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Searching For Evidence To Improve Nursing Outcomes – 2025 All articles that I access for any purpose are evidence based peer reviewed literature I usually obtain literature from the university
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Searching For Evidence To Improve Nursing Outcomes – 2025
All articles that I access, for any purpose, are evidence-based, peer reviewed literature. I usually obtain literature from the university library, but I have used CINAHL previously. I used the Chamberlain University Library for this assignment, which took me to ProQuest. Both articles I accessed were published in nursing literature related to my topic of concern.
The problem I identified just yesterday was that out of 58 students in my Pharmacology class, 6 of these students evidently had issues with how to use the Publication Manual of the American Psychological Association [APA] (use of quotation marks, citations, and references [also, using WebMD and WebEx] and they don’t know how to properly develop the reference list). I don’t think there was intentional plagiarism by a few students, but I looked for articles on how to help students with this kind of work. Again, for this literature search I utilized the Chamberlain Library and clicked on the “search articles” header, and from their I went straight to ProQuest Nursing. From there, I used the advanced search putting in key words: nursing students and APA, followed by checking the Peer Review box. Although I found 479 results, there is a dearth in more current literature that specifically addresses APA formatting in writing (McGuire, Gerber, Elgsti, & Currin, 2001), where the 4th edition of the APA manual was used as a reference. When I narrowed the date of publication down to 2010 to 2019, I found 279 results that were all over the map (279 results), and I found few that were focused on APA usage by nursing students.
I was able to locate one current article that was published in Nursing Open by authors at two Canadian schools of nursing. The authors identified the purpose: “To explore self-efficacy among first-year nursing students in the context of disciple-specific writing” (Mitchell, Harrington & McMillan, 2017, p. 240). The design was identified as a quasi-experimental study, and the methods used were data collection before and after a writing course was completed by nursing students during orientation (Mitchell et al.). The researchers described participants as 132 Baccalaureate nursing students that were spilt into 3 groups: full study participants that received the course and were tested pre- and post-course; experiment only group that did not receive the course but had both the pre- and post-test; and, a control group that had a pre- and post-test within a specific timeframe. The study was noted to have ethical (IRB) approval, and the authors also described the course with sources identified and these, in my opinion, seemed sound based on the topics and were taken from credible literature including the Journal of Nursing Education, Journal on Excellence in College Teaching, Nurse Education in Practice, Quality Advancement in Nursing Education, and others. The authors reviewed and discussed relevant literature review in the article as well. The authors used citations, references, and tables to substantiate the findings of the study. Study limitations were clearly identified as well as suggestions for further research.
The Self-Efficacy Scale for Academic Writing (SESAW) was created by Mitchell using a 4-point Likert Scale for 10 questions in the test. They also used the STAI (State Trait of Anxiety Inventory) tool by Spielberger (as cited by Mitchell et al.). A “One-way Analysis of Variance (ANOVA)” (Mitchell, et al., p. 243) was used by the authors for statistical significance. Pearson’s r calculations were used for statistical analysis as well as independent t tests. Results of the study findings are indicated by Mitchell et al., are as follows:
1. An improvement in APA usage and grammar over time
2. Correlations between anxiety trait and SESAW identified
3. Students that entered nursing school directly from high school did not do as well as others who had more academic experience
4. English as Second Language students showed no difference in performance
In the final conclusions, Mitchell et al., noted that the study indicates: “discipline-specific
writing instruction can influence writing self-efficacy in first year nursing students.” (p. 249).
I plan to share this article with Chamberlain University leadership in hopes that we could have something like this for all our students and before they start their nursing courses (perhaps during orientation?). Moreover, I really wish I could focus my DNP project on just such a topic, but I don’t suppose it’s clinical enough. I look forward to hearing your thoughts and suggestions as well, even on my reference of an article without a DOI that I struggled with (see below).
References
McGuire, S.L., Gerber, D.E., & Currin, M.D. (2001). Helping students use APA format. Journal of
Nursing Education, 40(9), 414-416. URL: https://chamberlainuniversity.idm.oclc.org/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fdocview%2F203935573%3Faccountid%3D147674 (Links to an external site.) accessed on 29 Sept 2020.
