Summary of SAMHSA's review of and listing of feedback Informed Treatment as an evidence-based practice. The International Center for Clinical Excellence received perfect scores for readiness for dissemination materials
Nicholas Jewell MedicReS World Congress 2014MedicReS
Statistical Methods for Observational Drug Studies
Nicholas P. Jewell Departments of Statistics &
School of Public Health (Biostatistics)
University of California, Berkeley
Summary of current research on routine outcome measurement, feedback, the validity, reliability, and effectiveness of the ORS and SRS (or PCOMS Outcome Management System)
Summary of SAMHSA's review of and listing of feedback Informed Treatment as an evidence-based practice. The International Center for Clinical Excellence received perfect scores for readiness for dissemination materials
Nicholas Jewell MedicReS World Congress 2014MedicReS
Statistical Methods for Observational Drug Studies
Nicholas P. Jewell Departments of Statistics &
School of Public Health (Biostatistics)
University of California, Berkeley
Summary of current research on routine outcome measurement, feedback, the validity, reliability, and effectiveness of the ORS and SRS (or PCOMS Outcome Management System)
Title:
A Meta-Analysis of Adventure Therapy Outcomes and Moderators
Abstract:
This presentation reports on a meta-analytic review of 197 studies of adventure therapy participant outcomes (2,908 effect sizes, 206 unique samples). The short-term effect size for adventure therapy was moderate (g = .47) and larger than for alternative (.14) and no treatment (.08) comparison groups. There was little change during the lead-up (.09) and follow-up periods (.03) for adventure therapy, indicating long-term maintenance of the short-term gains. The short-term adventure therapy outcomes were significant for seven out of the eight outcome categories, with the strongest effects for clinical and self-concept measures, and the smallest effects for spirituality/morality. The only significant moderator of outcomes was a positive relationship with participant age.
References:
Bowen, D. J., & Neill, J. T. (2013). A meta-analysis of adventure therapy outcomes and moderators. The Open Psychology Journal, 6, 28-53. doi: 10.2174/1874350120130802001
Bowen, D. J., & Neill, J. T. (2013). A meta-analysis of adventure therapy outcomes and moderators: Pre-post adventure therapy age-based benchmarks for outcome categories. Retrieved from http://www.danielbowen.com.au/meta-analysis
For more information, see: http://www.danielbowen.com.au/meta-analysis
No evidence for demand characteristics or social desirability with the Session Rating Scale.
Reese, R. J., Gillaspy, J. A., Owen, J. J., Flora, K. L., Cunningham, L. E., Archie, D., & Marsden, T. (2013). The influence of demand characteristics and social desirability on clients’ ratings of the therapeutic alliance. Journal of Clinical Psychology, 69, 696-709.
Combination of informative biomarkers in small pilot studies and estimation ...LEGATO project
Background:
Biomarker candidates are defined as measurable molecules found in biological media. According to Biomarkers Definitions Working Group, 2001, biomarkers cover a rather wide range of parameters. Recently, biomarkers are used widely in medical researches, where single biomarkers may not possess the desired cause-effect association for disease classification and outcome prediction. Therefore the efforts of the researchers currently is to combine biomarkers. By new technologies like microarrays, next generation sequencing and mass spectrometry, researchers can obtain many biomarker candidates that can exceed tens of thousands. To avoid wasting money and time, it is suggested to control the number of patients strictly. However, pilot studies usually have low statistical power which reduces the chance of detecting a true effect .
Sample size and how to calculate it
- Why sample size is important
- Alpha and beta errors
- Main outcome and Effect size
- Practical examples using Means-Proportions-Correlation- Confidence Interval
How to establish and evaluate clinical prediction models - StatsworkStats Statswork
A clinical prediction model can be used in various clinical contexts, including screening for asymptomatic illness, forecasting future events such as disease, and assisting doctors in their decision-making and health education. Despite the positive effects of clinical prediction models on practice, prediction modeling is a difficult process that necessitates meticulous statistical analysis and sound clinical judgments. Statswork offers statistical services as per the requirements of the customers. When you Order statistical Services at Statswork, we promise you the following always on Time, outstanding customer support, and High-quality Subject Matter Experts.
