The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html

The goal  of these recommendations is that clinicians strongly recommend the use  of effective tobacco dependence counseling and medication treatments to  their patients who use tobacco, and that health systems, insurers, and  purchasers assist clinicians in making such effective treatments  available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Two references

  Week 7 Discussion: Applying and Sharing Evidence (graded)

Purpose

This week’s graded topics relate to the following Course Outcomes (COs).

• CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

• CO 2: Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)

• CO 4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (PO 4 & 8)

• CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Directions

• Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:

o Demonstrate understanding of concepts for the week

o Integrate scholarly resources

o Engage in meaningful dialogue with classmates

o Express opinions clearly and logically, in a professional manner

• Use the rubric on this page as you compose your answers.

Discussion Questions

Application and implications for practice come from the interpretation of meaning from research findings. Communicating and using research evidence is an expectation of a BSN graduate.

• Select and describe one of the conclusions from the required article from the Week 6 assignment that you found interesting and applicable to practice. Describe how you would apply the evidence to improve nursing practice. Explain your answer.

• Discuss ways you would disseminate research-based evidence; how would you share with your peers? Include your thoughts on why it is important for you to be involved in communicating and applying nursing research evidence.

What are your thoughts 

High performance team refers to a group of goal-focused individuals with specialized expertise and complementary skills who collaborate, innovate and produce consistently superior results. The group relentlessly pursues performance excellence through shared goals, shared leadership, collaboration, open communication, clear role expectations and group operating rules, early conflict resolution, and a strong sense of accountability and trust among its members (Katzenbach, & Smith, 2016). These characteristics are the driving force for the high-performance teams. Shared goals give the team a clear vision for what they are working towards and allows the teams to stay glued to the same goals to which yield maximum output. Collaborations and open communication are the driving forces for any successful team.

One of the biggest factors that contribute to the success of any business is whether or not its employees are able to perform together a team. With increasing competition, it has become extremely important to encourage creativity in the office, in order to improve productivity and promote healthy employee relationships. Working in teams enables employees to be quicker and more effective in their work, as compared to people who work on projects on their own. Collaborating also makes employees more responsible, which goes a long way in raising their motivation levels, especially when teams work virtually.

There is no doubt that motivation is the driving force by which humans achieve their goals. Motivation can be intrinsic or extrinsic. Intrinsic motivation is driven by an interest or enjoyment in the actions required to achieve a goal, without relying on external rewards or pressures. Extrinsic motivation on the other hand is the opposite and requires external rewards such as money or external consequences such as demotion (Vallerand, 2017). Extrinsic motivation by itself (without intrinsic motivation) forces a person to measure outputs and pay little attention to the input such as hard work and collaboration. Therefore, to extrinsically motivate a group I would set group and individual goals and measure outcomes. Also, rewarding those individuals who achieved their goals to motivate those who did not meet their goals is a way of inspiring individuals who are extrinsically motivated. However, to motivate an individual who is intrinsically motivated would begin by creating working environments which provoke competence, and enthusiasm to achieve both personal and organizational goals.

 Respond  by providing feedback on each  colleague’s therapeutic approach based on a narrative family  therapeutic perspective. Support your feedback with evidence-based  literature and/or your own experiences with clients. 

                                                Main Post 

I am addressing the case of a family called X. The family has five members and the man recently lost his job after the organization he worked for closed in Atlanta. The man is also become alcoholic and violent due to the wrangles. The wife also reported episodes of domestic abuse in the local police department severally. On the other hand, the wife works in a store and her wages are hardly enough to pay the family bills. Due to their condition, the family moved to a cheaper house studio since they can no longer afford the rent.

In will uses a systematic therapeutic approach on the family. Systematic approach is ideal since it is a derivative of other models. The model has phase like social step, problem phase, Interaction, goal and task setting (Taylor, 2017). In the social stage, I will interact with each of the family members in regular activities. During the phase, I will inform the family members about the purpose of the therapy and the contributions in the exercise. The stage will also enable me to make observations about the interactions about the phase (Taylor, 2017). The problem stage I will pose a question to each of the members of the family to understand if the problems exist. In the next phase, the interactional stage allows the members to discuss problems like alcoholism and how to pay the bills (Shapiro, 2018).  I will use the interaction phase to understand some of the dynamics like the hierarchies, collaboration and the communication sequence. The goal-setting phase will involve highlighting the problems and what could be done. I will work with the family members to bring forward solutions to the problems. When the family is involved in decision making compliance is high (Shapiro, 2018).  I will also use the phrase to define the parameters of the study. Lastly, is the task setting stage- that will involve wrapping the session by making a decision (Shapiro, 2018). I will offer the solutions and homework to the family. The solutions will involve increasing communications in the family. Another solution is the man looking for a means of living that could sustain the family.  

The systematic therapeutic Approach is efficient since it will replace gendered and stereotyped roles and behaviors that are flexible and offer deep breadth. The therapy will also involve a redistribution of power and providing an equitable balance while at the same time enhances communication between the family members.

However, the woman often exhibits social behavior. Antisocial behavior could alter a systematic therapeutic approach. The behavior typically limits their conversations.

References

Shapiro, F. (2018). Eye movement desensitization and reprocessing (EMDR) therapy. Basic Principles, Protocols, and Procedures, Ed, 2.

Taylor, D. (2017). Treating sexual trauma through couple’s therapy.