Reflective Journal-self Appraisal 3 – 2025 EPSLO 3 Formulate decisions based on nursing judgment and collaboration with the inter professional

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Reflective Journal-self Appraisal 3 – 2025

 

EPSLO 3: Formulate decisions based on nursing, judgment and collaboration with the inter-professional team to achieve quality patient outcomes.

In your Journal summarize personal and professional achievements and accomplishments that you have completed throughout the baccalaureate nursing program at EC that refer to EPSLO 3: Formulate decisions based on nursing, judgment and collaboration with the inter-professional team to achieve quality patient outcomes.

Attach a minimum of at least two examples of your work that supports EPSLO 3 noted above. Save your Journal entry as your Self-Appraisal for each module in your word document. The professor will request that you submit your journal entries for informal feedback at the end of each module. A Title page of this assignment with a summary of accomplishments (no more than 2 pages in length) is required with attached files as supportive evidence for each EPSLO. A minimum of one or two examples is required to support each EPSLO.

* please incorporate some of the information from the attachment.

Reply 1 Inf – 2025 Communication Strategies HIPPA Hospitals have embraced the use of health technology and electronic gadgets to improve communications

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Reply 1 Inf – 2025

Communication Strategies & HIPPA

Hospitals have embraced the use of health technology and electronic gadgets to improve communications among different parties. Some of the electronic strategies preferred for communication with patients include emails through electronic health record platforms, video calls, and telephone communication, among others (Mccorry & Mason, 2020). Communications conducted with patients over electronic platforms have several advantages over a patient visit to the hospital. For instance, these electronic communication strategies are preferred due to their speed and ease of operation (Anastasius, 2016). Patients can communicate with providers at all times, regardless of geographical barriers.

Furthermore, electronic communications are less expensive than office visits (Anastasius, 2016). Importantly, the use of electronic platforms produces electronic documentation of the interaction. The selection of the strategy to apply is based on the target and the message being passed. 

 The hospital has implemented numerous measures to ensure that the privacy and confidentiality of patient data are protected at all times. These measures include the installation of a secure electronic health recording system (Koontz, 2017). A secure system helps to restrict access to applications and patient health information. This electronic platform requires unique login details that protect the system from access to unauthorized parties (Akhilesh & Möller, 2019).  Staff education on patient privacy and confidentiality is also conducted regularly in the hospital. During the training sessions, nurses and other care providers are encouraged to ensure they key in the correct patient data at all points of interaction. Risk assessments are also conducted frequently to ensure patient data is not compromised. These assessments are essential in identifying potential vulnerabilities in the hospital’s security system, gaps in staff education, and other issues of concern (Koontz, 2017). 

References

Akhilesh, K. B., & Möller, D. P. (2019). Smart technologies: Scope and applications. Springer Nature.

Anastasius, M. (2016). Design, development, and integration of reliable electronic healthcare platforms. IGI Global.

Koontz, L. (2017). Information privacy in the evolving healthcare environment. Taylor & Francis.

Mccorry, L. K., & Mason, J. (2020). Communication skills for the healthcare professional enhanced Edition. Jones & Bartlett Learning.

Reply 2

Electronic communication would include methods such as email, phones, electronic health records (EHR), and telemedicine. Home health has a unique approach to using electronic communication due to the clinical setting. These nurses are not working in a medical facility with information technology readily available. Home health is defined as the “delivery of intermittent health-related services in patients’ places of residence to promote self-care and independence rather than institutionalization” (Nelson, 2014, p.154). This means that electronic communication used in the homes should be accessible and individualized for the families receiving services. 

All patients I have worked with communicate with the organization through phone calls, texts, and emails. Nurses communicate with our organization in the same way with the addition of a mobile app. To maintain patient privacy and confidentiality organizations that work with patient information follows its HIPAA policy. Health information protected under HIPAA includes patient name, social security number, telephone number, email address, street address, and any other patient identifiers. This includes the transmission of such data throughout an organization and applies to anyone involved with the use of health-related data (Edemekong, Annamaraju & Haydel, 2020). Nurses working in my organization only receive information about the patients they are treating. We have no way of accessing the patient’s not on our schedule. The medication administration record (MAR) and plan of care (POC) are sent to the family’s home in paper form for the nurses to use. In some ways, this is a great way to maintain patient privacy due to the limited accessibility of information. However, there have been instances when my patient’s information was sent to the wrong address. In addition, when nurses turn in the paper forms, we place them in a drop box at the organization’s office. Our notes are also dropped off in the same box. Respecting HIPAA would rely on the person emptying the box to ensure all the papers with patient information is taken to the proper person. Doing things this way seems like errors would happen easily. Using more electronic communication in handling patient information would make the home health setting abide by our HIPAA policy more efficiently. 