Read More With Us: https://bit.ly/3dxn32c
Why Statswork?
Plagiarism Free | Unlimited Support | Prompt Turnaround Times | Subject Matter Expertise | Experienced Bio-statisticians & Statisticians | Statistics across Methodologies | Wide Range of Tools & Technologies Supports | Tutoring Services | 24/7 Email Support | Recommended by Universities
Contact Us:
Website: www.statswork.com
Email: info@statswork.com
United Kingdom: 44-1143520021
India: 91-4448137070
WhatsApp: 91-8754446690
Running head: NURSING PROBLEM 1
NURSING PROBLEM 2
Nursing Problem
Student’s Name
Institutional Affiliation
Date
Specialization: Nursing Practitioner.
As a nursing practitioner, the major roles include the assessment of the needs of the patients. A nursing practitioner also orders and interprets test from laboratories, they do illness and disease diagnosis, medication prescription and formulate plans for treatment. There are a number of challenges that face the nurse in their field of practices. This paper will focus to discuss the hazards in the workspace of these practitioners. It will also seek to find a way of solving these challenge using innovative means.
The Problem of Interest
Hazard in The Nursing Field.
The nursing field of practice is one of the most dangerous places of working as one does work in a delicate environment where one is in the risks of being infected or even injuring oneself. Nurses are faced with a number of risks in daily job activities. Some of these hazards include injuries, flu germs, hand washing –related dermatitis and pathogens that are based in the blood among others.
According to the report produced by OSHA, about 5.6 million of 12.2 million workers are under the risk of being exposed to blood borne pathogens. This is a big number of health workers under the risk meaning that soon there will be a shortage of health nursing or health workers in general. Moreover, the rates of risks are higher in the health care industry than any other industries. This industry has registered around 35000 injuries covering different parts of the body. These range from the shoulders, hands, feet, and back. These statistics are according to the Bureau Labor Statistics (Gooch, 2015).
Apart from the acute injuries discussed, they also suffer harm exposed on their hands. From a recent study carried out in the University of Manchester, the health workers that follow protocols are 4.5 times exposed to skin damage risks. The report also reported up to 25 percent of cases of irritant contact dermatitis.
These individuals also get exposed to infectious diseases in their areas of practice. One of the most commonly contacted infection is Hepatitis B (HBV). This is infection can be contacted via blood contact, feces, saliva, and semen. This instrument of spreading the infection is in contact with the patient and also the needles (Gooch, 2015). Nursing practitioners also risk exposure to toxic substances in the clinical environment. Radiation is another risk that comes majorly from the ionizing radiation. Complications associated with radiation include skin cancer, leukemia, and cancer among others. One comes to contact with this radiation in the instances of performing x-ray scans. Another challenge that faces nursing.
Title:
A Meta-Analysis of Adventure Therapy Outcomes and Moderators
Abstract:
This presentation reports on a meta-analytic review of 197 studies of adventure therapy participant outcomes (2,908 effect sizes, 206 unique samples). The short-term effect size for adventure therapy was moderate (g = .47) and larger than for alternative (.14) and no treatment (.08) comparison groups. There was little change during the lead-up (.09) and follow-up periods (.03) for adventure therapy, indicating long-term maintenance of the short-term gains. The short-term adventure therapy outcomes were significant for seven out of the eight outcome categories, with the strongest effects for clinical and self-concept measures, and the smallest effects for spirituality/morality. The only significant moderator of outcomes was a positive relationship with participant age.