Mitchell K.M., Harrigan T. & McMillan, D.E. (2017). Writing self‐efficacy in nursing students: The
influence of a discipline‐specific writing environment. Nursing Open, 4(4), 240-50.
DOI:10.1002/nop2.90 accessed 29 Sept 2020.
I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS
P5#2 – 2025 Hello i need a Briefly Good and Positive Comment for this Post Thank you
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P5#2 – 2025
Hello i need a Briefly, Good and Positive Comment for this Post.Thank you. I need at least two references
Yvonne Amune
Week 5 discussion![Attachment]()
COLLAPSE
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NURS 6660 Week 5 Clinical Supervision Discussion Video Transcript
Anxiety disorders are psychiatric conditions that share characteristics of excessive fear of real or perceived imminent threat. According to Thibaut (2017), anxiety disorders are the most prevalent psychiatric disorders- accounting for 7.3% of all psychiatric disorders worldwide. Anxiety disorders are distinguished from one another by the triggers that induce the anxiety, fear, or other associated behavior and may include generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, selective mutism, separation anxiety disorder, medication/substance-induced anxiety disorder, and social phobia (American Psychiatric Disorder, 2013; Thibaut, 2017).
A client I observed is N.B, a 15-year old male Caucasian presented to the clinic by his mother, who was concerned about his anxious behavior. The client’s mother described him as a shy person with little friends. For this reason, N.B spends most of his time playing video-games in his room. The client’s mother also revealed that N.B has always had problems meeting new people. During the interview, N.B looked uncomfortable. He could not keep eye contact and was fidgeting. N.B’s mother also revealed that he has always struggled in the presence of his peers. N.B has severally turned down his peer’s invitations to hang out and often engages in avoidance behaviors. After assessing the client, a diagnosis was made for social anxiety disorder (Social phobia) 300.23 (F40.10) (American Psychiatric Disorder, 2013).
The DSM-5 diagnostic criteria for social anxiety disorder (Social phobia) involves marked fear or anxiety of one or more social situations where an individual is exposed to scrutiny by others- (in peer settings for children). The social situations always provoke fear or anxiety and must have been lasting for six months or more. In the given case, the client met the diagnostic criteria for social anxiety disorder.
Therapeutic Approach and perceived Effectiveness
The most appropriate treatment for N.B is cognitive behavioral therapy (CBT). CBT is regarded as the approach with the highest level of evidence in the treatment of social anxiety disorder (Bandelow et al., 2017). CBT’s goal in treating social anxiety disorder is to enable the client to gain self-consciousness by changing maladaptive behaviors and negative thoughts that make oneself uncomfortable in social situations. In their study, Pinjarkar et al. (2015) examined the effectiveness of CBT in treating social anxiety and found a clinically significant improvement in the subject’s self-consciousness and avoidance behavior (63.79%). In another study, David et al. (2014) concluded that cognitive therapy resulted in better outcomes than wait-list in the treatment of social anxiety disorder patients (78% of the subjects did not meet avoidant personality criteria at the end of treatment). The study also showed that cognitive-behavioral therapy was more superior to expressive and art therapy in the treatment of social anxiety disorder (71%) (David et al., 2014).
Thank you for listening to me.
I look forward to hearing from you on alternate therapeutic approaches.
References
Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety disorders. Dialogues in Clinical Neuroscience, 19(2), 93–107.
David M., C., Anke, E., Ann, H., Freda, M., Melanie, F., Nick, G., Louise, W., & Jennifer, W. (2014). Cognitive therapy versus exposure and applied relaxation in social phobia: A Randomized controlled trial. Journal of Consulting and Clinical Psychology, 74(3), 568–578.
Kaczkurkin, A. N., & Foa, E. B. (2015). Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues in Clinical Neuroscience, 17(3), 337– 346.
