2023 part 1 Nursing Change Agents The involvement of the community in determining the nursing and health requirements

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Nursing 2023 nursing healthcare wk5/dis/REply to prof

part 1 Nursing Change Agents The involvement of the community in determining the nursing and health requirements 2023 Assignment

part 1 

Nursing Change Agents

The involvement of the community in determining the nursing and health requirements of the residents is critical. This is because the people help provide solutions to problems that directly affect them like the case of health problems due to less or lack of exercise infrastructure within a community (Kelly & Symonds, 2017). If the community team identified that the construction of pedestrian walkways would help bring the community to a higher level of health consciousness and healthy lifestyles, the team must be prepared for the barriers. This paper addresses factors that would promote the construction and those that would hinder as well as recommendations for the barriers.

The community would save as the primary promoters for the construction of the walkways. This means that there would be a lot of resources directed at the project. This is because the initiative is from the direct recipients of the health issue and concern. Residents and members of the community would want to participate or encourage the completion of the project considering that it would benefit them all. Another factor that would promote the construction of the walkways is accountability and integrity. The release of funds or the construction period has several checks and balances from the entire community (Kelly & Symonds, 2017).

The lack of funds can be a problem for the construction of the walkways. It is important to note that construction of such walkways is expensive in several ways; firstly some public land and private land might be used. Secondly, the funds to put up the structure might not be readily available (Clark, 2015). However, the team can invite investors, seek donations from charity organizations or urge the members to contribute reasonably .this would raise the required funds. The second factor that would hinder the construction is inadequate to support from the community. Considering that it is a community initiative, unity is critical to ensure that the project achieves the desired objective. Issues such as demonstrations from unsatisfied residents can be common. To curb such issues a sensitization forum can be help or advocacy groups from the team to inform the entire community (Clark, 2015).

part 2

 Thank you for sharing your thoughts on the community project.  How would you determine what community initiatives are already underway upon which you can build? 

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2023 The first step of the evidence based practice process is to evaluate a nursing practice

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Nursing 2023 PICOT

The first step of the evidence based practice process is to evaluate a nursing practice 2023 Assignment

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

  1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
  2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
  3. The PICOT question will provide a framework for your capstone project. 
  4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

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2023 The nail services industry is big business in the U S grossing billions of Dollars

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Nursing 2023 blog

The nail services industry is big business in the U S grossing billions of Dollars 2023 Assignment

The nail services industry is big business in the U.S. grossing billions of Dollars in sales. There are two distinct ethnic groups, 48% Vietnamese and 42% Caucasian, which make up this industry. It is also overwhelmingly female with 97%. News outlets often run stories about consumer outbreaks at nail salons.

Guidelines for the Blog:

  • Read the news articles/items on the increase of manicures and pedicures. Try to focus on worker issues such as poor communication, economic pressure, training, biological and chemical exposures from the viewpoint of the consumer.
  • The United States Department of Labor has a website, Health Hazards in Nail Salons (https://www.osha.gov/SLTC/nailsalons/biohazards.html), which provides a wealth of information.

Your Blog posting must include the following: 

  • Title of articles or news items*:
  • Date:
  • Source*:
  • Share your view on ways to reduce workplace hazards with focus on preventative measures and protecting worker health.

*Note: Please note that your source may include the link (and related links provided above).

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2023 What is the difference between a group at risk for poor health and a group

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Nursing 2023 DQ

What is the difference between a group at risk for poor health and a group 2023 Assignment

What is the difference between a group “at risk” for poor  health and a group considered a “vulnerable” population?  Provide an example of an “at risk” or “vulnerable  population” group in the United States and one in another country  (or immigrants within the United States).

  1. Explain why members of these groups cannot advocate for    themselves or why advocating for these groups would be  beneficial.
  2. What would you advocate for?
  3. Identify    ethical issues that need to be addressed when working with these  individuals.
  4. Provide information about the selected “at    risk” group. How many individuals fall into this group and what    are some issues they face.

