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Therapeutic Communication – 2025 Therapeutic communication is the foundation of mental health nursing It is how mental health nurses build
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Therapeutic Communication – 2025
Therapeutic communication is the foundation of mental health nursing. It is how mental health nurses build therapeutic rapport. Watch the video below and answer each question that follows it.
1.) What forms of verbal and nonverbal communication did the nurse use incorrectly?
2.) What would you do differently?
3.) How does therapeutic communication affect patient care?
MUST HAVE at least one scholarly article, APA FORMAT, NO GRAMMAR ERRORS and reference
Initial Discussion – 2025 One page with two reference Would your problem identified in the Week 2 discussion question lend
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Initial Discussion – 2025
One page with two reference
Would your problem identified in the Week 2 discussion question lend itself to a qualitative or quantitative design? What level of evidence (research design) would best address the problem? Explain your answer.
post was this please refer to answer the above question
To achieve a high-quality person-centered system of healthcare, there is a need to ensure that there is an active engagement of patients and their families in making decisions about their care. Family is any person who offers support to the patient and who is defined by the patient as such including relatives and friends among others. This effort has been ongoing for a long time as parents are allowed to be with their children at the hospital and patients under end-of-life care are allowed to have family around. However, this is different during a pandemic as healthcare workers have to balance between family support and limiting virus exposure (Frampton et al, 2020).
To discuss my topic, I will use an article by Hart et al that was published in 2020 and is titled ‘Family-centered care during the covid_19 era’. This article discusses how family-centered care can be achieved during a pandemic. In the case of a pandemic like Covd_19, the best way to ensure public safety is by restricting the physical of people, especially those that are not sick, in hospitals. This means that family-centered care, which requires the family to be there to communicate with the caregivers on important matters regarding the patient, will be affected. The article provides strategies on how we can support family-centered care while at the same time maintaining physical distancing (Hart et al, 2020).
This article will be beneficial to my topic because it will help me understand how we can maintain patient and family engagement in healthcare even during a pandemic. Both family-centered care and safety during a pandemic are things that we cannot compromise. It is however a bit difficult to achieve both during a pandemic. However, with information from this article, we can be sure to keep the patient and their family safe while at the same time achieving family-centered care. These strategies will lead to long-term progress in delivering care that engages both the patient and their family.
References
Frampton, S., Agrawal, S., & Guastello, S. (2020, July). Guidelines for Family Presence Policies During the COVID-19 Pandemic. In JAMA Health Forum (Vol. 1, No. 7, pp. e200807-e200807). American Medical Association.
Hart, J. L., Turnbull, A. E., Oppenheim, I. M., & Courtright, K. R. (2020). Family-Centered Care During the COVID-19 Era. Journal of Pain and Symptom Management.
Advanced Pathophysiology – 2025 The focus is on Cardiovascular and Respiratory Disorders In this module you will examine fundamental concepts of cellular
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Advanced Pathophysiology – 2025
The focus is on Cardiovascular and Respiratory Disorders. In this module, you will examine fundamental concepts of cellular processes and the alterations that lead to various cardiovascular and respiratory diseases and disorders. You will evaluate the genetic environment and its impact on these diseases. You will also evaluate the impact of patient characteristics, including racial and ethnic variables, on physiological functioning. Here is the case study for this module:
A 65-year-old patient is 8 days post op after a total knee replacement. Patient suddenly complains of shortness of breath, pleuritic chest pain, and palpitations. On arrival to the emergency department, an EKG revealed new onset atrial fibrillation and right ventricular strain pattern – T wave inversions in the right precordial leads (V1-4) ± the inferior leads (II, III, aVF).
This week, you examine fundamental concepts of cardiovascular and respiratory disorders. You explore common diseases and disorders that impact these systems, and you apply the key terms and concepts that help communicate the pathophysiological nature of these issues to patients.
Required Reading
McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
· Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review
· Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review
· Chapter 35: Structure and Function of the Pulmonary System; Summary Review
· Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery hypertension); Summary Review
Assignment (2-pages case study analysis) At least 3 citations scholarly articles.
-Interprof Org & Sys Leadership – 2025 RESPOND TO THE 2 POST AT LEAST 3 CITATIONS Organizational Policies and Practices
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-Interprof Org & Sys Leadership – 2025
RESPOND TO THE 2 POST . AT LEAST 3 CITATIONS
Organizational Policies and Practices to Support Healthcare Issues
Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.
For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?
In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.
Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.