Pinjarkar, R. G., Sudhir, P. M., & Math, S. B. (2015). Brief cognitive behavior therapy in patients with social anxiety disorder: A preliminary investigation. Indian Journal of Psychological Medicine, 37(1), 20–25. https://doi.org/10.4103/0253-7176.150808
Thibaut F. (2017). Anxiety disorders: A review of current literature. Dialogues in Clinical Neuroscience, 19(2), 87–88.
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Week5 Responses 6053 – 2025 Jonise Flynn Strengths Revealed from Gallup Assessment Leaders are known to possess a variety of characteristics that motivate followers
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Week5 Responses 6053 – 2025
Jonise Flynn
Strengths Revealed from Gallup Assessment
Leaders are known to possess a variety of characteristics that motivate followers to work towards a common goal. My results from the Gallup test revealed that my leadership strengths are achiever, competition, input, learner, and restorative. It is essential as a leader to recognize your strengths and weaknesses to guide others towards positive outcomes. Gallup (2020) describes an achiever as someone who works beyond the requirements. An achiever spends more time working on a goal than any other task (Gallup, 2020). The strength of competition drives a person to always want to be the best at whatever job (Gallup, 2020). Competitors are always comparing themselves to others to gain insight on how to be ahead of their competitors (Gallup, 2020). The strength of input arouses curiosity and inquisition. A person with the strength of input is always inquisitive about innovative events and seeking new information (Gallup, 2020). The strength of input refers to those persons who are knowledge seekers (Gallup, 2020). Much like input, the learner also has a strong sense of curiosity. The learner wants to be continuously taught and gather new ideas to expand current expertise (Gallup, 2020). Finally, the restorative strength is reserved for persons who seek perfection and are continuously reviewing ideas and avenues to reach a high-level goal (Gallup,2020). Overall, the described strengths each contribute to leadership characteristics.
Strengthening Core Values
The assessment not only reveals strengths but also shows my underlying weaknesses. I need to strengthen a few core values or beliefs after reviewing my assessment results. Oh et al. (2018) informs us that maintaining core values in leadership inspires subordinates to have a more incredible passion for their work, set higher standards, and work towards organizational goals. When core values are aligned to meet the organization’s needs, job satisfaction occurs (Oh et al., 2018). Marshall & Brome (2017) states that having defined beliefs “models the way” for others, articulating the significance of everyone’s participation in organizational goals(p.120). One core value that I need to strengthen based on my results is self-confidence. The strength of competition fuels my efforts to compare to others and want to do better continually. With competition, however, also comes self-doubt. I need to look less at what others are doing and ensure myself that I am making the right decisions for the organization. Strengthening my self-confidence also inspires others to trust me to be a confident, reliable leader.
Another core value that I need to evaluate is communication. An effective leader needs o to be able to commend others on their achievements and offer constructive criticism. There are staff members that have been on the unit longer than I have, and sometimes I find it hard to communicate criticism efficiently due to the feeling of not wanting to offend anyone. As a leader, I need to work on ways to communicate both successes and failures to the staff so that they are cognizant of their need for improvement. Communicating and helping staff understand where they could accelerate contributes to the success of the organization.
Improving my Strengths
My two strengths that need to be improved as a developing leader are learner and restorative. As a learner, I always want to acquire new knowledge. I’m always looking for an opportunity to understand how to run the unit better, care for specific patient populations, and much more successfully. My strength in restorative is what drives my strength in the learner area. My strength of restorative urges me to seek daily improvements, which triggers my learner curiosity. Using my restorative strength, I strive to improve on how we deliver patient care daily and how the team interacts to meet organizational needs. With both my strengths, to improve, I need to look for more learning and restorative opportunities. Instead of being consumed by nursing tasks, I should incorporate periods of learning and evaluation for restoration. These two strengths are sometimes overshadowed by workloads that, as a leader, I forget to use those strengths to better the organization.
Strengthening My Characteristics
One characteristic that I need to strengthen is in agreeableness. States that due to the amount of time nurses spend connecting with interdisciplinary persons, agreeableness is a characteristic that is necessary for quality patient care. With the workloads, all departments can become frustrated, and sometimes we take the discontent out on each other. Working on being more agreeable can significantly improve patient care and influence how followers also interact with other departments.