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2023 Assignment Qualitative Research Write a fully developed and detailed APA essay addressing each of the following points questions There

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Nursing 2023 Essentials of Nursing research

Assignment Qualitative Research Write a fully developed and detailed APA essay addressing each of the following points questions There 2023 Assignment

 

Assignment:

Qualitative Research

Write a fully developed and detailed APA essay addressing each of the following points/questions. There is no required word count; be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least one (1) source using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page are required. Review the rubric criteria for this assignment.

Conduct a literature search to select a qualitative research study on the topic identified in Module 1. Conduct an initial critical appraisal of the study.

Respond to the overview questions for the critical appraisal of qualitative studies, including:

  • What type of qualitative research design was utilized to conduct the study?
  • Are the results valid/trustworthy and credible?
  • How were the participants chosen?
  • How were accuracy and completeness of data assured?
  • How plausible/believable are the results?
  • Are implications of the research stated?
  • May new insights increase sensitivity to others’ needs?
  • May understandings enhance situational competence?
  • What is the effect on the reader?
  • Are the results plausible and believable?
  • Is the reader imaginatively drawn to the experience?
  • What are the results of the study?
  • Does the research approach fit the purpose of the study?
  • How does the researcher identify the study approach?
  • Are the data collection and analysis techniques appropriate?
  • Is the significance/importance of the study explicit?
  • Does the literature support a need for the study?
  • What is the study’s potential contribution?
  • Is the sampling clear and guided by study needs?
  • Does the researcher control selection of the sample?
  • Do sample size and composition reflect the study needs?
  • Is the phenomenon (human experience) clearly identified?
  • Are data collection procedures clear?
  • Are sources and means of verifying data explicit?
  • Are researcher roles and activities explained?
  • Are data analysis procedures described?
  • Does analysis guide directions of sampling when it ends?
  • Are data management processes described?
  • What are the reported results (descriptive or interpretation)?
  • How are specific findings presented?
  • Are the data meanings derived from data described in context?
  • Does the writing effectively promote understanding?
  • Will the results help me care for my patients?
  • Are the results relevant to persons in similar situations?
  • Are the results relevant to patient values and/or circumstances?
  • How may the results be applied to clinical practice?

Please be sure to answer the questions thoroughly using complete sentences and APA format. Explain responses to yes/no questions in detail by presenting information found in the study to support your response.

Provide a reference for the article according to APA format and a copy of the article.

Assignment Expectations:

Length: Clearly and fully answer all questions; attach a copy of the article
Structure: Include a title page and reference page in APA format. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source for the article is required for this assignment.

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2023 Perform an Internet search to identify and research and a situation where a health

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Nursing 2023 I need help 3

Perform an Internet search to identify and research and a situation where a health 2023 Assignment

Perform an Internet search to identify and research and a situation where a health care organization or individual provider in your field of allied health was sanctioned by The Joint Commission or other regulatory body for a violation of one or more of The Joint Commission workplace safety, risk management, and quality care requirements.

Taking the role of the Chief Safety or Risk Management Officer in the organization or a provider’s office who now must deliver an accounting of the incident to the board of directors, develop a slide presentation, containing a title slide, 12-15 slides of content, and a references slide, focusing on the chosen incident. Your presentation must incorporate the following:

  1. A brief summary of the incident , including a description as well as the outcome.
  2. A summary of the applicable Joint Commission and other (e.g., local, state) regulatory standards that apply to the incident.
  3. A discussion of the mistakes and/or oversights made by the health care organization or individual provider that did or may have led to the incident that occurred, and an accounting of the preventive steps that could have or should have been taken to avoid them.
  4. A proposal outlining specific education or training the organization or provider will employ to ensure this type of incident does not occur in the future. Include concepts related to continuous quality improvement in your recommendations.

To create your presentation you can use PowerPoint or a program such as Prezi (www.prezi.com). Speaker’s notes must be included for each individual slide.

