2025 Develop a 3 4 page preliminary care coordination plan for an individual in your community with whom you choose to

#1 Preliminary Care Coordination Plan 2025

Develop a 3-4-page preliminary care coordination plan for an individual in your community with whom you choose to work. Identify and list available community resources for a safe and effective continuum of care. NOTE: You are required to complete this assessment before Assessment 4. The first step in any effective project or clinical patient encounter is planning. This assessment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for an individual in your community as you consider the patient’s unique needs; the ethical, cultural, and physiological factors that affect care; and the critical resources available in your community that are the foundation of a safe plan for the continuum of care. As you begin to prepare this assessment, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the assessment. Completing formatives is also a way to demonstrate engagement. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Adapt care based on patient-centered and person-focused factors. Analyze a health concern and the associated best practices for health improvement. Competency 2: Collaborate with patients and family to achieve desired outcomes. Establish mutually agreed-upon health goals for a care coordination plan, in collaboration with the patient. Competency 3: Create a satisfying patient experience. Identify available community resources for a safe and effective continuum of care. Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care. Write clearly and concisely in a logically coherent and appropriate form and style. Preparation Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents. As you assume your expanded care coordination role, you have been tasked with addressing the specific health concerns of a particular individual within the community. You decide to prepare a preliminary care coordination plan and proceed by identifying the patient’s three priorities for health and by investigating the resources available in your community for a safe and effective continuum of care. To prepare for this assessment, you may wish to: Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete. Allow plenty of time to plan your patient clinical encounter. Be sure that you have a patient in mind that you can work with throughout the course. Note : Remember that you can submit all, or a portion of, your draft plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Instructions Note : You are required to complete this assessment before Assessment 4. This assessment has two parts. Part 1: Develop the Preliminary Care Coordination Plan Complete the following: Identify a health concern as the focus of your care coordination plan. Possible health concerns may include, but are not limited to: Stroke. Heart disease (high blood pressure, stroke, or heart failure). Home safety. Pulmonary disease (COPD or fibrotic lung disease). Orthopedic concerns (hip replacement or knee replacement). Cognitive impairment (Alzheimer’s disease or dementia). Pain management. Mental health. Trauma. Identify available community resources for a safe and effective continuum of care. Part 2: Secure Individual Participation in the Activity Complete the following: Contact local individuals who may be open to an interview and a care coordination plan addressing their health concerns. The person you choose to work with may be a colleague, community member, friend, or family member. Meet with the individual to describe the care coordination plan session that you intend to provide. Collaborate with the participant in setting goals for the session, evaluating session outcomes, and suggesting possible revisions to the plan. Establish a tentative date and time for the care coordination plan session. Document the name of the individual and a single point of contact, either an e-mail address or a phone number. Document Format and Length For your care coordination plan, you may use the Care Coordination Plan Template [DOCX] , choose a format used in your own organization, or choose a format you are familiar with that adequately serves your needs for this assessment. Your preliminary plan should be 3–4 pages in length. In a separate section of the plan, identify the person you have chosen to work with, and be sure to include his or her contact information. Document the community resources you have identified using the Community Resources Template [DOCX] . Supporting Evidence Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan. Grading Requirements The requirements, outlined below, correspond to the grading criteria in the Preliminary Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. Analyze your selected health concern and the associated best practices for health improvement. Cite supporting evidence for best practices. Consider underlying assumptions and points of uncertainty in your analysis. Establish mutually agreed-upon health goals for the care coordination plan, in collaboration with the selected individual. Identify available community resources for a safe and effective continuum of care. Write clearly and concisely in a logically coherent and appropriate form and style. Write with a specific purpose with your patient in mind. Adhere to scholarly and disciplinary writing standards and current APA formatting requirements. Additional Requirements Before submitting your assessment, proofread your preliminary care coordination plan and community resources list to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan. Be sure to submit both documents. CORE ELMS Important note : The time you spend securing individual participation in this activity and the time you spend presenting your final care coordination plan to the patient in Assessment 4 must total at least three hours. Be sure to log your time in the CORE ELMS system. The CORE ELMS link is located in the courseroom navigation menu.

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2025 Reviewing Appendix B in Butts choose two of the Nine Tenets of the Code of Ethics for

