Discussion: Clinical Supervision – Kaltura WEEK 4 (1)

Substance use disorders are complicated psychiatric and medical conditions that involve physical addiction as well as psychological or emotional dependence. Substance use disorders are some of the most difficult to treat. It takes a great deal of patience on the part of the provider and the client. It may take several attempts before a client is successfully able to “kick the habit.” Your guidance and patience can help the client to persevere through difficult times during the journey to recovery.

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client with a substance abuse disorder whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

• Analyze clients presenting for treatment of      substance-related and addictive disorders
• Evaluate effectiveness of therapeutic approaches for      clients diagnosed with substance-related and addictive disorders
• Recommend treatment plans

To prepare for this Discussion:

• Review this week’s Learning Resources concerning      treating patients with substance-related and addictive disorders.
• Reflect on a client you are currently counseling or      have previously counseled at your practicum site who has been diagnosed      with substance-related and addictive disorders.

Post a 3- to 5-minute Kaltura video in which you do the following:

• Describe the client. Note: Do not use the client’s actual name.

• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.

• Identify any additional information about this client that may potentially impact expected outcomes.

• Provide specific recommendations for the client to help them in determining why they are not progressing and what your suggested      treatment plan consists of.

• It is useful to      consult the Prochaska and DiClement model.

Note: Support your rationale with a minimum of three academic resources less than five years in APA format, including introduction and conclusion 

Instructions

1. Review the Overview of Research on ACO Performance and select one research study.
2. Submit an article critique of your selection.

Article Critique Instructions

Formatting Article Critique

Length: Your paper should be three-to-four (3–4) double-spaced pages.

Format your article critique by starting with the following:

• The name of the author
• The title of the article
• The title of the journal, volume number, date, month, and page numbers in APA format
• Brief statement of the issue or problem the article addresses
• Brief statement of the purpose, hypothesis, and methods
• Major conclusions

Compose Your Critique

After the opening summary, compose your critique. For this course, your critique needs to address the 1) technical components of the article and 2) your analysis and opinion of the article.

1. The technical components must include your assessment of:
   • The accuracy of the title
   • The specificity and accuracy of the abstract
   • The clarity of the purpose
   • The relevance and clarity of the literature review
   • Absence or error in facts or interpretation (This last item requires you to look at some of the author’s cited references when they seem to be in error or misused.)
2. Your analysis and opinion are the bulk of this critique and must address:
   • The relevancy of the topic and why it is important (or not)
   • Are the author’s assumptions stated clearly and located helpfully on the article?
   • Does the methodology seem appropriate for the issue and hypotheses? Could the work be replicated based on the description?
   • Is the data presented clearly, and is it error free? You do not need to do in-depth calculations, but evaluate the integrity in tables and charts; you may catch surprising errors.
   • Does the author provide a balanced focus on the most important and relevant ideas or weaken the article by over- or under-emphasizing certain ideas?
   • Does the author write clearly? Are there ambiguous statements that should have been clarified or more fully supported with evidence?
   • Does the author seem biased or have clear evidence of objectivity?
   • Are there gaps in the author’s work and conclusions that you believe warrant follow up?

School of Health Sciences: Article Critique Rubric

Article Critique – 100 PointsCriteriaExceeds ExpectationsMeets ExpectationsNeeds ImprovementInadequateTotal PointsIntroductory Summary:

• The name of the author
• The title of the article
• The title of the journal with required detail
• Brief statement of the issue/problem
• Brief statement of the purpose, hypothesis, methods
• Major conclusions

All elements incorporated fully and accurately and submitted on time

50 pointsFive to six elements incorporated fully and accurately

44 pointsThree to four elements incorporated but with multiple errors

39 pointsOne to two elements incorporated fully and accurately

34 points50 pointsTechnical AssessmentIncluded all five elements and accurately assessed each

20 pointsIncluded four elements and accurately assessed each

17 pointsIncluded four to five elements but did not accurately assess all

15 pointsIncluded two to four elements with limited accuracy

13 points20 pointsAnalytic AssessmentRobust analysis using course concepts and materials accurately

20 pointsPartial analysis using course concepts and materials accurately

17 pointsMinimal analysis with limited accurate use of course concepts and materials

15 pointsSuperficial analysis with limited integration of course concepts and materials

13 points20 pointsGrammar, Spelling, and FormattingWithout grammar, spelling, or formatting errors

10 pointsOne to two grammar, spelling, or formatting errors

8 pointsThree to four grammar, spelling, or formatting errors

7 pointsFive or more grammar, spelling, or formatting errors

6 points10 pointsTotal points100 

What are you beliefs about the major concepts in nursing; person, environment, health, nursing? I am looking personal opinion I do not want book definitions.