You are required to use and cite a minimum of three qualified resources 

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2023 Comment 1 Medication reconciliation is a critical piece of care coordination for all individuals who use

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Nursing 2023 Answer in base at each comments.

Comment 1 Medication reconciliation is a critical piece of care coordination for all individuals who use 2023 Assignment

Comment 1

“Medication reconciliation is a critical piece of care coordination for all individuals who use prescription medications. 82% of all adults in the U.S. take at least one medication (prescription or nonprescription, vitamin/mineral, herbal/natural supplement); 29% take five or more” (Kantor, et al, 2015). It is easy to imagine with more than 75% of adults taking medication in the United States, that the risk of interactions among prescription and over the counter drugs, along with herbbal supplements, is greatly increased. Pharmacies are getting better about cross-referencing all drugs when new prescriptions come in, but that is only as good as the information provided to them. For example, if a patient uses more than one pharmacy to get their meds filled, and the systems do not “talk to each other” electronically, or the patient takes supplements and herbs and does not notify the physician or pharmacist, there is no way the database will have the information in it. 

Fortunately, there are tools available to patients and families to help with this process in case they omitted certain medications or supplements on their lists that the doctor has. There is virtual tool called “Drug Interaction Checker”, which is a system that cross references the medications the patient is on with any potential dangerous interactions. The patient can enter the names of all medications and supplements into the database for review. If any interactions appeat, they can call the pharmacist or their prescribing doctor to clarify if the medication should be stopped, changed, or continued. 

Comment 2

I agree.  Spiritual care would definitely be an asset in this situation.  Unfortunately, spiritual care is not front in center, at least in the organizations that I have been a part of.  Also, when I worked inpatient and would ask patients if they would like to speak with a chaplain, they used to think something was seriously wrong with them. Some of the cited reasons for lack of spiritual care in hospitals were not having an agreed definition on what spirituality is, what the nurses’ role is in addressing spirituality, the lack of time to meet a patient’s spiritual need, and a lack of training nurses have in spirituality (Rushton, 2014). 

Comment 3

I think this patient is definetly in need of teaching concerning her C-PAP machine for sleep apnea.  Most patients seem to rebel at wearing the mask. So in the first few days especially the nurse could assess whether she is having trouble wearing all through the night. Non-compliant patients need the continued encouragement until they realize how important it is for the progress of their health.  Myown husband for example had to be closely monitored for a year. He would rip it off in the middle of the night and unless I gentle put it back on him he didn’t wear it. and then I didn’t sleep.   Make sure your mask is a good fit. The most common problems with CPAP occur when the mask does not fit properly. So education about the C-PAP is a must for her.

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2023 Discussion Professional Nursing and State Level Regulations Boards of Nursing BONs exist in

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Nursing 2023 Professional Nursing and State-Level Regulations

Discussion Professional Nursing and State Level Regulations Boards of Nursing BONs exist in 2023 Assignment

  

Discussion: Professional Nursing and State-Level Regulations

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

· Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.

· Consider how key regulations may impact nursing practice.

· Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected

*****NB: PLEASE SELECT THE STATE OF FLORIDA AS ONE OF THE CHOICES FOR APRNs BECAUSE THEY HAVE LEGAL AUTHORITY TO PRACTICE WITHIN FULL SCOPE. MUST BE AT LEAST 3 PARAGRAPH WITH A LEAST 3 REFERENCES AND INTEXT CITAIONS. REFERENCES MUST BE AT LEAST 5 YEARS OLD!

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2023 Details Use the practice problem and a quantitative peer reviewed research article you identified in the Topic

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Nursing 2023 3-Please follow the instructions below

Details Use the practice problem and a quantitative peer reviewed research article you identified in the Topic 2023 Assignment

 Details:

Use the practice problem and a quantitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper.