Tenets Essay 2025

Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients. Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice. Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse. Your paper should be 1-2 pages. Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use. I choose: 1. The Environment and Ethical Obligation Virtues focus on what is good and bad in regard to whom we are to be as moral persons; obligations focus on what is right and wrong or what we are to do as moral agents. Obligations are often specified in terms of principles such as beneficence or doing good; nonmaleficence or doing no harm; justice or treating people fairly; reparations, or making amends for harm; fidelity, and respect for persons. Nurses, in all roles, must create a culture of excellence and maintain practice environments that support nurses and others in the fulfillment of their ethical obligations. Environmental factors contribute to working conditions and include but are not limited to: clear policies and procedures that set out professional ethical expectations for nurses; uniform knowledge of the Code and associated ethical position statements. Peer pressure can also shape moral expectations within a work group. Many factors contribute to a practice environment that can either present barriers or foster ethical practice and professional fulfillment. These include compensation systems, disciplinary procedures, ethics committees and consulting services, grievance mechanisms that prevent reprisal, health and safety initiatives, organizational processes and structures, performance standards, policies addressing discrimination and incivility position descriptions, and more. Environments constructed for the equitable, fair, and just treatment of all reflect the values of the profession and nurture excellent nursing practice. 2. 9.2 Integrity of the Profession The values and ethics of the profession should be affirmed in all professional and organizational relationships whether local, inter-organizational, or international. Nursing must continually emphasize the values of respect, fairness, and caring within the national and global nursing communities in order to promote health in all sectors of the population. A fundamental responsibility is to promote awareness of and adherence to the codes of ethics for nurses (the American Nurses Association and the International Council of Nurses and others). Balanced policies and practices regarding access to nursing education, workforce sustainability, and nurse migration and utilization are requisite to achieving these ends. Together, nurses must bring about the improvement of all facets of nursing, fostering and assisting in the education of professional nurses in developing regions across the globe. The nursing profession engages in ongoing formal and informal dialogue with society. The covenant between the profession and society is made explicit through the Code of Ethics for Nurses with Interpretive Statements , foundational documents, and other published standards of nursing specialty practice; continued development and dissemination of nursing scholarship; rigorous educational requirements for entry into practice, advanced practice, and continued practice including certification and licensure; and commitment to evidence informed practice. Reference Butts, J. B. (2016). Nursing Ethics, 4th Edition . [Bookshelf Online]. Retrieved from https://vsaccess.vitalsource.com/#/books/9781284099096/

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2025 Activity 6 Emergency Response Planning Emergency response planning is the organization coordination and direction of available

Emergency Response Planning 2025

Activity 6 Emergency Response Planning Emergency response planning is the organization, coordination, and direction of available resources to respond to an event or bring and emergency under control. Select one of the scenarios below and complete the activity. Earthquake Emergency Response The healthcare team has just been notified that there was an earthquake in the Sentinel Mountains that has destroyed buildings in Industrial Heights and Casper Park residential area of Sentinel City®. Visit the Industrial Heights and Casper Park residential areas of Sentinel City® and consider the impact zone of an earthquake. Observe the services, routes and populations that may be involved with the city as a result of the earthquake. Create a report that describes the potential public health effects, infrastructure damage and environmental hazards related to the earthquake. Describe the members and roles of the emergency management team and organizations (public and private) that would be activated in Sentinel City®. Who are the members of the emergency response team that will be deployed? What private and public resources will assist with the response in the short and long term? What are the risks and benefits of the quick public responses that will be shared on social media? Tornado Emergency Response The healthcare team has just been notified that there was a tornado that ripped through Casper Park and Acer Tech Center in Sentinel City®. Visit the Casper Park and Acer Tech Center areas of Sentinel City® and consider the impact zone of the tornado. Observe the services, routes and populations that may be involved with the city as a result of the tornado. Create a report that describes the potential public health effects, infrastructure damage and environmental hazards related to the tornado. Describe the members and roles of the emergency management team and organizations (public and private) that would be activated in Sentinel City®. Who are the members of the emergency response team that will be deployed? What private and public resources will assist with the response in the short and long term? What are the risks and benefits of the quick public responses that will be shared on social media? Civic Disturbance Emergency Response The healthcare team has just been notified that there is a civic disturbance at City Hall with injuries in Sentinel City®. Visit the area City Hall. Observe the services, routes and populations that may be involved with the city as a result of the civic disturbance. Create a report that describes the potential public health effects and environmental hazards related to the civic disturbance. Describe the members and roles of the emergency management team and organizations (public and private) that would be activated in Sentinel City®. Who are the members of the emergency response team that will be deployed? What private and public resources will assist with the response in the short and long term? What are the risks and benefits of the quick public responses that will be shared on social media? Reading and Resources Harkness & DeMarco (2016) Read Chapter 20 Visit American Red Cross “Be Red Cross Ready” Visit Federal Emergency Management Agency Visit FEMA: Natural Disasters Additional Instructions: All submissions should have a title page and reference page. Utilize a minimum of two scholarly resources. Adhere to grammar, spelling and punctuation criteria. Adhere to APA compliance guidelines. Adhere to the chosen Submission Option for Delivery of Activity guidelines. Submission Option 2 to 3-page paper. Include title and reference pages.

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2025 Research Article Critique Part 2 Occupational Stressors Stress Perception Levels and Coping Styles of