References:
Bowen, D. J., & Neill, J. T. (2013). A meta-analysis of adventure therapy outcomes and moderators. The Open Psychology Journal, 6, 28-53. doi: 10.2174/1874350120130802001
Bowen, D. J., & Neill, J. T. (2013). A meta-analysis of adventure therapy outcomes and moderators: Pre-post adventure therapy age-based benchmarks for outcome categories. Retrieved from http://www.danielbowen.com.au/meta-analysis
For more information, see: http://www.danielbowen.com.au/meta-analysis
No evidence for demand characteristics or social desirability with the Session Rating Scale.
Reese, R. J., Gillaspy, J. A., Owen, J. J., Flora, K. L., Cunningham, L. E., Archie, D., & Marsden, T. (2013). The influence of demand characteristics and social desirability on clients’ ratings of the therapeutic alliance. Journal of Clinical Psychology, 69, 696-709.
Combination of informative biomarkers in small pilot studies and estimation ...LEGATO project
Background:
Biomarker candidates are defined as measurable molecules found in biological media. According to Biomarkers Definitions Working Group, 2001, biomarkers cover a rather wide range of parameters. Recently, biomarkers are used widely in medical researches, where single biomarkers may not possess the desired cause-effect association for disease classification and outcome prediction. Therefore the efforts of the researchers currently is to combine biomarkers. By new technologies like microarrays, next generation sequencing and mass spectrometry, researchers can obtain many biomarker candidates that can exceed tens of thousands. To avoid wasting money and time, it is suggested to control the number of patients strictly. However, pilot studies usually have low statistical power which reduces the chance of detecting a true effect .
Sample size and how to calculate it
- Why sample size is important
- Alpha and beta errors
- Main outcome and Effect size
- Practical examples using Means-Proportions-Correlation- Confidence Interval
How to establish and evaluate clinical prediction models - StatsworkStats Statswork
A clinical prediction model can be used in various clinical contexts, including screening for asymptomatic illness, forecasting future events such as disease, and assisting doctors in their decision-making and health education. Despite the positive effects of clinical prediction models on practice, prediction modeling is a difficult process that necessitates meticulous statistical analysis and sound clinical judgments. Statswork offers statistical services as per the requirements of the customers. When you Order statistical Services at Statswork, we promise you the following always on Time, outstanding customer support, and High-quality Subject Matter Experts.
Read More With Us: https://bit.ly/3dxn32c
Why Statswork?
Plagiarism Free | Unlimited Support | Prompt Turnaround Times | Subject Matter Expertise | Experienced Bio-statisticians & Statisticians | Statistics across Methodologies | Wide Range of Tools & Technologies Supports | Tutoring Services | 24/7 Email Support | Recommended by Universities
Contact Us:
Website: www.statswork.com
Email: info@statswork.com
United Kingdom: 44-1143520021
India: 91-4448137070
WhatsApp: 91-8754446690
Running head: NURSING PROBLEM 1
NURSING PROBLEM 2
Nursing Problem
Student’s Name
Institutional Affiliation
Date
Specialization: Nursing Practitioner.
As a nursing practitioner, the major roles include the assessment of the needs of the patients. A nursing practitioner also orders and interprets test from laboratories, they do illness and disease diagnosis, medication prescription and formulate plans for treatment. There are a number of challenges that face the nurse in their field of practices. This paper will focus to discuss the hazards in the workspace of these practitioners. It will also seek to find a way of solving these challenge using innovative means.
The Problem of Interest
Hazard in The Nursing Field.
The nursing field of practice is one of the most dangerous places of working as one does work in a delicate environment where one is in the risks of being infected or even injuring oneself. Nurses are faced with a number of risks in daily job activities. Some of these hazards include injuries, flu germs, hand washing –related dermatitis and pathogens that are based in the blood among others.
According to the report produced by OSHA, about 5.6 million of 12.2 million workers are under the risk of being exposed to blood borne pathogens. This is a big number of health workers under the risk meaning that soon there will be a shortage of health nursing or health workers in general. Moreover, the rates of risks are higher in the health care industry than any other industries. This industry has registered around 35000 injuries covering different parts of the body. These range from the shoulders, hands, feet, and back. These statistics are according to the Bureau Labor Statistics (Gooch, 2015).