Respond to this post. Post 1 JI
Nurses are considered the largest group of health professionals. Per the American Nurses Association, there will be far more registered nurse jobs available than any other professional healthcare by 2022 (Nursing Workforce, n.d.). Because of this shortage, there is a competing need for needing nurses due to nursing shortage and the high volume of patients requiring care. One of the causes of the nursing shortage is the result of the aging population. Currently, there are about 40.3 million people in the United States that are age 65 or older (Older Population and Aging, n.d.). As these babyboomers age, they are requiring higher acuity/patient needs in the hospitals (Haddad et al., 2020).
This high acuity of patients and nursing shortage causes organizations to develop policies that ensure a safe patient to nurse ratio. These policies ensure there is safe staffing of nurses and patient safety. An appropriate nurse-patient ratio allows the best and safer care of patients and prevents nursing burnout (The Importance of the Optimal Nurse-to-patient Ration, 2016).
The Healthcare issue selected is nursing burnout which is greatly impacted by patient acuity level and not having appropriate staff to take care of patients. This sometimes results in nurses taking care of more patients than the recommended safe nurse to patient ratio. Nurses having to work in a high-stress environment also impacts patient safety (Nursing Workforce, n.d.).
The way policies would be able to address this current issue would be to have organizations be fined if nurses are given an assignment that requires taking care of patients more than the nurse-patient ratio allows. Currently, California is the only state that legally has a defined nurse to patient ratio (The Importance of the Optimal Nurse-to-patient Ration, 2016).
References
Haddad, L. M., Annamaraju, P., & Toney-Butler., T. J. (2020, July 25). Nursing shortage. NCBI. https://www.ncbi.nlm.nih.gov/books/NBK493175/
Nursing Workforce. (n.d.). American Nurses Association. Retrieved September 14, 2020, from https://www.nursingworld.org/practice-policy/workforce/
Older population and aging. (n.d.). The United States Census Bureau. Retrieved September 14, 2020, from https://www.census.gov/topics/population/older-aging.html
The importance of the optimal nurse-to-patient ratio. (2016, November 11). Wolters Kluwer. https://www.wolterskluwer.com/en/expert-insights/the-importance-of-the-optimal-nursetopatient-ratio
POST 2 SC
A competing need, when it comes to having a 2020-BSN prepared workforce, would be hiring non-BSNs or making exceptions for staff not to achieve a BSN degree. This goal allows for some wiggle room by being 80% and not 100% of the nurses having a BSN. Making exceptions is ok, but too many exceptions and the hospital may not meet this goal on time. The policy impacted would be policies that mandate hiring BSN nurses and the requirement of non-BSN nurses getting their BSN. The policy should remain, but the exceptions should be vetted through higher management to allow for exceptions.
The problem this goal imposes is balance. Patient safety remains the top concern. Immediately firing all nurses without BSNs and replacing them with BSN nurses can leave a hospital stripped of experience in nursing and policy, leaving patient safety compromised. This problem is why this goal must be measured, and fortunately, it allows for an extended time frame (Gerardi et al., 2018).
Not achieving this goal is the compromise that may be needed to ensure a safe balance of nurses that are familiar with the hospital and have adequate experience. This compromise would be the impact of relaxing policies on hiring BSN nurses. The nurses with experience with ADNs feel like the BSN nurses are no better than they are at bedside nursing (Matthias & Kim-Godwin, 2016). Although they think they are the same, the higher ratio of BSN nurses in the workforce has many benefits (Straka et al., 2019). Regardless, this goal has been set, and the competing needs are manageable.
In the hospital where I work, we have not achieved this goal but have been trying to. I have seen days in the ICU where the most experienced nurse, including the charge and ANM, has three years of nursing experience. This situation is where this goal, and other factors, has compromised patient safety. We did not meet the goal by 2020 but are still trying to safely. I have seen new hires come in with plenty of ICU experience that do not have BSNs, but they plan on getting it.
References
Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared
workforce goal. AJN, American Journal of Nursing, 118(2), 43–45.
https://doi.org/10.1097/01.naj.0000530244.15217.aa
Matthias, A. D., & Kim-Godwin, Y. (2016). RN-BSN students’ perceptions of the differences in
practice of the ADN- and BSN-prepared RN. Nurse Educator, 41(4), 208–211.
https://doi.org/10.1097/nne.0000000000000244
Straka, K. L., Hupp, D. S., Ambrose, H. L., & Christy, L. (2019). Reaching beyond 80%
BSN-prepared nurses. Nursing Management (Springhouse), 50(5), 52–54.
https://doi.org/10.1097/01.numa.0000557624.27437.25