Research article critique part 2 multiple choice questions 2025

Research Article Critique, Part 2 Occupational Stressors, Stress Perception Levels, and Coping Styles of Medical Srugical RNs: A Generalized Perspective (Wakim, 2014) Your assigned article for critique is: Wakim, N. (2014). Occupational stressors, stress perception levels, and coping styles of medical surgical RNs. Journal of Nursing Administration, 44 (12), 632-639. doi:10.1097/NNA.0000000000000140 Instructions: A major skill that is learned in this course is how to critically read and critique nursing research articles. The purpose for critiquing an article is to critically evaluate the research process followed by the author(s) of the assigned article. This is an information-intensive, time-intensive process that is not learned overnight. To demonstrate your skill at critiquing an article, you will complete this open-book multiple choice assignment. Here’s how you should approach completing this week’s assignment to finish critiquing an article: 1. First, do your assigned reading in Grove, Gray, and Burns (2015) and complete the reading worksheets early in the week. This will introduce you to the critique skills you will need for the week. 2. Skim the entire instructor assigned research article that has been posted on Blackboard for you so that you will have an idea of what it is about. Lightly cross out the abstract for the article (you won’t be using it). Then, for this week, re-read carefully from the study design section through the end of the article. 3. Print this document and find the best answer to each question below based on your Grove, Gray, and Burns (2015) assigned reading for the week and what you have read in the instructor assigned research article. 4. Some of the questions in the critique assignment below will seem unfamiliar to you. Look up key terms from the question in your textbook. Some examples of these terms might be: power analysis, inter-rater reliability, and generalization. You can also look in Chapter 12 for an example of a critical appraisal (or critique) of a quantitative research article. 5. Once you have completed this assignment “on paper”, go into blackboard and enter your answers by the assignment due date and time listed in the syllabus. Ignore any wording from Blackboard that indicates that “this is a test” and carefully enter your answers from this document. 6. You will have two access attempts to record your answers. This is given to you so that if you encounter technical difficulties on your first attempt, or you would like a second attempt to try to improve your grade, you may do so. You will not be able to see the questions that you missed when you submit your attempt. Blackboard will record the highest grade from the two submissions. If you have questions about this assignment, you can post them to your group discussion board for help. Please do not post the exact question from the assignment below and ask the group for the answer as this would constitute academic dishonesty. Questions 1 – 9: Sample. (For help with these questions, refer to chapters: 9 & 12) 1. What sampling method or plan was used by the authors in this study? a. Simple random sampling b. Systematic sampling c. Convenience sampling d. Network sampling 2. According to Grove, Gray, and Burns (2015), what are the potential biases of this sampling method? a. This is a strong probability sampling method with very little potential for bias b. This method is used when an ordered list of all members of the population are available, and provides a random but not equal chance for inclusion in the study. c. This method provides little opportunity to control for bias because subjects are included in the study merely because they happen to be in the right place at the right time. d. This method is specific to the individuals who were recruited and the information gained cannot be generalized to others who don’t share these types of experiences. e. None of the above biases best describe the sampling method chosen by the author. 3. What was the final sample size reported by the authors for this study? a. 200 participants b. 84 participants c. 159 participants d. 161 participants 4. Was a power analysis conducted? If so, which statement best describes the results of the power analysis? a. The authors mention that an a priori power analysis was conducted, and 200 subjects were determined to be needed for the study. b. The authors mention that a power analysis was conducted using four predictors and 1-way ANOVA using three independent groups for a needed sample size of 159. c. The authors do not report that a power analysis was conducted. 5. Which of these statements would be considered an inclusion criterion for the sample in the research article? a. English-speaking b. Have at least two years of experience as a nurse c. Work on a Medical Surgical unit d. Be a member of the Medical Surgical Nurses Association 6. Which of these statements would be considered to be exclusion criterion specifically identified by the author for the sample in the research article? a. The exclusion criteria were explained verbally during recruitment. b. History of depression/ mental health issue. c. Report of no stress related problems by the participant. d. Participants only worked on the night shift. 7. What is the refusal rate for this study? (Hint: see page 253 in your text) a. 161/200 X 100% = 80% b. 84/159 X 100% = 53% c. unknown / cannot be calculated. d. 39/200 x 100% = 19.5% 8. Which of the following would be accurate for the attrition rate for this study? a. 161/200 X 100% = 80% b. 39/200 X 100% = 20% c. 84/159 X 100% = 53% d. 0% 9. What was the setting for this research study? Briefly describe the setting and indicate whether it was appropriate for conducting this study. a. The setting for this study was a partially controlled setting and was appropriate for this study’s research design. b. The setting for this study was not well described by the authors and therefore not appropriate for conducting this study. c. The setting for this study was a highly controlled setting and was appropriate for this study’s research design. d. The setting for this study was a natural or field setting and was appropriate for this study’s research design. Question 10 – 14: Measurement Methods. (For help with these questions, refer to chapters 10 & 12.) 