2. Discuss the characteristics of Realism and Idealism and give one example of where do you see yourself on the continuum of realism and idealism

3. Define and differentiate between values and beliefs.

• The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal. 
  On or before Day 7, of week eight each student will submit his or her final proposal paper to the week eight assignment link in D2L. This formal paper will include and expand upon work completed thus far in prior assignments.
  Essential Components of the Final Project Proposal will include:
  This formal paper will include and expand upon work completed thus far in prior assignments.
  Be sure to use the headings as  listed below. Essential Components of the Final Project Proposal will include:   
• Introduction– Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.
• Overview of the Problem – Discuss the problem,  why the problem is worth exploring and the potential contribution of the proposed project to the discipline of nursing.
• Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
• Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
• PICOt formatted Clinical Project Question(s)– Provide the Population, Intervention, Comparison, Expected Outcomes and Timeframe for the proposed project.
• Literature Review – Provide the search engines used and the key terms used to guide a search for evidence and discuss at least five (5) summaries (this can be the copy and paste lit reviews you did in the last paper) of relevant, credible, recent, evidence-based research studies to support the project proposal.
• Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and what gaps in evidence were found from the appraisal of evidence-based research studies.
  • Add this information at the conclusion of each of the articles you discussed above
• Develop an EBP Standard – Describe  two to three interventions (or a bundle of care) from the evidence and discuss how individual patient preferences or the preferences of others will be considered.
• Implications – Summarize the potential contributions of the proposed project for nursing research, education and practice.

• Expectations

• Length: A minimum of 8 pages and a maximum of 10 pages (excluding the title and reference pages)
• Format: Formal scholarly paper in APA 6th ed format
• Reference Citations: A minimum of five, recent (past five years), peer-reviewed scholarly references cited in APA 6th ed format.
• File name: Save the file with Student First Name_Last Name_SigAssignment
• See USU NUR Research Paper Rubric for additional details and Proposal 
• Revised PICOT Question: On a medical-surgical hospital unit (P), how does implementing hourly nursing rounding (I), compared to no scheduled rounding (C), affect patient safety (O), within 6 months of implementing (T)? FYI please use the first attachment  below as sample paper and the guidelines them the other 3 papers need to be expanded and incorporated in 
  

Recognize: Postive/Negative Reinforcements and Punishments

Evaluation Title: Operant Conditioning

The table below provides the four kinds of operant conditioning as they apply to dog training.  

After reviewing these examples, create two examples from each category but apply them to human behavior. 

• You will provide 2 examples of positive reinforcement;
• 2 examples of negative reinforcement;
• 2 examples of positive punishment and
• 2 examples of negative punishment.

Remember, Reinforcement = increasing behavior and Punishment = decreasing behavior. Positive = applying something to increase or decrease behavior and Negative = removing something to increase or decrease behavior.

Estimated time to complete: 3 hours

Rubric

PS101 Unit 3 Assessment – Operant ConditioningPS101 Unit 3 Assessment – Operant ConditioningCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeContentPS101-CO136.0 ptsLevel 5Expresses content knowledge with the assignment purpose in a complete, organized, clear, professional, and culturally respectful manner.32.0 ptsLevel 4Expresses content knowledge with the assignment purpose in a complete, organized, clear, professional, and culturally respectful manner with minor weaknesses in one or more of the areas.29.0 ptsLevel 3Partially expresses content knowledge with the assignment purpose. Expresses ideas in a complete, organized, clear, professional, and culturally respectful manner with weaknesses these area.25.0 ptsLevel 2Partially expresses content knowledge with the assignment purpose. Ideas are partially expressed in an organized, professional, and culturally respectful manner with major weaknesses in these areas.22.0 ptsLevel 1Expresses limited content knowledge with the assignment purpose. Ideas are not expressed in a complete, organized, clear, professional, and/or culturally respectful manner.0.0 ptsLevel 0The assignment was not completed or there are no constructed concepts that demonstrate analytically skills and no evidences to support the content does not align to the assignment instructions36.0 pts
This criterion is linked to a Learning OutcomeTechnology16.0 ptsLevel 5Manipulates multiple technological resources to effectively implement all assignment requirements.14.0 ptsLevel 4Manipulates multiple technological resources to effectively implement most assignment requirements.13.0 ptsLevel 3Manipulates multiple technological resources to effectively implement some assignment requirements.11.0 ptsLevel 2Manipulates multiple technological resources for some assignment requirements.10.0 ptsLevel 1Manipulates technological resources to minimally meet some assignment requirements.0.0 ptsLevel 0The assignment was not completed or difficulties with technological manipulation were evident. The assignment submitted does not meet requriements.16.0 pts
This criterion is linked to a Learning OutcomeWriting8.0 ptsLevel 5The assignment exhibits a excellent command of written English language conventions. The assignment has no errors in mechanics, grammar, or spelling.6.0 ptsLevel 4The assignment exhibits a good command of written English language conventions. The assignment has no errors in mechanics, or spelling  with minor grammatical errors that impair the flow of communication.5.0 ptsLevel 3The assignment exhibits a basic command of written English language conventions. The assignment has minor errors in mechanics, grammar, or spelling that impact the flow of communication3.0 ptsLevel 2The assignment exhibits a  limited command of written English language conventions. The assignment has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.2.0 ptsLevel 1The assignment exhibits a little command of written English language conventions. The assignment has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.0.0 ptsLevel 0The assignment does not demonstrate command of written English language conventions. The assignment has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.8.0 pts