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.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

  

Apply Rubrics

1
Unsatisfactory
0.00%2
Less than Satisfactory
75.00%3
Satisfactory
83.00%4
Good
94.00%5
Excellent
100.00%75.0 %Content 15.0 %Background of StudyBackground of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.15.0 %Method of StudyDiscussion of method of study including discussion of conceptual/theoretical framework is incomplete.Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.15.0 %Results of StudyDiscussion of study results including findings and implications for nursing practice is incomplete.Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation.Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.15.0 %Ethical ConsiderationsDiscussion of ethical considerations associated with the conduct of nursing research is incomplete.Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.15.0 %ConclusionConclusion does not summarize a critical appraisal and applicability of findings.Conclusion is vague and does not discuss importance to nursing.Conclusion summarizes utility of the research and importance to nursing practice.Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.15.0 %Organization and Effectiveness 5.0 %Thesis Development and PurposePaper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.5.0 %Argument Logic and ConstructionStatement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.10.0 %Format 5.0 %Paper Format (use of appropriate style for the major and assignment)Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.100 %Total Weightage

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2023 TO REPLY TO EACH COMMENT WITH APA CITATION AND REFERENCE ABOVE 2013 Post 1 Introduction According to week two

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Nursing 2023 Discussion Assessment Tool

TO REPLY TO EACH COMMENT WITH APA CITATION AND REFERENCE ABOVE 2013 Post 1 Introduction According to week two 2023 Assignment

TO REPLY TO EACH COMMENT WITH APA, CITATION AND REFERENCE ABOVE 2013.

Post 1

Introduction

According to week two, it is clear that the assessment tools used in psychotherapy have two primary purposes. The first purpose is to measure the illness and diagnose clients while the second purpose is to evaluate a client’s response to treatment. There are different types of assessment tools, but in this discussion, I have selected Patient Stress Questionnaire.

The psychometric properties of the Patient Stress Questionnaire as the selected assessment tool

Patient Stress Questionnaire refers to the tool employed in primary care settings to help in screening for the behavioral health symptoms.  The instrument was adapted from the PHQ-9, AUDIT, GAD-7, and PC-PTSD.  Patient Stress Questionnaire is made up of a list of items that efficiently help in identifying the potential behavioral health problems. The tool is a 24-item behavioral health screening tool which is composed of a collection of twelve (12) separate “ultra-brief” screening tools to offer a preliminary mental health and addiction diagnosis. The PHQ-9 is made up of 9 items which represent the criterion symptoms for DSM 5 major depressive disorder. These have questions related to how much sign has bothered the client based on the scale such as  “not at all,” “nearly every day,” and  “several days”. The GAD-7 is made up of seven items with the response similar to PHQ-9 and scored as a continuous variable from 0 to 21 (Kroenke et al. 2016).

When it is appropriate to use Patient Stress Questionnaire

The tool is used when the client is suspected to have depression and anxiety. Several well-validated measures can be used to assess depression and anxiety as separate domains (Flückiger et al 2016), but the advantage of Patient Stress Questionnaire is that it is a measure that offers a single composite score for both the depression and anxiety (Kroenke et al. 2016). The tool is used in assessing depressive symptoms among patients having conditions such as aphasia. The tool is applicable for measuring perceived stress (Laures-Gore et al. 2017).

Furthermore, theoretical and empiric evidence of overarching psychological construct that compromise of distinct but related dimensions of anxiety and depression. Therefore, the intercorrelation between depression and anxiety makes Patient Stress Questionnaire attractive as it provides a composite score.

Based on the efficacy of Patient Stress Questionnaire in evaluating psychopharmacologic medications, psychopharmacological medications aim to manage behavior, stabilize mood, or to treat psychiatric disorders and their associated symptoms. On the other hand, Patient Stress Questionnaire is used to screen for these behavioral health symptoms and therefore, can be used to determine whether the symptoms are reducing or not based on the psychopharmacological medications. The tool can be used to  self-report symptoms and to identify  persistent symptoms of anxiety disorders and even monitor the treatment in clinical practice (Rose & Devine, 2014).

