The following is from another student that i have to reply. 

APA, less than 10 % similarity

Question;

 

Joyce is a 34-year-old woman who has been married 10 years. She has three children, all less than 10 years old: Sheena (age 9), Jack (age 6), and Beth (age 2). Her husband is a prominent attorney. They present an ideal picture of an upper-middle-class family. They live in a fashionable suburb. The husband has been successful to the extent that he has been made a full partner in a large law firm. The family is very active in church, the country club, and various other social organizations. Joyce is an active member of several charitable, civic, and social groups. Joyce’s initial call to the abuse center was vague and guarded. She expressed an interest in inquiring for “another woman” in regard to the purpose of the center. After she had received information and an invitation to call back, a number of weeks elapsed. Joyce’s second call occurred after receiving a severe beating from her husband.

Joyce tells the crisis worker in the phone:”Well, last night he beat me worse than ever. I thought he was really going to kill me this time. It had been building up for the past few weeks. His fuse was getting shorter and shorter, both with me and the kids. It’s his work, I guess. Finally he came home late last night. Dinner was cold. We were supposed to go out, and I guess it was my fault . . . I complained about his being late, and he blew up. Started yelling that he was gonna teach me a lesson. He started hitting me with his fists . . .knocked me down . . . and then started kicking me. I got up and ran into the bathroom. The kids were yelling for him to stop and he cuffed Sheena . . . God, it was horrible! (Wracked with sobs for more than a minute. CW waits.) I’m sorry, I just can’t seem to keep control.”

As the crisis worker:

1-What typical dynamics did you see occurring—denial, guilt, fear, rationalization, withdrawal, and so on—in the victim? How would you as the crisis worker handle them?

What are some of the domestic violence intervention strategies? Pick one and how would you apply it to the scenario

Answer

 

The number of factors that lead to domestic Violence can be internal or external, and while the emergence of these factors cannot be clearly described, these risk factors are diverse. For instance, there are individual factors that are related to, either the victim or perpetrator, include low age which is associated with the level of their maturity, physical and psychological predispositions.—excessive consumption of alcohol by one of the partners and the use of other narcotics as well. Individuals who abuse drugs are likely to fall victim to abusive partners. Victims need acceptance and support to maintain their habit, causing them to be vulnerable. Mental illness is also a contributing factor to domestic Violence. Individuals who suffer from depression and mood disorders are likely to be victims of domestic Violence. 

The dynamic that I see in this case scenario is that the victim has a low self-esteem. Low self-esteem plays a critical role in exacerbating domestic Violence. Often victims believe they are not worthy of anyone’s love and are therefore more likely to endure abuse in the hope of the abuser changing. On the contrary, the perpetrators hide their low self-esteem by degrading others. Also, the desire for power or control can cause domestic Violence as the abuser attempt to control the victim’s social life, travel, and money. Additionally, the previous history of being abused without intervention can, unfortunately, continue the domestic violence cycle. Usually, earlier victims of abusive behavior are either re-victimized or become the perpetrators. Most victims possess the mentality of deserving the abuse leaving them to be defenseless. On the other hand, victims who become abusers do so under the basis of being angry and frustrated concerning their experience as victims. 

Nurses can play a crucial role in reducing the consequences of aby intervening through different techniques. Asking about domestic Violence, for instance, is an effective intervention. Research shows that direct inquiry from a caring health practitioner helped victims of domestic Violence disclose their abuse and find the appropriate intervention processes. (Bullock, et al.,11) Additionally, asking about abuse is a critical nursing intervention in addressing domestic Violence. Empathetic inquiry by a nurse shows a survivor that nurses care and are well informed about domestic Violence.

Usually, it is difficult to witness victims of domestic Violence remain in such relationships. Nevertheless, it’s their decision, and as such, nurses should not force a victim to end the relationship. Such pressure could insinuate that her decision to stay in her way of asking for it, which could worsen the case (Scott-Tilley, 3). Once a nurse has done all they can, it is wise to respect the patient by leaving the situation in her hands and informing her to return whenever she can.