Apart from the acute injuries discussed, they also suffer harm exposed on their hands. From a recent study carried out in the University of Manchester, the health workers that follow protocols are 4.5 times exposed to skin damage risks. The report also reported up to 25 percent of cases of irritant contact dermatitis.
These individuals also get exposed to infectious diseases in their areas of practice. One of the most commonly contacted infection is Hepatitis B (HBV). This is infection can be contacted via blood contact, feces, saliva, and semen. This instrument of spreading the infection is in contact with the patient and also the needles (Gooch, 2015). Nursing practitioners also risk exposure to toxic substances in the clinical environment. Radiation is another risk that comes majorly from the ionizing radiation. Complications associated with radiation include skin cancer, leukemia, and cancer among others. One comes to contact with this radiation in the instances of performing x-ray scans. Another challenge that faces nursing.
Running head: NURSING PROBLEM 1
NURSING PROBLEM 2
Nursing Problem
Student’s Name
Institutional Affiliation
Date
Specialization: Nursing Practitioner.
As a nursing practitioner, the major roles include the assessment of the needs of the patients. A nursing practitioner also orders and interprets test from laboratories, they do illness and disease diagnosis, medication prescription and formulate plans for treatment. There are a number of challenges that face the nurse in their field of practices. This paper will focus to discuss the hazards in the workspace of these practitioners. It will also seek to find a way of solving these challenge using innovative means.
The Problem of Interest
Hazard in The Nursing Field.
The nursing field of practice is one of the most dangerous places of working as one does work in a delicate environment where one is in the risks of being infected or even injuring oneself. Nurses are faced with a number of risks in daily job activities. Some of these hazards include injuries, flu germs, hand washing –related dermatitis and pathogens that are based in the blood among others.
According to the report produced by OSHA, about 5.6 million of 12.2 million workers are under the risk of being exposed to blood borne pathogens. This is a big number of health workers under the risk meaning that soon there will be a shortage of health nursing or health workers in general. Moreover, the rates of risks are higher in the health care industry than any other industries. This industry has registered around 35000 injuries covering different parts of the body. These range from the shoulders, hands, feet, and back. These statistics are according to the Bureau Labor Statistics (Gooch, 2015).
Apart from the acute injuries discussed, they also suffer harm exposed on their hands. From a recent study carried out in the University of Manchester, the health workers that follow protocols are 4.5 times exposed to skin damage risks. The report also reported up to 25 percent of cases of irritant contact dermatitis.
These individuals also get exposed to infectious diseases in their areas of practice. One of the most commonly contacted infection is Hepatitis B (HBV). This is infection can be contacted via blood contact, feces, saliva, and semen. This instrument of spreading the infection is in contact with the patient and also the needles (Gooch, 2015). Nursing practitioners also risk exposure to toxic substances in the clinical environment. Radiation is another risk that comes majorly from the ionizing radiation. Complications associated with radiation include skin cancer, leukemia, and cancer among others. One comes to contact with this radiation in the instances of performing x-ray scans. Another challenge that faces nursing.
Reply DB5 w9 research
Reply discussion boards
1-jauregui
Discuss how the quantitative and qualitative data would complement one another and add strength to the study.
Evidently, the use of EBP in healthcare mostly relies on the available qualitative and quantitative data which is supported by scientific or clinical research. In studying the EBP, quantitative data is used to enhance qualitative information and vice versa, because one method complements the other one (Tappen, 2015, p.88). For example, in the selected article the EBP about beliefs and behaviors of nurses showed that the number of the nurses who were certified vs. nurses who were not certified explained why some of the nurses have higher perceived EBP implementation than others (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data would improve the study by providing evidence in the form of numbers or amounts such as the scores which show the proficiency of nurses in different areas (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data could strengthen the study by providing more detailed information about EBP implementation which will explain certain trends and occurrences as found in the research.
