• Read and familiarize yourself with all the Ayurvedic resources in Lesson 2 (Web links, Videos, Journal Articles, etc.)
• Use the Internet to further explore Ayurvedic Medicine, and answer the following questions:
   

1. Give an example of how Ayurvedic Medicine can empower patients.
2. Describe the impact that Ayurvedic Medicine can have on the global community.
3. Identify Ayurvedic resources within a specific community.

• Your paper should be 4-6 pages, including: 
• title page
• reference page according to APA Writing Style 
• spacing and margin settings (APA Style)
• Type your paper in a WORD Document and save file.

(1) 150 words citation references

Nola Pender’s health promotion model is used to promote health behaviors by observing the family dynamics and promoting interventions that affect the family unit. The model has three main concepts. The first is that people are basically a sum of their parts, their individual biological makeup and their past experiences. Second, they have developed beliefs and characteristics based upon their interpersonal environment. The final concept is the goal, which is health promotion. The nurse is a part of the interpersonal experience, as well as the family. The individual’s perception of self-efficacy can be based on emotions related to past success or failures, the presence or absence of positive role models, and the presence of health disparities that can compete with the behavior change (Nursing Theories, 2011).

Pender’s model can help in teaching behavioral change, because it considers the multitude of dynamic forces at work in an individual’s life.  According to the theorist, when a person’s interpersonal environment becomes supportive and positive, there is a greater chance of patient compliance. For incidence, if the person is a new onset diabetic and their family is not supportive with diet changes and do not modify the family meals, the patient is less likely to be compliant with their new diet. 

Disparities such as age, socioeconomic status, educational level, disability, race, culture, or religious beliefs can affect a patient’ ability to learn. These factors can compete with the patient’s ability to participate in health promoting behaviors or limit access to health promotion resources. For instance, a person with limited English speaking ability may not have health promotion resources available in their native language (Whitney, 2018). 

According to the transtheoretical model, change is based upon a person working through six stages. Change occurs when a person has had time to contemplate and make up their mind to take action (Whitney, 2018). People can be unwilling to change for many reasons. They might not be cognitively capable, physically ready, or psychologically ready (Ashton & Oermann, 2014). For example, newly diagnosed patients are often in denial or have not accepted the diagnosis, so they may not be willing to intitally learn about their condition or their care. Another example, is when a parent of a child with a TBI is still grieving and may leave the room when their child needs to be cathed, toileted, or connected to a feeding pump. In this case, patient teaching that includes the parent’s active participation in their child’s care is not the focus. 

Ashton, K., & Oermann, M.(2014). Patient education in home care: strategies for success. Home Healthcare Now,32(5),288-294. Retrieved from https://www.nursingcenter.com/journalarticle?Article_ID=2460148&Journal_ID=2695880&Issue_ID=2460020

Nursing Theories. (2011). Health promotion model. Retrieved from http://currentnursing.com/nursing_theory/health_promotion_model.html

Whitney, S. (2018) Teaching and learning styles. In Grand Canyon University (Eds.), Health promotion: health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1

(2) citation references 150 words

Bandura’s Self efficiency theory of behavior change is a health promotion model that was made the model by Albert Bandura. This model focused on the feelings of self-efficacy can lead to competency (Whitney, 2018). Bandura believed that patients/individuals have the power to bring their own outcomes to fruition. Its stated that there are three factors influence self-efficacy which are behaviors, environment, and personal/cognitive factors. The theory focuses on “…how learning is influenced by repetition, reinforcement, and symbolic modeling.” (Whitney, 2018). This model helps by giving power to the patient in changing their outcomes and behaviors.

Some barriers that effect a patient’s ability to earn and language, environment, socioeconomic status, illness and the patient’s readiness to learn. Language is an obvious barrier to learning, if a patients first language isn’t English and the nurse who is caring for said patient only speaks English there is going to be an inability to teach/learn. In this situation the use of translators and informational and educational packets/ videos in the patients preferred language are helpful and overcoming this barrier. The environment in which learning or teaching is done is also very important. If the environmental is full of distraction, loud noises, family members and nurses in and out or even a roommate it can cause the patient to ot focused on the teaching that is taking place. Nurse must ensure that before teaching is done that the environment is prepared. This involves elimination of all distractions, turning of the tv, having family members and staff exit the room and so on.

If a patient isn’t ready to learn or change the teaching is useless. Attitude and behaviors are one of the biggest factors in not just healing but learning as well. When patients aren’t ready or willing, the information they receive won’t be absorbed or it will be ignored which will lead to possible worsening of the patient’s illness and negative outcome. A Nurse has to ensure the patient is in the right mindset to learn, receive information and change. This can be done be a simple readiness to learn assessment by the nurse.

References

Whitney, S. (2018) Health Promotion: Health & Wellness Across the Continuum. Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1

Changing Attitudes in the Workplace

Several attitudes can be displayed in the  workplace depending on conditions, management style, personal issues,  and values. There are seven steps for changing attitudes in the  workplace. Refer to this week’s readings on the step-by-step process for  changing attitudes in the workplace. Now, read the following scenario:

You are a new manager in the department  (either major or desired management position). You discover that the  majority of staff members have a negative attitude, they gossip, and  have low morale. Many bring their home issues and problems to work.