10. Which ones of these questionnaires, scales, or physiologic measures is used in this research study? (Select all that apply). a. The Ways of Coping Questionaire (WAYS) b. The Nursing Stress Scale (NSS) c. The Perceived Stress Scale (PSS) d. The Quality of Life Scale (QOLS) 11. How do the authors describe the reliability of the Nursing Stress Scale (NSS) in previous studies? a. Two follow-up emails were sent to potential participants. b. they compared the odd and even questions on the test to determine their equivalence. c. a team of staff nurses was trained by the primary investigator to administer the questionnaire. d. they tested a group of subjects twice using the same questionnaire (test-retest reliability). e. they computed a Cronbach’s alpha on the Nurse Stress Scale that was administered to this group of subjects. 12. How do the authors describe the validity of The Ways of Coping Questionnaire (WAYS). a. discriminant validity demonstrated that each subscale measured the same constructs. b. evidence of validity from contrasting groups because they gave it to spouses of MS nurses. c. no was no mention of determining the validity of WAYS questionnaire. d. The authors had experience with administering this questionnaire. 13. What types of questionnaires or surveys were used in this research study? (Select all that apply.) a. The authors developed the Professional Quality of Life Scale. b. Interviews were reportedly used, but the authors do not explain what was included in them. c. The authors developed their own questions to ask about demographic information. d. The authors report adding a few of their own questions at the end of the demographic questionnaire. e. This study did not use any questionnaires or surveys. f. The authors used previously developed questionnaires or surveys to measure the study variables. 14. Were any physiological measurements collected from the subjects for the purpose of this study? a. Yes b. No Question 15- 16: Data Collection. (For help with these questions, refer to chapters 10 & 12) 15. Which one of the following best describes the data collection process used in this study? a. questionnaires / surveys were completed via the telephone. b. participants were given the questionnaires on enrollment in the study and asked to drop the sealed envelope in a locked box at the nurse’s station. c. questionnaires / surveys were mailed to the prospective participants and returned in a self- addressed stamped envelope. d. nurse researchers interviewed the study participants in a focus group. 16. If there were more than one data collector for the study, would an estimation of inter-rater reliability be an important concept for the authors to report on for this study? a. yes, and the authors reported their efforts to achieve inter-rater reliability. b. yes, but the authors do not discuss any efforts to achieve inter-rater reliability. c. no, the issue of inter-rater reliability does not apply here. Question 17 – 19: Data Analysis. (For help with these questions, refer to chapters 11 & 12) 17. What descriptive statistics are used in this study? (Select all that apply). a. mean b. median c. mode d. standard deviation e. z-scores f. percentage distributions 18. What inferential statistics were used to examine the data obtained from the subjects? (Select all that apply) a. Bivariate correlational analysis b. Factor Analysis c. t-Test d. Chi-Square e. ANCOVA f. ANOVA g. regression analysis h. None of the above inferential statistics were used in this study. 19. What is the level of significance (alpha) set at for this study? a. .05 or 5% b. .10 or 90% c .01 or 1% d. an alpha level or level of significance chosen by the authors was not specifically mentioned in the text of the article. Question 20-25: Researcher’s Interpretation of the Findings. (For help with these questions, refer to chapters 11 & 12) 20. There are several statistically significant findings in this study. Which of these statements from the article would be considered a significant and predicted result ? (select all that apply) a. As MS nurses’ perceptions of their stress increases, their use of ways to cope increases (r = .357, P<.00) b. Younger nurses have lower levels of perceived stress, per post hoc Tukey analysis. c. Baby boomers tend to report higher use of self-controlling behaviors than Gen X and Gen Y nurses when dealing with occupational stressors. d. The stress perception level is thus determined by the type of occupational stressor that the nurse is exposed to. 21. Which of these statements from the article would be considered a non-significant result . (Select all that apply) a. The older the nurse, the higher the level of stress. b.  There was no difference between the scores on ways of coping related to age cohorts (F 2158 = 1.12, P=.33) c. Age, years of experience, and educational levels are not significant factors in levels of perceived stress among MS nurses. d. Baby boomers tend to report higher use of self-controlling behaviors than Gen X and Gen Y nurses when dealing with occupational stressors. 22. Which one of these statements from the article would be considered clinically important ? a. According to this study results, a high level of occupational stress is not a known factor for nursing turnover in MS nurses. b. Younger nurses have better coping skills to combat perceived stress compared to more experienced nurses. c. Baby boomers reported higher use of self-controlling behaviors when dealing with occupational stressors compared with Gen X and Gen Y. d. Six participants were removed from the study due to incomplete surveys. 23. Which statements below implied from the article would be considered a limitation of the study? (Select all that apply) a. The researchers utilized a qualitative method in the research design. b. Lack of standardization of the conditions of administering the instruments. c. A small sample size with a low response rate. d. A measure of social desirability in giving responses as the participants worked with the researcher. 24. Which one of these statements would be considered a statement regarding generalization of these results? a. The results indicated that there were high levels of perceived stress in this group of MS nurses and can be generalized to all MS nurses in the United States. b. The survey was mailed only to MS nurses who were members of the Medical Surgical Nurses Association (MSNA). c. A convenience sample of MS nurses decreases generalizability. d. The use of a power analysis influenced the generalization of the results to all MS nurses. 25. Which one of these statements from the article would be considered a recommendation for future studies? (Select al that apply.) a. Future development of programs to help relieve the occupational stress in MS nurses. b. Research to discover why older nurses have a higher perceived stress compared to younger nurses. c. Sufficiently educating nursing leaders in generational differences. d. Identification of occupational stressors, perceived stress, and coping styles among generational cohorts. Nursing Assignment Help 2025