2- rosquete
The qualitative research is exploratory/ descriptive and emphasizes the importance of subjects frame to be referenced and the context of the study. The research will be more concerned with the truth perceived by informants and less concerned with the truth of the objectives. The information from this research will be important in understanding the informants’ behaviors in details. The description of this approach will be used to get the picture and the opinion of nursing caregivers on the use of CNS depressants by the elderly (Susan, Nancy, & Jennifer, 2013).
The method that is used is explorative/descriptive. The strengths of the descriptive method are: effective to analyze non-quantified subjects and issues, the possibility to observe the phenomenon in a natural environment, the opportunity to use qualitative and quantitative method together, and less time consuming than quantitative studies. In the case of exploratory studies, the principal advantage is the flexibility and adaptability to change and it is effective in laying the groundwork that guides to future research. We can find disadvantages in this kind of studies. For example, descriptive studies cannot test or verify the research problem statically, the majority of descriptive studies are not repeatable due to their observational nature, and they are not helpful in identifying cause behind the described phenomenon. Another weak point, that includes exploratory research, is the interpretation of information is subject to bias. These type of studies make use a modest number of samples that may not represent the target population and they are not usually helpful in decision ma.
Walden University
NURS 6050 Policy and Advocacy for Improving Population Health
Module 3
IntroductionResourcesDiscussionAssignmentMy Progress Tracker
NURS 6050 Policy and Advocacy for Improving Population Health | Module 3
IntroductionResourcesDiscussionAssignment☰Menu Walden University
NURS 6050 Policy and Advocacy for Improving Population Health
Module 3
IntroductionResourcesDiscussionAssignmentMy Progress Tracker
NURS 6050 Policy and Advocacy for Improving Population Health | Module 3
IntroductionResourcesDiscussionAssignment☰Menu× NURS 6050 Policy and Advocacy for Improving Population Health Back to Course Home Course Calendar Syllabus Course Information Resource List Support, Guidelines, and Policies Module 1 Module 2 Module 3 Module 4 Module 5 Module 6
Exit and return to the Blackboard App menu to access other tools, assessments, and content. Pull down, then click the "X" button at the top left corner of your mobile device.
Photo Credit: Getty Images/iStockphotoModule 3: Regulation (Weeks 5-6)
Laureate Education (Producer). (2018). Regulation [Video file]. Baltimore, MD: Author.
Rubic_Print_FormatCourse CodeClass CodeAssignment TitleTotal PointsLDR-463LDR-463-O501Topic 5 Journal Entry30.0CriteriaPercentageUnsatisfactory (0.00%)Less Than Satisfactory (65.00%)Satisfactory (75.00%)Good (85.00%)Excellent (100.00%)CommentsPoints EarnedContent100.0%Response to Journal Entry Prompt80.0%Response to the journal entry prompt is not present.Response to the journal entry prompt is incomplete or incorrect.Response to the journal entry prompt is complete but lacks relevant detail.Response to the journal entry prompt is thorough and contains substantial supporting details.Response to the journal entry prompt is complete and contains relevant supporting details.Mechanics of Writing includes spelling, punctuation, grammar, and language use.20.0%Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Total Weightage100%
Walden University
NURS 6050 Policy and Advocacy for Improving Population Health ...
RESEARCH Open AccessA methodological review of resilience.docxverad6
RESEARCH Open Access
A methodological review of resilience
measurement scales
Gill Windle1*, Kate M Bennett2, Jane Noyes3
Abstract
Background: The evaluation of interventions and policies designed to promote resilience, and research to
understand the determinants and associations, require reliable and valid measures to ensure data quality. This
paper systematically reviews the psychometric rigour of resilience measurement scales developed for use in
general and clinical populations.
Methods: Eight electronic abstract databases and the internet were searched and reference lists of all identified
papers were hand searched. The focus was to identify peer reviewed journal articles where resilience was a key
focus and/or is assessed. Two authors independently extracted data and performed a quality assessment of the
scale psychometric properties.