Nelson, states that a trend within home health organizations is the introduction of point-of-care devices to facilitate communication and collaboration. These devices would make “patient records available in the home when care is being provided and capture clinicians’ documentation in real-time, thereby supporting care” (2014, p. 157). I know of other home health agencies that use iPads and work phones to make this possible. Nurses on shift are given these devices to access patient information while in the home, eliminating paper records. Devices are handed in at the end of the shift to guarantee that information is only accessed by appropriate individuals and when necessary.  

References 

Edemekong, P. F., Annamaraju, P., Haydel, M. J. (2020) Health Insurance Portability and Accountability Act (HIPAA). StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK500019/ 

Nelson, R., & Staggers, N. (2014). Health Informatics: An Interprofessional Approach (2nd ed.). Mosby 

Follow Up Discussion – 2025 Follow up discussion response add information and support the idea for the above

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Follow Up Discussion – 2025

 Follow up discussion response , add information and support the idea for the above post. One paragraph use the same reference and citation 

According to our lesson this week, variables are expressed as numbers in order to analyze them statistically, but different types of numbers have different levels of measurement (Houser, 2018). In my project I’m focusing on the risk race/ethnicity has on hospitalization/death in patients with Covid-19. This level of measurement is nominal. Our lesson discusses that nominal variables are categorized data, classified, and not ordered (Houser, 2018). An implication for this statistical testing is that subjects cannot be compared (Houser, 2018).

A study conducted that investigates Covid-19 mortality affecting the Black population in the US. The study used 505,992 patients receiving care at Bronx Montefiore Health System (BMHS) between 1/1/18 and 1/1/20 to evaluate the risk of hospitalization and death in two time periods- pre-Covid time and Covid time period (Golestaneh et al., 2020). The study was conducted using a retrospective cohort study of patients that were outpatient at BMHS (Golestaneh et al., 2020). In a retrospective cohort study is a type of observation research in which the investigator looks back in time at archived or self-report data to examine whether the risk of the disease was different between exposed and non-exposed patients (El-Masri, 2014). The variable was race/ethnicity (Golestaneh et al., 2020). Race/ethnicity data was patient self-defined at time of initial registration at BMHS. Patients were able to register as Non-Hispanic White, Non-Hispanic Black, Hispanic, and Other (Golestaneh et al., 2020).

References:

El-Masri, M. M. (2014, April 1). Terminology 101: Retrospective cohort study design. Retrieved September 28, 2020, from https://canadian-nurse.com/en/articles/issues/2014/april-2014/terminology-101-retrospective-cohort-study-design

Golestaneh, L., Neugarten, J., Fisher, M., Billett, H. H., Gil, M. R., Johns, T., . . . Bellin, E. (2020). The association of race and COVID-19 mortality. EClinicalMedicine, 25, 100455. doi:10.1016/j.eclinm.2020.100455

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.

Nursing – 2025 Use the data you obtained from the health promotion needs assessment HPLPII

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Nursing – 2025

Use the data you obtained from the health promotion needs assessment (HPLPII) you did with your older adult in module 2, create a care plan that focuses on the health behavior that needs intervention. only one knowledge deficit diagnosis is required for this care plan. This care plan will identify the health promotion needs intervention that you will develop for the older adul.

Nursing – 2025 Research different popular nontraditional health care practices Write a 1 000 1 200 word paper exploring nontraditional health care practices and

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Nursing – 2025

Research different popular nontraditional health care practices. Write a 1,000-1,200-word paper exploring nontraditional health care practices and include the following:

  1. Describe nontraditional health care practices in different cultures. Compare at least three cultures.
  2. Explain the importance of these practices in providing holistic and quality health care.
  3. Identify the nontraditional health care options in your areas, and identify the number of people choosing to use them over traditional medical practices. Propose reasons why the number of people using nontraditional health care options is rising.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

Group Project – 2025 A common task in healthcare involves a team assessing how changing regulations mandates or market conditions

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Group Project – 2025

 

A common task in healthcare involves a team assessing how changing regulations, mandates, or market conditions will impact an organization.  At times, the very survival of the entity depends on this analysis.  Each student will be assigned to a team and tasked with working together to develop a presentation on the following topic:

Since the 2016 presidential election, there have been multiple changes to the Patient Protection and Affordable Care Act (ACA).  What are they and how have they impacted healthcare access, cost, and quality?