                                                     References

Kroenke, K., Wu, J., Yu, Z., Bair, M. J., Kean, J., Stump, T., & Monahan, P. O. (January 01, 2016). Patient Health Questionnaire Anxiety and Depression Scale: Initial Validation in Three Clinical Trials. Psychosomatic Medicine, 78, 6.

Laures-Gore, J. S., Farina, M., Moore, E., & Russell, S. (January 01, 2017). Stress and depression scales in aphasia: Relation between the aphasia depression rating scale, stroke aphasia depression questionnaire-10, and the perceived stress scale. Topics in Stroke Rehabilitation, 24, 2, 114-118.

Rose, M., & Devine, J. (January 01, 2014). Assessment of patient-reported symptoms of anxiety. Dialogues in Clinical Neuroscience, 16, 2, 197-211.

Flückiger, C., Forrer, L., Schnider, B., Bättig, I., Bodenmann, G., & Zinbarg, R. E. (January 01, 2016). A Single-blinded, Randomized Clinical Trial of How to Implement an Evidence-based Treatment for Generalized Anxiety Disorder [IMPLEMENT] — Effects of Three Different Strategies of Impleme

Post 2

psychometric properties of the Screening, brief intervention, and referral to treatment (SBIRT) tool

The SBIRT grant program was developed by the Substance Abuse and Mental Health Services Administration (SAMHSA) which provided either brief intervention/treatment or referred to appropriate services for individuals who use alcohol or psychoactive substances, not including tobacco that may not meet criteria for a substance use disorder (Aldridge, Linford, & Bray, 2017).  It begins with a pre-assessment screening which briefly explores substance use.  If a positive pre-screen is evident, the provider should move to the Alcohol use disorders identification test (AUDIT) and/or the Drug abuse screening test (DAST) for more thorough assessment.  If positive brief intervention or treatment is advised (“Clinician Tools – SBIRT for Substance Abuse,” n.d.).  According to Yong, et al. as part of their systematic review, it is unclear whether it is beneficial to utilize brief interventions as part of the SBIRT screened individuals who were not seeking treatment at the time of assessment (2014).  Evaluation of this project indicated that the program was positively correlated with decreased alcohol and/or substance use in this population.  However, it is unclear whether other factors were key (Aldridge et al., 2017).  It was noted however that participants had significantly lower reports of substance use one month after intervention.  However limitations in study design may have impacted the reported results (Aldridge et al., 2017).

Explain when it is appropriate to use SBIRT with clients

Each client should be assessed using a pre-assessment screening tool yearly.  If positive, the client should be assessed using the AUDIT or DAST tools as indicated above (“Clinician Tools – SBIRT for Substance Abuse,” n.d.)

Is the SBIRT tool appropriate to evaluate the efficacy of psychopharmacologic medications

The SBIRT protocol moves to brief intervention or brief treatment as appropriate.  These interventions are focused on psychological treatments 5-60 minutes in length (“Clinician Tools – SBIRT for Substance Abuse,” n.d.)  As such, they would not be involving psychopharmacological substances, at least initially it would not be appropriate for evaluation of medication effectiveness.

References

Aldridge, A., Linford, R., & Bray, J. (2017). Substance use outcomes of patients served by a large US implementation of Screening, Brief Intervention and Referral to Treatment (SBIRT). Addiction, 112, 43–53. https://doi.org/10.1111/add.13651

Clinician Tools – SBIRT for Substance Abuse. (n.d.). Retrieved September 5, 2018, from http://www.sbirt.care/tools.aspx

Young, M. M., Stevens, A., Galipeau, J., Pirie, T., Garritty, C., Singh, K., … Moher, D. (2014). Effectiveness of brief interventions as part of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances: a systematic review. Systematic Reviews, 3, 50. https://doi.org/10.1186/2046-4053-3-50

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