Results: Nineteen resilience measures were reviewed; four of these were refinements of the original measure. All
the measures had some missing information regarding the psychometric properties. Overall, the Connor-Davidson
Resilience Scale, the Resilience Scale for Adults and the Brief Resilience Scale received the best psychometric
ratings. The conceptual and theoretical adequacy of a number of the scales was questionable.
Conclusion: We found no current ‘gold standard’ amongst 15 measures of resilience. A number of the scales are
in the early stages of development, and all require further validation work. Given increasing interest in resilience
from major international funders, key policy makers and practice, researchers are urged to report relevant validation
statistics when using the measures.
Background
International research on resilience has increased substan-
tially over the past two decades [1], following dissatisfac-
tion with ‘deficit’ models of illness and psychopathology
[2]. Resilience is now also receiving increasing interest
from policy and practice [3,4] in relation to its poten-
tial influence on health, well-being and quality of life
and how people respond to the various challenges of
the ageing process. Major international funders, such
as the Medical Research Council and the Economic
and Social Research Council in the UK [5] have identi-
fied resilience as an important factor for lifelong health
and well-being.
Resilience could be the key to explaining resistance to
risk across the lifespan and how people ‘bounce back’
and deal with various challenges presented from child-
hood to older age, such as ill-health. Evaluation of inter-
ventions and policies designed to promote resilience
require reliable and valid measures. However the com-
plexity of defining the construct of resilience has been
widely recognised [6-8] which has created considerable
challenges when developing an operational definition of
resilience.
Different approaches to measuring resilience across
studies have lead to inconsistencies relating to the nat-
ure of potential risk factors and protective processes,.
PSY 550 Response Paper RubricRequirements of submission Respon.docxamrit47
PSY 550 Response Paper Rubric
Requirements of submission: Response Paper assignments must follow these formatting guidelines: double spacing, 12-point Times New Roman font, one-inch margins, and discipline-appropriate citations. Page length requirements: 1–2 pages.
Instructor Feedback: Students can find their feedback in the grade book as an attachment.
Critical Elements
Exemplary
Proficient
Needs Improvement
Not Evident
Value
Main Elements
Includes all of the main elements and requirements and elaborates on these elements
(27-30)
Includes most of the main elements and requirements and includes some elaboration
(24-26)
Includes some of the main elements and requirements
(21-23)
Does not include any of the main elements and requirements
(0-20)
30
Inquiry and Analysis
Provides an in-depth response and analysis of thoughts
(23-25)
Provides an in-depth response with some analysis of thoughts
(20-22)
Provides some response and little analysis of thoughts
(18-19)
Provides minimal response with no analysis of thoughts
(0-17)
25
Integration and Application
All of the course concepts are correctly applied
(9-10)
Most of the course concepts are correctly applied
(8)
Some of the course concepts are correctly applied
(7)
Does not correctly apply any of the course concepts
(0-6)
10
Critical Thinking
Draws insightful conclusions that are thoroughly defended with evidence and examples
(23-25)
Draws informed conclusions that are justified with evidence
(20-22)
Draws logical conclusions, but does not defend with evidence
(18-19)
Does not draw logical conclusions
(0-17)
25
Writing
(Mechanics/Citations)
No errors related to organization, grammar and style, and citations
(9-10)
Minor errors related to organization, grammar and style, and citations
(8)
Some errors related to organization, grammar and style, and citations
(7)
Major errors related to organization, grammar and style, and citations
(0-6)
10
Earned Total
Comments:
100%
O R I G I N A L P A P E R
Psychometrics, Reliability, and Validity of a Wraparound Team
Observation Measure
Eric J. Bruns • Ericka S. Weathers • Jesse C. Suter •
Spencer Hensley • Michael D. Pullmann • April Sather
Published online: 24 January 2014
� Springer Science+Business Media New York 2014
Abstract Wraparound is a widely-implemented team-
based care coordination process for youth with serious
emotional and behavioral needs. Wraparound has a positive
evidence base; however, research has shown inconsistency
in the quality of its implementation that can reduce its
effectiveness. The current paper presents results of three
studies used to examine psychometrics, reliability, and
validity of a measure of wraparound fidelity as assessed
during team meetings called the Team Observation Mea-
sure (TOM). Analysis of TOM results from 1,078 team
observations across 59 sites found good overall internal
consistency (a = 0.80), but constrained variability, with
the average team rated as having 78 % of in ...