Questions to be addressed in your research include:

·                  What is the status of those who were newly covered?

·                  What are exchanges and how are different States approaching them?

·                  What does the Medicaid program have to do with the ACA?

·                  How have health insurance premiums been affected?

·                  What variables are in play in the political debate over the impact of the ACA on cost, access, and quality of care?

·                  What are some of the key challenges facing state and national policymakers given the current status?

·                  On balance, has the ACA been a good or bad law?  Provide a clear, fact-based, non-emotional justification for your conclusion.

On balance, is the ACA a good or bad law? Provide a clear, fact-based, non-emotional justification for your conclusion.

Instructions:

Team projects occur in almost all health care worksites. This project encourages student-to-student interaction, the use of technology, and learning. You will be assigned to a team by the beginning of Week 2. 

Your project will take the form of a 10 – 15-minute multimedia presentation. You will publish your presentation to an Internet site (like Google, YouTube or your own website) and post the link to the project in the Group Presentation Assignment folder. Your presentation may contain: a PowerPoint Slideshow, a website, a video… the choice is yours. Be as creative as you can. An associated transcript with all the references is required. 

Here are some suggestions for creating and posting your project:

If you are into videos and YouTube, you likely already know how to create a video and post it to YouTube. Mac computers come with iMovie and PCs come with MovieMaker; both are easy to use tools for editing video. You can use a video camera to record your presentation. You don’t need anything fancy; the webcam on your laptop or even your phone will record video appropriate for this project. You could use a screen capture software to record the screen activities of your laptop. Quicktime Pro and Camtasia are solutions you can use for screen capture. Once downloaded and running on your machine, they allow you to record screen activity and save that recording as a movie file. There are many screen capture options available and some of them are either free or come with a free 30-day trial. Here is a web article that reviews 17 different free solutions for capturing your screen. Recording a video with either a camera or screen capture, then editing it with iMovie or MovieMaker is what I would suggest. 

Another free screen capture program, not listed at the link above, is Easyvid:  http://www.ezvid.com/.  It is well worth a look.

If you are not familiar with any of this, you can use PowerPoint to make a movie. Simply produce a slideshow in PowerPoint and record narration/timing in the slideshow settings. When you save the file, save it “as a movie”. This will create your movie file.

Uploading your presentation to YouTube is also fairly simple. If you do not have a YouTube account, it is free and simple to set up. All you need is an email address. In fact, if you have a Gmail account, you already have a YouTube account. Go to Youtube.com and register for a free account. Once you sign in, there will be an “Upload” button at the center top of your screen. Click upload and locate the movie file you saved. Be sure, in your YouTube settings, to make the movie either “Public” or “Unlisted”… No one but you will be able to see a movie that is set to “Private”. Once the movie is uploaded, navigate to it and copy the link in the address bar. Post the link to your presentation in the Team Presentation folder.

If you have trouble with any of this, there are many videos on YouTube and other tutorials on the Internet that will give you great ideas. Have fun with this assignment and be creative. You are not limited to just making a movie and posting it to YouTube. You may want to try an interesting presentation tool called Prezi. This tool allows you to create very fun, interesting, online presentations. You can even invite collaborators to create your Prezis with you. Check out the site and I encourage you to look for new and different ways to present your ideas. You can give your 10 – 15-minute presentation in any creative way you can think of.

Group Therapy – 2025 I NEED A RESPONSE TO THIS ASSIGNMENT 3 REFERENCES Cognitive Behavioral Therapy

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Group Therapy – 2025

 I NEED A RESPONSE TO THIS ASSIGNMENT

3 REFERENCES

Cognitive Behavioral Therapy (CBT)

The goal of CBT is to identify unhealthy thought patterns which lead to negative emotions and behaviors, when the therapist and client can identify the unhealthy thoughts and impulses we can then begin to reframe and restructure them so that we can have a more positive response to our life stressors. Part of this process involves disproving untrue beliefs about ourselves, Socratic questioning, reattributing blame for the negative assumptions about the stressor, thought stopping, self exploration and cognitive restructuring (Wheeler, 2014). CBT is aimed at changing a pattern of thinking which is irrational in nature and assisting the client to identify the rational and real event or emotion and reduce the emotional response to be more proportionate to what actually happened or is still happening (David, Cotet, Matu, Mogoase & Stefan, 2018). While the approach may differ minimally between family and individual CBT processes, because there will be more persons involved in the family approach, the overall idea is the same: cognitive thought restructuring. 