Using the South University Online Library,  you may also research on the topics related to attitudes and perception  and write your response. Your response should be of at least three  pages.

Based on the above scenario and your research, answer the following questions in a Microsoft Word document:

• Explain each of the seven steps, including the sub steps, with  detailed, specific examples on how you will effectively change negative  attitudes in your department.
• What will you do specifically to turn your department around to a well-functioning team with positive attitudes?

Submission Details:

• Support your responses with examples.
• Cite any sources in APA format.

Discussion: Clinical Supervision – Kaltura WEEK 4 (1)

Substance use disorders are complicated psychiatric and medical conditions that involve physical addiction as well as psychological or emotional dependence. Substance use disorders are some of the most difficult to treat. It takes a great deal of patience on the part of the provider and the client. It may take several attempts before a client is successfully able to “kick the habit.” Your guidance and patience can help the client to persevere through difficult times during the journey to recovery.

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client with a substance abuse disorder whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

• Analyze clients presenting for treatment of      substance-related and addictive disorders
• Evaluate effectiveness of therapeutic approaches for      clients diagnosed with substance-related and addictive disorders
• Recommend treatment plans

To prepare for this Discussion:

• Review this week’s Learning Resources concerning      treating patients with substance-related and addictive disorders.
• Reflect on a client you are currently counseling or      have previously counseled at your practicum site who has been diagnosed      with substance-related and addictive disorders.

Post a 3- to 5-minute Kaltura video in which you do the following:

• Describe the client. Note: Do not use the client’s actual name.

• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.

• Identify any additional information about this client that may potentially impact expected outcomes.

• Provide specific recommendations for the client to help them in determining why they are not progressing and what your suggested      treatment plan consists of.

• It is useful to      consult the Prochaska and DiClement model.

Note: Support your rationale with a minimum of three academic resources less than five years in APA format, including introduction and conclusion 

Instructions

1. Review the Overview of Research on ACO Performance and select one research study.
2. Submit an article critique of your selection.

Article Critique Instructions

Formatting Article Critique

Length: Your paper should be three-to-four (3–4) double-spaced pages.

Format your article critique by starting with the following:

• The name of the author
• The title of the article
• The title of the journal, volume number, date, month, and page numbers in APA format
• Brief statement of the issue or problem the article addresses
• Brief statement of the purpose, hypothesis, and methods
• Major conclusions

Compose Your Critique

After the opening summary, compose your critique. For this course, your critique needs to address the 1) technical components of the article and 2) your analysis and opinion of the article.

1. The technical components must include your assessment of:
   • The accuracy of the title
   • The specificity and accuracy of the abstract
   • The clarity of the purpose
   • The relevance and clarity of the literature review
   • Absence or error in facts or interpretation (This last item requires you to look at some of the author’s cited references when they seem to be in error or misused.)
2. Your analysis and opinion are the bulk of this critique and must address:
   • The relevancy of the topic and why it is important (or not)
   • Are the author’s assumptions stated clearly and located helpfully on the article?
   • Does the methodology seem appropriate for the issue and hypotheses? Could the work be replicated based on the description?
   • Is the data presented clearly, and is it error free? You do not need to do in-depth calculations, but evaluate the integrity in tables and charts; you may catch surprising errors.
   • Does the author provide a balanced focus on the most important and relevant ideas or weaken the article by over- or under-emphasizing certain ideas?
   • Does the author write clearly? Are there ambiguous statements that should have been clarified or more fully supported with evidence?
   • Does the author seem biased or have clear evidence of objectivity?
   • Are there gaps in the author’s work and conclusions that you believe warrant follow up?

School of Health Sciences: Article Critique Rubric

Article Critique – 100 PointsCriteriaExceeds ExpectationsMeets ExpectationsNeeds ImprovementInadequateTotal PointsIntroductory Summary:

• The name of the author
• The title of the article
• The title of the journal with required detail
• Brief statement of the issue/problem
• Brief statement of the purpose, hypothesis, methods
• Major conclusions

All elements incorporated fully and accurately and submitted on time

50 pointsFive to six elements incorporated fully and accurately

44 pointsThree to four elements incorporated but with multiple errors

39 pointsOne to two elements incorporated fully and accurately

34 points50 pointsTechnical AssessmentIncluded all five elements and accurately assessed each

20 pointsIncluded four elements and accurately assessed each

17 pointsIncluded four to five elements but did not accurately assess all

15 pointsIncluded two to four elements with limited accuracy

13 points20 pointsAnalytic AssessmentRobust analysis using course concepts and materials accurately

20 pointsPartial analysis using course concepts and materials accurately

17 pointsMinimal analysis with limited accurate use of course concepts and materials

15 pointsSuperficial analysis with limited integration of course concepts and materials

13 points20 pointsGrammar, Spelling, and FormattingWithout grammar, spelling, or formatting errors

10 pointsOne to two grammar, spelling, or formatting errors

8 pointsThree to four grammar, spelling, or formatting errors

7 pointsFive or more grammar, spelling, or formatting errors

6 points10 pointsTotal points100