current APA style.   

nces using current APA style.