While traditional CBT practitioners focus on individual interpersonal relationships and subsystems which the client identifies as the main stressor, CBT in families takes a much more thorough approach by identifying negative belief and thought patterns that are reinforced by family members (Nichols & Davis, 2020). Nichols and Davis (2020) also explain that doing CBT with an individual who return home to a family in which reinforces the negative thought and belief patterns about themselves sets the stage for failure for the client. CBT in families and romantic couples shows strong evidence of success and can greatly improve relationship dynamics, interactions, mindfulness of each other’s emotions and have long-term positive outcomes for the family or romantic couple (Nichols & Davis, 2020). 

Practicum Experience

CBT in my practicum experience has been… very interesting. I am doing my clinical hours at a long-term care psychiatric facility, it is much like an AFC home, but it is a 20 bed facility with much more staff and resources than a typical AFC, many of the clients are stepped down there from the state hospital or a long-term hospitalization. A lot of the counseling that my preceptor and I do is helping the residents navigate relationships with their roommates, peers, staff and families in order to prepare them for those interactions in the real world when they are hopefully released to begin their more independent journeys. Counseling two roommates who are struggling to co-exist has a lot of the same hallmarks as couples or family counseling when the clients are living together long-term (at least one year), but with so much acuity and other dynamics in the facility, achieving those cognitive changes can be very challenging when they are immediately disproven by the behavior of other clients on the unit. With one set of roommates in particular, we have been working with them on setting firm boundaries, communicating assertively, helping them to reframe their thoughts and feelings toward each other and identify the positive aspects of their relationship. Achieving these outcomes, especially in clients with serious and persistent mental illness, is very challenging, but because of that heightened challenge comes a lot of reward, as after five weeks now I have slowly begun to see the results of drilling some of these healthy changes into each and every individual and group counseling sessions. I consider it a very good day when we witness a behavior and another client in the facility yells “you need to set better boundaries”! (haha)

Challenges In the Family Setting

CBT in the family setting can be very challenging for the family and for the therapist – the therapist is working to rewire years of taught and learned behavior, evaluate subsystems within the family and address those toxic relationships, evaluating the structure of the family and determining how that affects cognitive thought patterns in the home. Patterson (2014) writes that sometimes in family therapy there is a risk of evaluating cause and effect patterns which may ignore the signs or protection of an actual victim-perpetrator relationship, such as in domestic violence cases, and through the use of a CBT approach increases the likelihood of safety and independence of for the victim of abuse. There are many moving parts and pieces to family CBT and there is a lot of conflict that must be worked through before one can start to change those thought patterns and in-turn their behavior and reactions toward one-another. 

Nursing. – 2025 Assignment 1 Practicum Week 5 Journal Entry Due in Week 7 Learning Objectives Students will Develop effective documentation skills

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Nursing. – 2025

Assignment 1: Practicum – Week 5 Journal Entry (Due in Week 7)

Learning Objectives
Students will:
  • Develop effective documentation skills for family therapy sessions *
  • Develop diagnoses for clients receiving family psychotherapy *
  • Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families *
  • Analyze legal and ethical implications of counseling clients with psychiatric disorders *

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select two clients, you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2.

Then, address in your Practicum Journal the following:

  • Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
  • Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for each client.
  • Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
  • Explain any legal and/or ethical implications related to counseling each client.
  • Support your approach with evidence-based literature.

Assignment 2 – 2025 The first attachment will be the homework the second attachment will be the list of industries you will

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Assignment 2 – 2025

* The first attachment will be the homework

* the second attachment will be the list of industries you will choose ( i want you to pick KPMG Company)

*the third attachment will be example of how to do the hmw

*the forth attachment will be example of how to do it too

PiCO Nursing M2L5 – 2025 M2 Lesson 5 Discussion Create an original posting with a minimum of

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PiCO Nursing M2L5 – 2025

 

M2: Lesson 5 – Discussion

  1. Create an original posting with a minimum of 250-300 words.
  2. Back up your arguments with reliable evidence.

Searching for the Best Evidence

Instructions:

  1. Locate one primary research article, systematic review or practice guidelines related to the PICO question that is a report of an evidence-based practice or a quality improvement project.  Thous this assignment involves finding one (1) article, keep in mind that you must describe the process on how you were able to locate the article.  Then, answer the following questions:
    1. What is the level of evidence that best answers your PICO question?
    2. What relevant databases did you search to find the article?
    3. What keywords from your PICOT question were used to search the database?
    4. What strategies were applying to streamline your search?
    5. Did you use “MeSH terms”, Boolean connectors or parameters to help you search for the evidence?