2025 THE TASK IS TWO REPLY WITH A COMMENT TO EACH POST POST 1 AND

Discussion: Legal and Ethical Considerations for Group and Family Therapy 2025

THE TASK IS TWO REPLY WITH A COMMENT TO EACH POST, POST 1 AND POST 2. TWO REFERENCE IS NEED IT PER COMMENT WITH CITATION PER REFERENCE IN APA STYLE ABOVE ABOVE 2013. POST 1 The Health Insurance Portability and Accountability Act (HIPPA) is one of the acts that guide the practices of a nurse when it comes to Group and Family Therapy. Ethical and legal considerations such as confidential information of a patient as defined by HIPPA is part of what psychiatric mental health nurse practitioner does. Therefore, in this discussion, the primary objective is to provide an explanation of how legal and ethical considerations for group and family therapy differ from individual therapy. The differences between the considerations significantly affect therapeutic approaches for clients depending on whether the clients are put on group or family therapy (Schiefele et al. 2018) The differences in legal and ethical considerations for group and family therapy and individual therapy Group and family therapists face more ethical and legal challenges than individually oriented therapists do. First, in group and family therapy, the ethical consideration is grounded in the foundational premise of the family as a system and therefore, the focus of the therapy is on the relationship. Some of the specific ethical and legal considerations that require special attention on the part of individual and group and family therapists include responsibility, informed consent and confidentiality. The first difference in ethical considerations for group and family therapy and individual therapy based on responsibility (Schiefele et al. 2018). Unlike individual therapy, group and family therapy is associated with the dilemma of multiple clients who are in the same situations and therefore, an intervention that serves one person’s best interests may be counter therapeutic to another. It means that the therapy process must consider an intervention that serves all the parties involved (Gurman & Burton, 2014). In group and family therapy, there are conflicting goals, as well as, the interests of the parties involved. It is unlike individual therapy in which the therapist encourages the client to explore potential ramifications of his or her actions. The group and family therapist is set apart from the individual therapist because of the family therapist’s ethical clear commitment to promoting the welfare of every member involved in the treatment process. It implies that group and family therapist has more responsibility than an individual therapist does for exercising judgment, which must take into account all the individuals (Gurman & Burton, 2014) When it comes to legal consideration, informed consent is a key difference between group and family therapy and individual therapy. In treating each member’s confidences in-group and family therapy, the therapists should act as though that person were an individual client (Shaw, 2015). The information got during a private session, or a telephone call from one member is not divulged to other family members. The therapist upholds the individual client’s confidentiality to other family members (Hertlein, Blumer & Mihaloliakos, 2015). When it comes to individual therapy, one obtains only one client’s permission to use information while in the group and family therapy the permission is obtained during the conjoint sessions. How the differences might affect therapeutic approaches for client’s in-group and family therapy By considering responsibility as ethical considering in group and family therapy, the therapist must ensure that improvement in the status of one the member in the therapy is not occurring at the expense of another member. As part of ethical consideration, the group and family therapist should be an advocate of the family system during therapeutic process and avoids becoming an agent of any one of the members. When it comes to preservation of confidentiality, therapeutic approaches for clients in group and family therapy is such that the therapists arrange for sessions with individual family members to actively encourage the sharing of “secrets” as part of better understand what is occurring in the group or family (Shaw, 2015). When dealing with clients in group and family therapy, I will ensure that informed consent is obtained from each member in the therapy process before any information is used. If permission is not granted, all information must be kept confidential (Hertlein, Blumer & Mihaloliakos, 2015) References Gurman, A. S., & Burton, M. (2014). Individual Therapy for Couple of Problems: Perspectives and Pitfalls. Journal of Marital and Family Therapy, 40, 4, 470-483. Hertlein, K. M., Blumer, M. L. C., & Mihaloliakos, J. H. (2015). Marriage and Family Counselors’ Perceived Ethical Issues Related to Online Therapy. The Family Journal, 23, 1, 5-12. Schiefele, A.-K., Lutz, W., Rubel, J., Barkham, M., Saxon, D., Bohnke, J., Delgadillo, J., … Lambert, M. J. ( 2018). Reliability of Therapist Effects in Practice-Based Psychotherapy Research: A Guide for the Planning of Future Studies. Administration and Policy in Mental Health and Mental Health Services Research, 45, 6, 598-613. Shaw, E. (2015). Ethical Practice in Couple and Family Therapy: Negotiating Rocky Terrain. Australian and New POST 2 Psychotherapy is a way to help people with a broad variety of mental illnesses and emotional difficulties. Psychotherapy can help eliminate or control troubling symptoms, so a person can function better and can increase well-being and healing (APA, 2018). There are two major types of therapies which are Individual therapy and group therapy. On individual therapy, the individual expresses his or her freedom and ability to talk to the therapist without fear of anything. Individual therapy involves the patient and the therapist alone while the group or family therapy includes the patient and the family members or another patient in a group therapy. The group and family therapy help to improve the relationship and interaction of the patient with other people in the group or family which leads to an improvement in the patient mental health (Laureate Education (Producer), 2017). Legal and Ethical Considerations for Group/Family and Individual Therapy Ethical consideration that is most seen individual therapy versus group and family therapy is the process and content of interactions in individual versus group therapy. In individual therapy, is mostly talk about one particular patient on his or her feeling and the patient privacy is maintained. Group or family therapy involves two or more people where privacy is not maintained and where one individual’s perception may be criticized by another member of the group which makes the patient endorse a feeling that his or her feelings do not count and respected (Nichols, M., 2014). The level of confidentiality in groups is far less secure than it is individual therapy. Although group members are generally instructed that the information and events that occur in the group are to be held confidential and only to be shared with group members during therapy, the potential for a breach of confidentiality is far greater in group therapy (AAC, 2018). Both the individual and group or family required the therapist to obtain informed consent before the commencement of the therapy. The therapist is expected to explain the dos and don’ts of the sessions, the goals, and the expected outcome of the therapy to his or her clients. In addition to that, the therapist will make sure that the client’s signs form for confidentiality. This will ensure that anything said between any two or more group members at any time is part of the group and is confidential (Breeskin J., 2011). Impact of the Ethical factors and Strategies for the therapeutic approaches for Clients in Group/Family Therapy The patient will be educated on the importance of confidentiality and not reveal other patient’s mental health problem to other people. The therapist should use appropriate therapeutic skills when interacting with group therapy. Ethical issues in group psychotherapy are complex and differ from individual psychotherapy with regard to the types of ethical dilemmas that are encountered. Confidentiality is a special area of concern, given that there are more threats to confidentiality in group therapy than in individual therapy (Klontz B.T., 2004). Reference American Addiction Centre, 2018. Group Therapy verses Individual Therapy. Retrieved from https://americanaddictioncenters.org/therapy-treatment/group-individual American Psychiatric Association, 2018. What is Psychotherapy? Retrieved from https://www.psychiatry.org/patients-families/psychotherapy Breeskin J., 2011. Procedures and guidelines for group therapy. Retrieved from https://www.apadivisions.org/division-49/publications/newsletter/group-psychologist/2011/04/group-procedures.aspx Klontz B.T., 2004. Ethical Practice of Group Experiential Psychotherapy. Retrieved from https://www.researchgate.net/publication/232563953_Ethical_Practice_of_Group_Experiential_Psychotherapy Laureate Education (Producer). (2017). Introduction to psychotherapy with groups and families [Video file]. Baltimore, MD: Author. Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