References

Bullock, Linda FC, Judith A. Sandella, and Judith McFarlane. “Breaking the cycle of abuse: how nurses can intervene.” Journal of psychosocial nursing and mental health services 27.8 (1989): 11-13.

SCOTT-TILLEY, DONNA. “Nursing Interventions for Domestic Violence.” American Journal of Nursing, vol. 99, no. 10, 1999, p. 24JJ.

Please include a narrative of the following criteria, as this pertains to your knowledge, skills, and attitudes gleaned from this Capstone Course. In addition, a short narrative summary of your educational experience in the RN-BSN program will assist in providing feedback for future curricular revision. Using the personal pronoun “I” is expected when writing a self-reflection within a reflective journal.

Please include:

• Description of experiences and accomplishments
• Evaluate personal and professional growth
• Evaluate experiences with collaborating with RN facilitator
• Evaluate growth as life-long learner
• Evaluate professional role as change agent

 

The purpose of this assignment is to describe the importance of evaluations in health economics.

Write a 750-1,000 word paper that includes the following:

1. Describe the importance of evaluations in health economics.
2. Compare and contrast the four types of economic analysis as they relate to health economics.
3. Discuss how economic evaluations and health policy are related. Provide recent examples.
4. Discuss the role of technology in economic evaluations.

Include an introduction and conclusion in your paper, and incorporate at least three peer-reviewed scholarly resources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Health Policy: Reimbursement of NPs

This week we will discuss either APN benefits to practice or the role of the Nurse Informaticist. Choose one of the two questions to address. Be sure to respond to both questions in your response to peers.

Discussion Question 1: For this question, using the South University Library do a search and find at least one research article (study design must be discussed) addressing one or more of the concepts noted.

How does APN practice demonstrate cost-effectiveness, reduction in errors and misuse or overuse of services?

Discussion Question 2: For this question,  using the South University Library do a search (include specialty organizations) and address the following questions relative to the Nurse Informaticists:

1. When would you consult with the nurse informaticists?
2. What role does the nurse informaticists play in primary care?
3. What qualifications and credentialing are held by nurse informaticists?

 Suggested URLs to assist you in answering this DQ:

• American Nursing Informatics Association, the NI Community of HIMSS , the Alliance for Nursing Informatics or the Nursing Informatics Special Interest Group of the American Medical Informatics Association.

Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred.

CASE INTRODUCTION

Huddles are such an important part of nursing – they relay pertinent information, increase safety, offer team building opportunities, promote better outcomes for the patient, and ultimately can reduce costs.

Here is your scenario:

Your nurse manager identifies that the staff on your rehabilitation unit, and particularly that you as the evening charge nurse, are resistant and oppositional to an important new patient safety strategy of implementing huddles to improve staff communication.

BRIEF SUMMARY OF CASE 

Paragraph 1  Your nurse manager meets with you, the evening charge nurse, (and with you he had previously begun a disciplinary action process because you refused to implement huddles on the shifts when you was in charge).   You now understands that you (and the staff) were wrong, and you begin to explore with the manager how better to implement huddles on your shift.

Paragraph 2  In a quarterly staff development in-service for the rehab facility’s leaders, a group of nurses and charge nurses, including you, learn about implementing change using Lewin’s five-step Stages of Change (SCM) Model. The nurse manager and you apply this model to their failed implementation of huddles.

Paragraph  3 – You return to your unit and share with the staff that you—and they—were wrong to refuse to implement huddles. You begin to start the process as a change agent.

DISCUSSION GUIDE – QUESTIONS  Worth 2 points each (16 points)

Paragraph 1

1. How does your nurse manager know that you are ready to learn and be a part of the unit change?
2. How was the decision to implement the huddles handled?
3. What is the importance of a huddle?

Paragraph 2

1. What would you do prior to implementing a staff meeting to best communicate new information to the staff?
2. How would you describe Lewin’s Theory of Change? Can you give an example where you have used this theory?
3. What other theories of change are you familiar with, in addition to Lewin’s?

Paragraph 3

1. How would you manage conflict with the other unit staff?
2. How would you handle the resistance to change as noted by the unit staff?