Another characteristic that I would like to work on is emotional stability. Results from a study show that emotional instability is high in the nursing profession due to burnout and job dissatisfaction. As a leader, I must work on my emotional stability to model behaviors for others. There are times when the work gets overwhelming, and I find myself complaining out loud. When I feel emotionally overwhelmed, I need to focus on maintaining emotional stability because it influences how others portray the work environment. The only way to keep a positive environment is to set the tone as a great leader.
In conclusion, although the assessment revealed many of my strengths, weaknesses also exist. There are many aspects of becoming a leader that I need to focus on and further develop. Core values, current strengths, and characteristics are all essential areas of self-development that improve patient experience and those of organizational members.
References
Çakıroğlu, O. Ç., & Harmancı Seren, A. K. (2019). The relationship between attitudes towards change and five factor personality traits in nurses. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi, 10(3).https://doi.org/10.14744/phd.2019.34713
Gallup. (2020).Jonise Flynn: Strengths insight guide. Retrieved on September 30, 2020, from https://gx.gallup.com/services/pdf?v=pdfGeneration.prince.7.0.binPath
Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Oh, J., Cho, D., & Lim, D. H. (2018). Authentic leadership and work engagement: the mediating effect of practicing core values. Leadership & Organization Development Journal.https://doi.org/10.1108/LODJ-02-2016-0030
Anita Herrera
Description of the Assessment
This writer has completed the StrengthsFinder assessment which resulted in the following characteristics: Input, Positivity, Responsibility, Futuristic and Learner. The Input attribute is summarized as having the zeal to collect enough insight to thoughtfully examine an abstract concept, theory, or idea. The Positivity attribute is descriptive as generous with praise, quick to smile and always on the lookout for the positive in situations surrounding this writer. Responsibility is characterized by the taking psychological ownership for anything this writer commits to, and whether large or small, feels emotionally bound to follow it through to completion. Being a Futuristic is described as the kind of person who loves to peer over the horizon, fascinated about the future and sees in detail what the future might hold, which helps pulls this writer forward, into tomorrow. The final strength identified was Learner. This described the writer as someone who is very much interested and determined to learn new things and drawn to the process of learning. The process, more than the content or the results is especially exciting to this writer (Gallup, Inc., 2020).
Core Values
The information the StrengthsFinder Assessment generated is interesting. It helps an individual to keep grounded and provide perspective. It also helps to manage the direction in life and work as a leader. Two core values that were identified were Honesty and Confidence. Honesty should be the bedrock of an individual’s foundation, as it will define who a person is before others can know more. If things are dealt with in truth, it allows individuals to live a life with far less worry. Analytical minds can be used to think of new ideas, rather than lies and excuses. Honest intentions in speech and action gain the attention and respect of others. Honesty promotes openness, empowers us and enables us to develop consistency in how we present the facts. Honesty sharpens our perception and allows us to observe everything around us with clarity. Honesty in the workplace is key to building a strong team that trusts each other. To build integrity and a good reputation among coworkers, it is important to always keep your word when you say you are going to do something. When mistakes are made, take responsibility for them. Be transparent in everything said or done. Also respect confidential information, whether business-related or personal.
A major component of confidence is the value a person place on him/herself. Confidence is about the faith you have in your abilities, the person you are, and how you view your most important relationship. With confidence, one can rise to the top of their profession. It keeps one balanced and grounded. It is a powerful value that gives so much definition to the core of who we are. Confidence gives us the strength to pursue our dreams. It psyches us up to get the job or opportunity we have prepared and dreamed about (Scully, 2015).