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2025 Need a PowerPoint 12 pages on the following nursing theory Peaceful end of life

PowerPoint on Nursing theory Peaceful End of Life Nursing Theory by Cornelia Ruland and Shirley Moore 2025

Need a PowerPoint 12 pages on the following nursing theory  Peaceful end of life by Cornelia Ruland and Shirley Moore. APA format with reference. All references must be with in the last 5 years and different sources most be used. PLEASE SEE ATTACHMENT FOR EXAMPLE OF WHAT IT IS SUPPOSE TO LOOK LIKE. What need to be cover on PowerPoint. Content Covers primary elements of theory Contains definitions of person, environment, health, and nursing Discusses how the theory is used in nursing practice Accurate and current information Includes diagram or graphic of theory Shows evidence of critical thinking Organization Well organized with introduction, body, & conclusion Good transitions Introduction includes attention-getter Logical progression and connections Conclusion includes summary and closure Delivery Clear, precise and appropriate word usage Articulate and expressive Level appropriate for audience Maintains audience interest/responds to cues from listeners Free of distracting mannerisms Avoids reading from notes or over-reliance on written material Enthusiasm Creativity Reference List Uses a variety of appropriate references Books, journals, websites, etc. Correct APA format Graphic Representation Includes principle elements of the theory Clear

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2025 Your quest to purchase a new car begins with an identification of the factors important to you As you

Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews 2025

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size? In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected. To Prepare: Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Develop a PICO(T) question to address the clinical issue of interest for the Assignment. Use the key words from the PICO(T) question you developed and search at least four different databases in the Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level related to your research question. Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research. I recreate a different PICOT question: This is my discussion In my observation, the practice problem is nurses are focused on administering medications, completing paperwork and working on care plans resulting in lack of engagement with their patients. The scope of this issue is nursing needs to educate themselves and find therapeutic ways to engage patients. The need for change arose in my practice related to increase violent incidents on staff, nurses and patients. Psych patients become extremely bored when they are not engaged. An idle mind is a playground for negative and unconstructive thoughts and actions. When mentally ill patients are admitted to hospitals; the goal along with maintaining safety is to provide a therapeutic environment so patient can learn or enhance positive coping skills when dealing with the symptoms of their mental illness. According to Melnyk & Fineout-Overholt, 2015, “ The type of study that would provide the best answer to an intervention or treatment question would be systematic reviews or meta-analyses, which are regarded as the strongest level of evidence on which to base treatment decisions. “One of the most challenging aspects of EBP is to actually identify the answerable question. This ability to identify the question is fundamental to then locating relevant information to answer the question”(Davies, 2015). An unstructured collection of keywords can retrieve irrelevant literature, which wastes time and effort eliminating inappropriate information. Successfully retrieving relevant information begins with a clearly defined, well-structured question. My scenario is for inpatient psychiatric hospitals patients with a lot of therapeutic activities within the hospital and outside hospital activities. The organization are now concerned about increase violent behaviours if there are lack of therapeutic activities over hospital stay. PICOT question: In inpatient psychiatric Hospitals does the lack of therapeutic activities and or groups increase violent behaviors over a 2 week period? P – (Patient, population, or problem): All Inpatient psychiatric patients I – (Intervention): Increase groups and structured activities to engage patients to decrease boredom when patients have down time C – (Comparison with other treatment/current practice): Compare patient behaviors during the week and day shift when groups are provided vs patient behaviors on evening shifts and weekends O – (Desired outcome): Decrease violent incidents among patients and staff and increase patient engagement during hospitalization T – (Time Frame): 2 weeks After formulating a proper PICOT question, the search begins by using the most appropriate database. The University Library (n.d.-a.) has specific databases that contain several nursing related journals that will definitely be helpful in my research. Database search defines essential aspects based on the underlying issue as well as how the information is searched. Therefore different approaches can help manage inpatient psychiatric patient. The leading search terms that were included, were preventing violent incidents among patients, staff and increase patient engagement during hospitalization. where more than 500 search results were returned. Increasing the accuracy of the findings is essential and provide a unique emphasis on significant changes which help define a strong focus on research outcomes. Therefore growing efficacy of the results will focus on the reduced year of publication to understand the latest publications that provide information on the research issue. Another approach would be to focus on the identified interventions individually to achieve positive outcomes. The main databases that were involved are Medline and Ebsco Host. These databases contain peer-reviewed research, which is of high quality. References Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for  LIS professionals. Evidence Based Library and Information Practice, 6 (2), 75–80. https://doi.org/10.18438/B8WS5N. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144 Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing (4th ed.). Philadelphia, PA: Wolters Kluwer. Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110 (3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2010/03000/Evidence_Based_Practice,_Step University Library. (n.d.-b). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved from http://academicguides.waldenu.edu/library/keyword/booleanI The Assignment (Evidence-Based Project) Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews Create a 6- to 7-slide PowerPoint presentation in which you do the following: Identify and briefly describe your chosen clinical issue of interest. Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest. Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected. Provide APA citations of the four peer-reviewed articles you selected. Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples. Rubric: Create a 6- to 7-slide PowerPoint presentation in which you do the following: ·  Identify and briefly describe your chosen clinical issue of interest. ·  Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest. ·  Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected. ·  Provide APA citations of the four peer-reviewed articles you selected. ·  Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.– Levels of Achievement: Excellent 81 (81%) – 90 (90%) Good 72 (72%) – 80 (80%) Fair 63 (63%) – 71 (71%) Poor 0 (0%) – 62 (62%) Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided, which delineates all required criteria.– Levels of Achievement: Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%) Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.– Levels of Achievement: Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%)

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2025 The benchmark assesses the following competencies 1 4 Participate in health care policy development to influence nursing practice and

Benchmark – Policy Brief 2025

The benchmark assesses the following competencies: 1.4 Participate in health care policy development to influence nursing practice and health care. Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population. Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue. Follow this outline when writing the policy brief: 1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources. 2. Create a problem statement. 3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable. 4. Discuss the impact on the health care delivery system. Include four peer-reviewed sources and two other sources to support the policy brief. Prepare this assignment according to the guidelines found in the APA Style Guide, An abstract/thesis is required.

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2025 It is necessary for an RN BSN prepared nurse to demonstrate an enhanced understanding of the pathophysiological

Case Study: Mrs. J. 2025

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mrs. J., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD. Subjective Data Is very anxious and asks whether she is going to die. Denies pain but says she feels like she cannot get enough air. Says her heart feels like it is “running away.” Reports that she is exhausted and cannot eat or drink by herself. Objective Data Height 175 cm; Weight 95.5kg. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. Intervention The following medications administered through drug therapy control her symptoms: IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Inhaled short-acting bronchodilator (ProAir HFA) Inhaled corticosteroid (Flovent HFA) Oxygen delivered at 2L/ NC Critical Thinking Essay In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following: Describe the clinical manifestations present in Mrs. J. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. 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. PLEASE FOLLOW RUBRICS Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived Evaluation of appropriateness of nursing interventions at the time of admission is thoroughly discussed. A well-supported explanation for each of the medications listed is presented. Strong and compelling rationale is provided. signs and symptoms. Four cardiovascular conditions that may lead to heart failure are clearly described. Medical and nursing interventions to prevent the development of heart failure in each condition are discussed. Overall, the discussion demonstrates insight into medical and nursing interventions used to prevent heart failure. Four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients are discussed. The discussion fulfills the assignment criteria and strong rationale for the interventions is provided. A well-developed health promotion and restoration teaching plan for the patient is presented. Multidisciplinary resources for rehabilitation and any modifications that may be needed are clearly discussed. An strong explanation for how rehabilitation resources and modifications assist patient transition to independence is presented. The overall discussion is well-supported. A method for providing education to the patient for the maintenance of prescribed medications that prevents future hospital admissions is thoroughly described. The method is clearly appropriate for the client and prevents readmission. Strong rationale is provided for support. All appropriate COPD triggers exacerbating return visits are clearly outlined. Strong options for smoking cessation are detailed and are highly relevant to the patient. All appropriate COPD triggers exacerbating return visits are clearly outlined. Strong options for smoking cessation are detailed and are highly relevant to the patient. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

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2025 Work Breakdown Structure WBS Within reason is there such a thing as a

