PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES

ZERO PLAGIARISM

Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents.

In this Discussion, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.

Learning Objectives

Students will:

• Analyze the importance of developmental assessments
• Analyze assessment instruments used for evaluating children and adolescents
• Analyze treatment options used for children and adolescents
• Analyze roles parents play in assessment and treatment

To Prepare for the Discussion

• Review the Learning Resources concerning psychiatric assessments and assessment tools.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post your answers to the following:

• Explain why a developmental assessment of children and adolescents is important.
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults. 
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.

 

Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:

1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.
2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.
5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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. Refer to the LopesWrite Technical Support articles for assistance.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

Base the above assignment based off of this information I posted below.  The Rubric is attached

  

For this paper, the selected survey tool for assessing organizational culture and readiness for implementation of evidence-based practice (EBP) is the Organization Culture and Readiness for System-Wide Integration of Evidence-Based Practice (OCRSYWI). The role of this tool is to aid in the investigation, evaluation, and to determine if the organization is ready for the implementation of evidence-based practice.

Organization’s Readiness Level

The process of investigation revealed several issues about the readiness of the organization for the implementation of evidence-based practice. One is that nurses are demonstrated and promised to fully participate in the process of implementation of this practice. Also, the physicians and other allied healthcare providers promised to support the nursing staff in the process of implementing evidence-based practice. The availability of the research department is another evidence of the readiness of the organization to implement the evidence-based practice. In this department are nurses working in partnership with regional and national research institutes. The research personnel, therefore, aid the nursing staff in the translation of research findings to practice. Finally, the organization has an EBP mentoring program that is tasked to train and motivate nurses to take the responsibility of implementing the evidence-based practice.

Barriers.

Several barriers have been identified to hinder the process of implementing evidence-based practice. They are both human and institutional factors. One of the barriers is the lack of adequate time to go through the available literature from research. This is attributed to nursing shortages which leads to too much workload on available nursing staff. Another barrier is the inadequate experience by nurses on the evidence-based practice due to limited training on the same (Duncombe, 2018). Lastly, the lack of adequate resources for some procedures to be done is a significant barrier to the implementation of EBP.

Facilitators.

Among the facilitators of implementation of evidence-based practice includes the readiness of the nursing staff and other healthcare providers to receive training on the process of implementing EBP. Also, the willingness of the healthcare organization to support the whole process of implementing evidence-based practice in the management of diabetes type 2 among people with lower socioeconomic status is a facilitating factor. This is important as it ensures that the implementers have all the necessary resources to achieve the desired outcomes (Duncombe, 2018).

Problem Statement.

Diabetes mellitus type 2 is one of the common chronic diseases in the current society. The majority of the people affected by this disease are those from the lower socioeconomic status. Diabetes mellitus type 2 is considered a lifestyle condition. As a result, its prevalence is high among people of lower socioeconomic status due to barriers that hinder them from accessing quality health care services (Xu et al., 2018). These barriers are both social and physical determinants of health. These are the factors that affect where how people live, grow, interact, and even die. They include housing, availability of food, access to healthcare, level of education, and nutritional practices (Walker, Williams & Egede, 2016). These factors are experienced differently by people. As a result, there are disparities in health and its outcomes among the people. These disparities are high among the people of low socioeconomic status and suffering from diabetes mellitus type 2. Therefore, providing quality and equal healthcare service to the people is essential in reducing the disparities observed among these people as far as diabetes mellitus type 2 is concerned. This is essential in the achievement of the goals of healthy people 2020.

Research Summary and Literature Review.

According to research, there are significant health disparities related to diabetes in America. The disparities are associated with different social and physical disparities of health. These are the factors that affect the health and the outcomes of health among the people. The factors that determine health are systemic, societal, and individual in nature. Systemic factors are those that are related to the healthcare system. These include a lack of adequate resources, or policies and a shortage of healthcare providers. The healthcare system is not adequately funded to provide adequate preventive care to the people of America (Ong et al., 2018). As a result, individuals are being diagnosed with diabetes which could have been prevented. Availability of adequate resources ensures that community healthcare workers are able to provide preventive and health promotional services to the people regarding diabetes. This is likely to impact people with low socioeconomic status at risk of developing diabetes. For those who already have the disease, the provision of health promotional services help to prevent complications from arising.

Lack of adequate healthcare providers such as nurses and physician is another important factor that contributes to poor health outcomes among people of low socioeconomic status with diabetes (Ong et al., 2018). This is because the majority of the case is diagnosed late when the disease has already advanced to critical stages. Without adequate nurses and doctors, such patients are likely to receive low-quality care. Poor healthcare policies are associated with disorganized healthcare delivery. As a result individuals of the low socioeconomic class are likely to be discriminated against by the healthcare system hence resulting in poor delivery and access to healthcare.

Societal factors include those that affect the structure and nature of healthcare delivery. They include the geographical location of individuals and the healthcare facilities. The majority of the people of low socioeconomic class live in remote or slum areas. Healthcare facilities are not usually present in these areas. As a result, people have to move a long distance in search of healthcare services (Hill-Briggs et al., 2020). For conditions such as diabetes mellitus, any delay in intervention could result in devastating health outcomes for the people.