Strengths Identified
There are two personal strengths this writer identified from the StrengthsFinder assessment. The first strength is the ability to learn new skills. Knowing how to actively grow and develop a skill is a skill itself, and if you understand how the principles of learning work, it will be easier to learn any new skill in the future. It is therefore worth putting some effort into understanding the benefits of not staying away from new skills. This writer has never been afraid to learn new procedures introduced at the place of work. New ideas are greatly appreciated and embraced no matter how big or small. It is important to learn new things especially, new technologies since the world is currently evolving around technology. New software use at work might be challenging, but this writer endeavors to delve into it and make it easier for others to learn, without being intimidated. My willingness to soak up with newness calm others fears and spur them into action (Gallup, Inc., 2020).
The second strength identified is being positive about everything. People exceptionally talented in the positivity theme have contagious enthusiasm. This writer brings enthusiasm to people, group and place of work. Stimulating my team to be more productive and hopeful at work is what this writer is best known for. When colleagues complain about a task that needs to be finished within a timeframe, this writer tries to make it fun for everyone to feel energized from start to finish. Even if it is not going on well as planned, because they most of the times rely on this writer to help them rise above frustrations, energy will be focused on good things that have been previously achieved to see the need to take it to the next level. This writer can deliberately help others see the things that are going well for them and keep their eyes on the positive.
Areas for Improvement
Out of the four domains of team strengths from the StrengthsFinder Assessment: Executing, Influencing, Relationship Building and Strategic Thinking, this writer needs to improve on the Influencing aspect. The ability to influence is an essential leadership skill. To influence is to have an impact on the behaviors, attitudes, opinions and choices of others. Influence is not to be confused with power or control. It is not about manipulating others to get your way.
The first characteristic to improve on is communication. Being able to communicate as a leader is vital. That means it does not matter what the issue is, it must be communicated for everyone to be on the same page. Communication skills are abilities this writer needs to use when giving and receiving different kinds of information. Some examples include communicating ideas, feelings or what is happening. Communication skills involve listening, speaking, observing and empathizing. This writer needs to improve on how information is given across to bring the best out of situations. Communication skills are needed to speak appropriately with a wide variety of people whilst maintaining good eye contact, demonstrate a varied vocabulary and tailor your language to your audience, listen effectively, present ideas appropriately, write clearly and concisely, and work well in a group.
The second characteristic that needs to be worked on Self Assurance. This is described as the ability to take risks and manage one’s own life. Individuals with this characteristic have an inner compass that gives them certainty in their decisions. People with the strength of Self-Assurance have great faith in their own strengths. They are confident in their abilities and their judgments. They know they are unique, and this gives them confidence to face challenging situations. This writer needs to have this characteristic to believe in the abilities and capacities and know I can deliver exactly what is needed (Khalil, 2016). People who have Self Assurance behave as if they have an inner compass pointing them in the right direction, and they believe this right direction is right. They might act right even when they are not. This confidence impacts people, it increases their belief and confidence in themselves. This writer needs to master self-assurance characters so that confidence in others does not intimidate, but to encourage to be even more confident.
References
Gallup, Inc. (2020). Your Signature Theme Report.
Khalil, R. (2016). Influence of extroversion and introversion on decision making ability. International Journal of Research in Medical Sciences, 4(5), 1534-1538. http://dx.doi.org/10.18203/2320-6012.ijrms20161224
Laureate Education. (Producer). (2018). The leader in you [Video webcast]. Retrieved from https://class.waldenu.edu/bbcwebdav/institution/USW1/202030_27/MS_NURS/NURS6053_module03.html?course_uid
Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd. ed.). New York, NY: Springer
Scully, N. J. (2015). Leadership in nursing: The importance of recognizing inherent values and attributes to secure a positive future for the profession. Collegian, 22(4), 439-444.
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Discussion – 2025 Low carb diets are believed to have positive effects for weight loss increased performance management of diabetes
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Discussion – 2025
Low carb diets are believed to have positive effects for weight loss, increased performance, management of diabetes, and even curing cancer. In the JAMA article, low carb is compared to low fat diets in a 12 month trial. Discuss the effectiveness of low carb diets in relation to:
1) Weight changes between a healthy low-fat diet vs a healthy low-carbohydrate diet
2) Genotype pattern and baseline insulin secretion associated with the dietary effects on weight loss
3) Which diet was better for whom?