Work Breakdown Structure 2025

Work Breakdown Structure (WBS) Within reason, is there such a thing as a project that is too complex to complete? Consider the Space Shuttle. One of the most complex machines ever built, the Space Shuttle had over 2.5 million parts, each of which had to be accounted for by someone. How did anyone manage to track and properly assemble these parts? The answer is through the application of a work breakdown structure (WBS). A WBS is a fundamental tool that project managers use to organize and divide the work of a project. A WBS focuses on breaking down a project’s scope into individual deliverables that may be created by assigned team members. There are multiple work breakdown structure formats and each has its own advantages and disadvantages. Project managers select a type of WBS based upon the specifics of the project they are managing. Each WBS format emphasizes different aspects of a project. These varied perspectives may each be appropriate, depending upon what information a project manager needs. In this Discussion, you analyze different WBS formats and evaluate whether they meet basic criteria for clarity. To prepare: Explore the Work Breakdown Structure Formats document included in this week’s Learning Resources. The document presents a scenario and three corresponding WBS formats that pertain to the scenario. (SEE ATTACHED PDF FILE) Consider the advantages and disadvantages of each WBS format included in the document. Think about the level of detail dedicated to task information in each WBS format. Evaluate the formats based on the following criteria for clarity: The task has a measurable status or completion. The task has defined start and end events. The task has a deliverable. The task’s time and cost are easily estimated. The task can be completed without interruption and additional input after its start. Post by tomorrow 10/04/16 a minimum of 550 words essay in APA format with 3 references. Based on the Work Breakdown Structure Formats document attached in the file area, address the level one headings as numbered below: 1) An analysis of the advantages and disadvantages of each work breakdown structure format. 2) Provide an analysis of whether (and how) the work breakdown structures meet the assigned criteria for clarity. 3) Provide a rationale for your response. Required Readings Biafore, B. (2010). Microsoft Project 2010: The missing manual . Sebastopol, CA: O’Reilly. Chapter 4, “Breaking Work Into Task-Sized Chunks” (pp. 77–100) This chapter explains how to create a work breakdown structure and how to import a work breakdown structure into Microsoft Project. Coplan, S., & Masuda, D. (2011). Project management for healthcare information technology. New York, NY: McGraw-Hill. Chapter 3, “Project Management” “Prepare Work Breakdown Structure and WBS Dictionary” (pp. 53–56) This section of Chapter 3 reviews the core processes of preparing a work breakdown structure (WBS). The chapter provides an example of a WBS and details its essential components. Project Management Institute. (2013). A guide to the project management body of knowledge (PMBOK guide) (5th ed.). Newtown Square, PA: Author. Chapter 5, “Project Scope Management” 5.3, “Create WBS” (pp. 125–132) This section of Chapter 5 reviews the process of creating a work breakdown structure. Specifically, the chapter examines how to determine inputs, WBS tools and techniques, and outputs. Kendrick, T. (2009). Identifying & managing project risk: Essential tools for failure-proofing your project (2nd ed., Ebrary version). New York, NY: AMACOM. Retrieved from the Walden Library databases. Chapter 3, “Identifying Project Scope Risk” (pp. 40–69) This chapter examines methods of identifying scope risks and the types of scope risks pertaining to project deliverables. The chapter highlights a variety of sources of scope risk as well. Shirey, M. R. (2008). Project management tools for leaders and entrepreneurs. Clinical Nurse Specialist , 22 (3), 129–131. Retrieved from the Walden Library databases. The author of this article introduces project management tools that clinical nurse specialists may use to coordinate team work. The article highlights the usage of one such tool, the Gantt chart. Thomas, M., Jacques, P. H., Adams, J. R., & Kihneman-Wooten, J. (2008). Developing an effective project: Planning and team building combined. Project Management Journal , 39 (4), 105–113 . Retrieved from the Walden Library databases. This article analyzes project planning and control and the process of developing a project plan. The article also reports the results of research that sought to determine 137 organizations’ approaches to establishing projects. U.S. Government Accountability Office. (2009, March 2). Work breakdown structure. GAO Reports, 65–78. Retrieved from the Walden Library databases. This article examines the importance of a work breakdown structure (WBS) in project management. The chapter demonstrates how a WBS assists in resource identification, cost estimation, and risk determination. Wu, Z., Schmidt, L. P., & Wigstrom, M. S. (2010). Product development workflow management based on work breakdown structure. IIE Annual Conference. Proceedings, 1–5. Retrieved from the Walden Library databases. The authors of this article highlight the usage of WBS in managing complex product development projects. The authors examine how a WBS helps represent and manage the intricacies of tasks and activity relationships. Mathis, M. (n.d.). Work breakdown structure: Purpose, process and pitfalls. Retrieved March 13, 2013, from http://www.projectsmart.co.uk/work-breakdown-structure-purpose-process-pitfalls.html This article provides a general review of the WBS. The author focuses on the purpose, process, and pitfalls of a WBS. Document: Work Breakdown Structure Formats (PDF) (See ATTACHED PDF IN FILE AREA) This document presents a scenario and three corresponding work breakdown structures that you will use for your Discussion this week . Required Media Laureate Education (Producer). (2013c). Planning, part I: Defining project scope and activities [Video file]. Retrieved from https://class.waldenu.edu Note: The approximate length of this media piece is 6 minutes. In this presentation, the participants discuss defining project scope and project activities, using the work breakdown structure, and managing project risk through SWOT analysis.

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