Individual factors that influence the incidence and prevalence of diabetes among the individual with low socioeconomic status are dietary practices and sedentary lifestyle. Due to lack of adequate finance, these individuals usually feed on unhealthy food that increases the likelihood of developing or complicating diabetes (Butler, 2017). A sedentary lifestyle such as lack of physical activity is another factor that contributes to the high prevalence of diabetes among the identified group. Therefore, evidence-based practice plays an essential role in the prevention and appropriate management of diabetes among such people in America today.

References

Butler, A. M. (2017). Social determinants of health and racial/ethnic disparities in type 2 diabetes in youth. Current diabetes reports, 17(8), 60.

Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice. Journal of Clinical Nursing, 27(5-6), 1216-1226.

Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A., … & Haire-Joshu, D. (2020). Social Determinants of Health and Diabetes: A Scientific Review. Diabetes Care.

Ong, S. E., Koh, J. J. K., Toh, S. A. E. S., Chia, K. S., Balabanova, D., McKee, M., … & Legido-Quigley, H. (2018). Assessing the influence of health systems on type 2 diabetes mellitus awareness, treatment, adherence, and control: a systematic review. PloS one, 13(3), e0195086.

Walker, R. J., Williams, J. S., & Egede, L. E. (2016). Influence of race, ethnicity and social determinants of health on diabetes outcomes. The American journal of the medical sciences, 351(4), 366-373.

Xu, G., Liu, B., Sun, Y., Du, Y., Snetselaar, L. G., Hu, F. B., & Bao, W. (2018). Prevalence of diagnosed type 1 and type 2 diabetes among US adults in 2016 and 2017: population based study. Bmj, 362, k1497.

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

  

Preparing the assessment

Follow these guidelines when completing this assignment. 

1) Write a brief 1-2 paragraph weekly reflection addressing the questions posed in the Reflect section of each weekly module. Edit your Reflection to include each weekly reflection.

2) Include the following sections in your Reflection.

Week 1 (National Obesity) National problem

· Provide one specific example of how you achieved the weekly objectives.

· What did you learn from this week to challenge your beliefs or attitudes?

· How will this knowledge improve your effectiveness as a practice scholar?

Week 2(Florida Obesity) Local problem

· Provide one specific example of how you achieved the weekly objectives.

· Why is the information important?

· In what ways will you use this learning?

Week 3

§ Provide one specific example of how you achieved the weekly objectives.

§ What is the benefit of the learning?

§ What values can you reaffirm or want to reconsider after this learning?

Week 4

· Provide one specific example of how you achieved the weekly objectives.

· Which change model or conceptual framework did you find most valuable and why?

· In what ways, if any, do your practices inhibit reform?

Week 5

· Provide one specific example of how you achieved the weekly objectives.

· Which translation model did you find most valuable and why?

· How receptive are you to embracing change and reform?

Week 6

· Provide one specific example of how you achieved the weekly objectives.

· What approach do you use in working with others throughout the change process?

· What is your response to change? Is it inclusive of other team members? Why or why not?

Week 7

· Provide one specific example of how you achieved the weekly objectives.

· What goals will you set in accordance with what you have learned

· How has course information changed your ways of knowing?

Requirements:
1. Addresses all aspects of the weekly reflection
2. Assesses own learning
3. Assesses value of the learning experience

You have to resume in 1 or 2 paragraphs every week of the discussion board you attached. You have to answer each week separated. Each week has to include the specific goal described above and I’m not attaching week 5 and 7, but I’m going to ask the referring questions for these weeks below so you can guide yourself to do these weeks as well. You have to be careful because this homework is going to be passing by turnitin.  

Week 5

Reflect upon your selected practice problem to determine a possible solution and address the following.

1-Create an action plan using a translation theory or model to implement the proposed solution. 

2-Provide a description of each component in the translation model.

3-What are the barriers to implementation? What are the facilitators to overcome these barriers?

4-Who are the stakeholders involved? What are their roles?

5-What resources are needed for successful implementation of the solution?

Week 7

1-What are the common barriers to evidence translation in addressing this problem?

2-What strategies might you adopt to be aware of new evidence?

3-How will you determine which evidence to implement?

4-How will you ensure continuation or sustainability of the change?

Please use 3 to 5 sources no later than 5 years or you can use the same sources that is in the attached.

 

Assignment:

Social Psychology

For this assignment you will create a two-sided tri-fold brochure using the Word brochure template or Canva. You will create 6 panels. This brochure will be for used in a psychologist’s office to share information about social psychology, personality study and the sense of self.

Back left panel (cover for trifold):

• Title for Brochure & Image

Inside 3 panels:

• Explain the main applications of social psychology
• 2 & 3 The theories of personality study (Include image and color where appropriate-Images should add value to the brochure).

Back Center Panel:

• Personality & the Sense of Self

Back Right Panel:

• Types of Psychologists that would provide
• Therapy/services for social & personality psychology  
• APA references

Assignment Expectations:

Length: Trifold brochure front & back, 6 panels

Structure:

          Back left panel-   Title for brochure & image

          Inside 3 panels-   Explain the main applications of social psychology

                                       Explain the theories of personality study

                     Include image and color where appropriate- Images

  should add value to the brochure

          Back center panel- Personality & Sense of self

          Back right panel- Types of psychologists that would provide

  therapy/services for social and personality

  psychology and APA References

References: Use the appropriate APA style, in-text citations, and references, for all resources utilized to answer the questions. Include at least (3) scholarly citations to support your information.