A key component in doing anything new is changing the old behavior/attitude/belief so that the change can take effect. According to Kurt Lewin, you must unfreeze before you can begin to change. The unfreezing in itself is a change that allows you to be open to further change. Once you have unfrozen, you are able to transform, then by refreezing, you internalize the change.If you picture this as an ice cube, the process becomes clear, before you can make a square ice cube into a different shape you must first allow it to thaw, to get used to the idea of change.Identify a change effort that you were a part of or that you witnessed. Provide a brief overview of the intended change and the outcome. Using one of the change theories in the book or one that you have researched, analyze the change effort that you presented. What went well? What didn’t go well? What would you have done differently if you had been in a leadership position? 

Post a description of one existing source of data you found with variables related to a patient quality and safety problem in your practice. Locate the data posted for your agency/facility. If you are unable to find this information for your agency, locate a national database that can be accessed by health professionals, e.g., Medicare Hospital Compare. (Data are also available for home health and nursing homes.) Include the citation and the link to use for web access. Identify three variables found in the database that are important in better understanding a patient safety problem. Explain how you would interpret the results and how they might help improve nursing practice and patient outcomes. Explain how data is used in your own agency, including nursing involvement in the process. https://www.medicare.gov/hospitalcompare/search.html

Post a five paragraph (at least 550 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Use the writing resources to develop your post.

 According to the American Association of Colleges of Nursing the Masters prepared nurse ” Recognizes that the master’s-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.” Many research ideas emerge from practice and/or the educational environment. Formulating a well-built research question is challenging. Asking the right question facilitates the search process when conducting a review of the literature. Read the article “Asking the clinical question: A key step in evidence-based practice. After reading the article and reviewing the slide presentation use the PICOT framework and practice creating a PICOT question.  Create a PICOT question for a quantitative study and a PICOT question for a qualitative study that relate to your area of interest. Obtain an Evidence-Based Guideline (EBG), Standard of Practice, or Best practice in nursing education that pertains to your question.  

hi dear,

 can help me to finish this assignment with good quality and be on time please?

 I just need to 2 responses to the Discussions, and about 100 words for each responses.     

1) According to the Youth Physical Activity: The Role of Schools, what schools can do to promote physical activity describes various activities that schools can practice to encourage students to be physically active for example: policies that support physical activity, educate parents on the importance of physical activity, motivate school staff to be physically active to be role models for students, and collaborate and invite families and local groups to participate in school-base physical activity and events that promote physical activity (Youth Physical Activity:The Role of Schools, 2009). As I reflect on my experience in elementary school we didn’t have a physical activity policy or physical activity programs. Our teacher would take all the class out to play a sport once a week and that was considered our P.E. time. Teachers didn’t get involved, they usually just watched students. I don’t remember ever having an event that promoted physical activity. I also remember that students couldn’t join a sport team until they reached 5th or 6thgrade and lower grades couldn’t participate until they reached 5th grade. I remember complaining to my parents about this, I wanted to participate and wasn’t allowed until I was in 5th grade. I felt my school did a horrible job in promoting physical activity.  We did have recess but didn’t have a quality physical education class nor physical activity breaks.

2) The CDC recommends that children, aged 6-17, get at least 60 minutes of moderate intensity activity daily which includes aerobic, muscle strengthening, and bone strengthening at least 3 times per week. (CDC, 2018). This recommendation is actually doable, but I feel when not influenced by parents/caregivers and school officials, this is easy to be dismissed in this day of increased technology use and indoor activities.
Although it has been quite some time since I was in school, I do have recollections of being in 4th and 5th grade and having ample opportunities daily to run and play before school, after lunch and during daily physical education classes. However, as we advanced in grade, the requirements and opportunities to exercise during the school day became less and replaced by more academic requirements. When looking back on my high school years, I recall only limited requirements for physical activities, unless we were encouraged, or interested in participating in a sport. As a part of one of my PE classes, I joined the swim team where I learned techniques and competed for one semester. In recalling my children’s time in school, I find that they also suffered from minimal times and encouragement for physical activity. As they got older, in high school for example, they were only required to have a total of 2 years of physical education or other equivalent training/participation.
But, because we were already a pretty active family, my kids not only had a variety of activities throughout their school times/days, but also during the weekends, vacations, etc.
The decline of the school-based promotion and requirement for daily physical activity in children has the potential to not only harm the child, physically, but mentally, and academically. According to a study of the effects of classroom-based physical activity done by Donnelly and Lambourne, there is “increasing evidence for the association between physical activity, cardiovascular fitness, fatness , and cognitive function “. (Donnelly & Lambourne, 2011). One example of this was noted by the Action for Healthy Kids organization which strives to help communities, schools, and parents tools and tips to help increase physical activity in children. This organization helps in fundraising and providing grants to schools who are unable to financially support increased or basic activities in their schools. In a report from 2013, the Glen Acres Elementary School in Lafayette, Indiana, was given a $5000 grant to support a program that was initiated by a PE teacher seeking to help their kids an additional 15 minutes of activity per day. She started a project that provided for kids in all grades to begin their school day with a 15 minute light workout/stretching and sending them off to class with a positive affirmation and feeling better. The other teachers all noted improved academic performances during this trial period and she found that even the children were asking for the program and were disappointed on those days that the “Stretch & Go” program was not available. This as found to be a very beneficial program for them and I feel all schools could incorporate something similar in their daily curriculum.
Although many children today are involved in extra-curricular activities and are shuffled around by well-meaning parents, I feel this type of activity, although beneficial in the long run, may not create the type of life-long habits of being active that our children today need in an increasing sedentary world.

Thanks,

Chapter 24 – Shamans. 

Chapter 25 – Faith and Prayer. 

Question(s):  Do you consider yourself a spiritual or religious person? Explain why? What is the importance of your faith in your daily life? 

Guidelines: The answer should be based on the knowledge obtained from reading the book. You must answer all the questions. Your grade will be an average of all parts of the question. 

Grading Criteria: The student discusses how he or she considers himself/ herself: a spiritual person or a religious person (30%). Student explains why (35%). Student discusses the importance of faith in his/ her daily life (35%).