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  Endicott Work Productivity Scale (EWPS)

       In psychotherapy, a variety of assessment tools have been utilized to assess clients’ symptomology before and after treatment. Endicott Work Productivity Scale is a short survey of twenty -five questions (Endicott & Nee, 1997). The client’s self- reports by using the scale 0-4 to rate particular (0- no difficulty) or negative (4-always having trouble) in response to work productivity (Endicott & Nee, 1994).The results are then tailed from 0 to 100 work performance has been affected by their psychiatric diagnoses (Endicott & Nee, 1997) Assessment tool are primarily chosen by the provider depending on diagnosis, symptomology and treatment options. Endicott Work Productivity Scale is used mainly with psychiatric diagnosis such as depression, a variety of mood disorders, and medical conditions (headaches) affect work productivity.  The scale measure four domains of productivity within the workplace quality of work performance capacity, attendance, and internal factors. The paper explores the pros and cons of using the Endicott Work Productivity Scale. We will also explore the tool’s validity and reliability in comparison to psychopharmacology and the clinical areas the instrument is commonly utilized. 

    According to Soczynska et al. (2014), The Endicott Work Productivity Scale was used to measure the effects of Major Depressive Disorder and antidepressants on the memory and work production of adults ages 18 -50. The study was conducted for eight weeks to evaluate antidepressants Escitalopram and Bupropion XL  and the effects on work productivity (Soczynska et al., 2014). Thirty-six participants completed the Endicott Work Productivity Scale. Research showed that Escitalopram and Bupropion XL significantly improved function (all p ≤ 0.001), and work productivity (p = 0.045) (Soczynska et al., 2014). The pros of  EWPS is it is an excellent tool to measure the client’s progress in regards to behaviors, feeling, and thoughts regarding work production. It would be beneficial to give to the client before psychotherapy and measure frequently to see if progress has been made. The tool is useful in assessing the progress of medication. In this instance, the EWPS tool should be used in addition to another tool to get a better outlook on the client’s growth.  
 In conclusion, the EPWS tool is used by the provider to collect information from clients on their report of work performance (Ishak et al., 2013). This tool is used to calculate a total score between 0 and 100.  The rating measures subjective feelings, behaviors, or attitudes that can act as a bias. The client can choose high scores but, on the contrary, have low scores causing a different result. 

                                                                                                   References
 Endicott, J. (1994). Endicott Work Productivity Scale.https://web-a-ebscohostcom.ezp.waldenulibrary.org/ehost/detail/detail?vid=3&sid=2ac95f51-fe7e-473e- 922eeafa6090d2d5%40sessionmgr4008&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=test.2108&db=mmt

      Endicott, J., Nee, J. (1997) Endicott Work Productivity Scale (EWPS): a new measure to assess treatment effects. Psychopharmacology Bull 33: 13–16. https://search.proquest.com/openview/40c743939f1b863f8198aed94b4afc26/1?pq-origsite=gscholar&cbl=35891

       Ishak, W., Balayan, K., Bresee, C., Greenberg, J., Fakhry, H., Christensen, S., & Rapaport, M. (2013). A descriptive analysis of quality of life using patient-reported measures in major depressive disorder in a naturalistic outpatient setting. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 22(3), 585–596.   https://doi-org.ezp.waldenulibrary.org/10.1007/s11136-012-0187-6

         Soczynska, J. K., Ravindran, L. N., Styra, R., McIntyre, R. S., Cyriac, A., Manierka, M. S., & Kennedy, S. H. (2014). The effect of bupropion XL and escitalopram on memory and functional outcomes in adults with major depressive disorder: Results from a randomized controlled trial. Psychiatry Research, 220(1–2), 245–250. https://doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2014.06.053

Identify your MSN Specialty Track

Describe the practice concern/problem.

Why is this concern/problem important to nursing and healthcare?

What is the scope of the concern?

What evidence is there for the need for change?

Include a minimum of two scholarly sources.

Define each element of your PICOT question

P-Population and problem – What is the nursing practice concern or problem and whom does it affect?

I-Intervention – What evidence-based solution for the problem would you like to apply?

C-Comparison – what is another solution for the problem? Note that this is typically the current practice, no intervention at all, or an alternative solutions.

O-Outcome – Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome.

T-Time frame – For the purpose of the EBP project, keep the timeframe within 6-8 weeks.

Write your PICOT question in the standard PICOT question format

Identify the key search terms and phrases for your literature search.

Identify a theoretical framework/nursing theory that will guide your EBP project.

Motivation and Behavior

You are in charge of developing a team-building activity to improve  collaboration and increased communication for your team members. You are  the newly promoted manager. Your department is closing for the day so  you have four hours together in a team environment.

Review the following details of team members:

• Rosanna (46) and Mary (20) are two staff members who do not get  along. Rosanna is quiet and a loner. Mary is outspoken, and talks about  her personal life to friends.
• Cindy, (35), and Lolita, (40), are part-time staff. They are  stressed due to economy. They interact with full time staff, but full  time staff think they complain too much and shouldn’t because they are  part time
• Chip is a twenty-three-year-old maintenance worker who works  part-time job at night, in addition to full-time role. He is often  tired.
• Samir is fifty-five, works full-time, and cannot wait until retirement.
• Sarah (52) is a negative department manager who complains. She is a strong informal leader and has influence over the group.
• Jerry is twenty-four and in graduate school. He has a positive  attitude and is not motivated because no one likes to work together.

You need to divide the team into three groups. Remember this is a team-building activity.

• How will you make the determination which members to put together?
• Should members, who have a negative attitude, be placed with members who are positive? Why or why not?
• How will a negative manager affect the overall group dynamic as opposed to a positive leader who wants to see the team develop?
• How influential can an informal leader be among team members?
• What barriers to effective teamwork can you anticipate and how will it be addressed?

Submission Details:

• Your presentation should consist of 12–15 professional color  Microsoft PowerPoint slides (not including the title and reference  slide) along with detailed speaker notes to include examples to support  each slide.
• Support your responses with examples.
• Cite any sources in APA format
• Present the additional information in the Notes section.

Using the directional terms in the table from your textbook, describe how you, or someone close by you, is sitting or standing. Include at least 5 of the terms describing body positioning and movement. Then describe the opposite (for example, if you said your foot was plantar flexed, use dorsiflexed) for all of the terms you used, and make a guess whether you would be comfortable in that position.

Your response should be posted to the Discussion Area below. By the end of the week, begin commenting on at least 2 of your peers’ responses. Ask questions, further the discussion of the topic, reinforce a response, or add another dimension to the discussion. Always use constructive language.

Part Two

Think of a few examples or do some research into examples where the prefix or suffix of a root word changes the meaning from one term to another. Why is it critical for medical professionals to understand and use prefixes and suffixes carefully?

Explore United Ostomy Associations of America, Inc. website

Post a response in regards to information gained that can be used to develop or enhance clinical judgment in caring for clients with a urinary or bowel diversion and the impact of the client’s functional ability in managing care at home. Additionally, compare the functional ability of an actual young adult to your thoughts about having an ostomy.