Approved Topics:

1. Examine how participative leadership functions in today’s modern health care organization and compare it to other types of leadership styles. Evaluate how each type of leadership style may impact organizational culture, employee performance, and how it may help or hinder the legitimacy of authority.

After identifying your topic, choose a health care organization in your area. This organization may be small or large and may provide single inpatient health service or multiple outpatient services; it is your choice. Consider your topic in light of the leadership of this organization and research the challenges and successes it has faced in managing operational effectiveness.  You are welcome to use as many research methods as possible to obtain information for your organization and its managers (e.g., web-based resources, electronic articles, or personal interviews). The more informed you are, the better prepared you will be to complete your project.  

Finally, develop a management training program that includes relevant guidelines and information to combat the issues identified in the selected topic, as well as recommendations for managers to more effectively lead health care organizations. Your training program should be in the form of a 20 to 25 slide PowerPoint presentation (excluding title and reference slides) that includes comprehensive speaker’s notes (i.e., at least 150 words) for each slide. Utilize at least three to five scholarly sources from the Ashford University Library and two to three current, scholarly web sources (total of five to eight references required). All sources must be cited according to APA style.Your presentation must be engaging and relevant to your audience. Lines of text on a slide will not be sufficient for this project. It should contain at least five images, graphics, and/or multimedia that communicate your training clearly to your audience. For tips on creating an excellent presentation, read this overview

The Senior Project:

1. Must be 20 to 25 PowerPoint slides (excluding title and reference slides) in length. There are 20 content criteria worth a total of 10 points.  
2. Must include a title slide that contains the following: 
   1. Title of project
   2. Your name
   3. Course name and number
   4. Instructor’s name
   5. Date submitted
3. Must include an introduction with a succinct thesis statement.
4. Must address the topic of the project with critical thought in the areas of: 
   1. Organization details
   2. Challenges and opportunities
   3. Training program outcomes
   4. Impact on at least three stakeholder groups involved delineated by cost, quality, and access to service
   5. Suggested actions
5. Must include a conclusion that reaffirms your thesis.
6. Must use at least five supporting graphics (images, graphics, and/ or multimedia) are included and relevant communicating the training content (two points).
7. Must include speaker’s notes that have evidence of critical thinking and application (content analysis, synthesis, evaluation) related to the research methodology used to develop (six points): 
   1. Project content
   2. Practical and relevant solutions to the organizational challenges/opportunities
   3. Appropriate evaluation of individual stakeholder groups involved
8. Must use at least three to five scholarly sources from the Ashford University Library and two to three current, scholarly web sources.
9. Must document all sources in APA style, as outlined in the Ashford Writing Center.
10. Must include a separate reference slide, formatted according to APA style as outlined in the Ashford Writing Center.

Discussion 7 – Week 9

WEEK 9

Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. What do you think are some effective tactics for APN strategic positioning regarding pay equality? Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

  

Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why the article may or may not provide sufficient evidence for your practice change.

PLEASE USE REFERENCES FROM THE DOCUMENT THAT SAYS USE REFERENCES FROM HERE.

350 WORDS. NO PLAGIARISM PLEASE. SAMPLE IS ALSO ATTACHED.

Complete a two to three page (excluding title and reference pages) report on the progress you have made to date on your Senior Project.  You must use a minimum of three scholarly sources. Your report, and any citations used, must be in APA style as outlined in the Ashford Writing Center. Your progress report should cover the following:

TOPIC-Examine how participative leadership functions in today’s modern health care organization and compare it to other types of leadership styles. Evaluate how each type of leadership style may impact organizational culture, employee performance, and how it may help or hinder the legitimacy of authority.

1. Topic: Identify the topic that you have selected for your Senior Project and provide a brief explanation for why you have chosen to address this topic *This may be copied from the Week Two assignment if evaluated as Distinguished Performance. Otherwise, make adjustments per Week Two feedback.
2. Organization Specific Rationale: Provide a brief overview of the health care organization that you have selected for your Senior Project including a summary of the challenges and/or opportunities impacting the balance between health care costs, quality, and access to services that the organization is currently facing. The challenges and/or opportunities should directly relate to your rationale for why you have chosen your topic (i.e., training program) to help the organizational leaders manage this challenge/opportunity. Challenges and/or opportunities should be grounded in the research (e.g., web-based resources, electronic articles, or personal interviews). The more informed you are, the better prepared you will be to complete your Senior Project.
3. Training: Identify the audience for your training program and provide a brief outline of the topics it will address. Include a minimum of three to five learning outcomes that are targeted for your identified audience. Specifically, what do you want your audience to know and/or be able to do after they have completed training? How does this training program align with the overall challenges and/or opportunities that the organization is facing? Overall, how will the training program benefit the organization?

  

When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.

Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.

To prepare for this Assignment:

Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.

The Assignment

Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following: 

Decision #1 

Which decision did you select?

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

Decision #2 

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 

Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

Decision #3 

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Required Readings

Note: All Stahl resources can be accessed through this link provided.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

Chapter 6, “Mood Disorders”

Chapter 7, “Antidepressants”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

Review the following medications:

Amitriptyline, bupropion, citalopram, clomipramine, desipramine, desvenlafaxine, doxepin, duloxetine, escitalopram, fluoxetine, fluvoxamine, imipramine, ketamine, mirtazapine, nortriptyline, paroxetine, selegiline, , sertraline, trazodone, venlafaxine, vilazodone, vortioxetine

Lorberg, B., Davico, C., Martsenkovskyi, D., & Vitiello, B. (2019). Principles in using psychotropic medication in children and adolescents. In J. M. Rey & A. Martin (Eds.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from https://iacapap.org/content/uploads/A.7-Psychopharmacology-2019.1.pdf

Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from http://www.magellanhealth.com/media/445492/magellan-psychotropicdrugs-0203141.pdf

Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

Note: Retrieved from Walden Library databases.

Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787-791. doi:10.1002/da.22171

Required Media

Laureate Education (2016e). Case study: An African American child suffering from depression [Interactive media file]. Baltimore, MD: Author.

Note: This case study will serve as the foundation for this week’s Assignment.

Optional Resources

El Marroun, H., White, T., Verhulst, F., & Tiemeier, H. (2014). Maternal use of antidepressant or anxiolytic medication during pregnancy and childhood neurodevelopmental outcomes: A systematic review. European Child & Adolescent Psychiatry, 23(10), 973–992. doi:10.1007/s00787-014-0558-3

Gordon, M. S., & Melvin, G. A. (2014). Do antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50(11), 847–854. doi:10.1111/jpc.12655

Seedat, S. (2014). Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26(2), iii–v. doi:10.2989/17280583.2014.938497