Building a Better Message: The 10 Variables That Really Matter (The Research)
Punam Keller, PhD, MBA
Tuck School of Business at Dartmouth College, Hanover, NH
Dr. Keller explores extensive meta-analysis of the main and interaction effects of message tactics and individual
characteristics on intentions to comply with health recommendations. Based on her research, Dr. Keller discusses
the empirical model on which the Message Development Tool is based and the 10 variables that are significant
predictors for stated intentions and behavior when socioeconomic, social influence, beliefs and attitudes, number
of ads, and exposure frequency are accounted for.
Implementing SBAR
Student's Name
Institutional Affiliation
Course Details
Instructor's Name
Date
Implementing SBAR
SBAR communication tool is an effective and simple communication method that works across all the healthcare disciplines to create a safer working environment. Müller et al. (2018) reveal that using SBAR enhances efficacy, accuracy, and efficiency of handoff reports which boosts patient safety by improving communication and encouraging patient involvement Ineffective, absent, or inadequate communication leading to patient safety concerns has become a big problem in many care facilities, including where I work. According to Herawati et al. (2018), poor patient handoff communication from caregivers reduces patient safety. Regardless of the technological advancements, interdisciplinary care providers in many care facilities still do not communicate effectively, threatening patient's safety.
The use of written handoff using SBAR was implemented two years ago in the hospital I work. The handoff is easily accessible by all interdisciplinary team directly working with the patient and this is also used as a communication tool when giving report. According to Uhm et al. (2019), implementing a well-developed SBAR program of communication grounded on learning theory improves nurses' communication skills and boosts their confidence during patient handover. All the team member in the hospital identified the implementation of SBAR (Situation-Background-Assessment-Recommendation) as a solution for the persisting communication problem among caregivers, especially during patient handoffs within the hospital. The use of SBAR as a communication tool has been highly effective, reading the SBAR handoff note only allows you to know a lot about the patient situation and history. Implementing the evidence-based intervention is timely and in line with the organization's policies that prioritize patient safety and high-quality care delivery. Standardized processes, including SBAR, have effectively eradicated missing care information incidents and promoted information sharing among healthcare professionals. Studies have established poor communication during patient handoffs as the main cause of misguided actions, lost information, and misinterpretation of critical care information (Uhm et al., 2019). I will desceibe the steps of implementing evidenced practice at my working according to the discussion I had with my manager.
The model for improvement is a four steps approach that guides the effective implementation of SBAR to solve communication problems among caregivers. Planning is the first model's step to implementing the SBAR practice. This phase involves visible and strong leadership from the hospital's senior managers and clinical champions to gather enough support for the practice change (Müller et al., 2018). At this phase, the team should decide where to start the SBAR test by thinking about the area with substantia ...
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. Some tortures are physical
And some are mental,
But the one that is both
Is dental.
–Ogden Nash
3. Dental anxiety: Definition(s)
Anxiety occurring in relation to
the experience or expectation of
receiving dental care
Generally viewed as occurring on
a continuum.
Over 35% of the Dunedin
longitudinal cohort met criteria
for dental anxiety at one of four
data collection points
Associated with avoidance of the
dentist (Sohn & Ismail, 2005) and
poorer oral health (e.g.
Schuller, Willumsen, &
Holst, 2003).
4. The Dental Jungle Project: An
Introduction
A NZ-UK collaborative project headed by Linda Jones
Involves the development of a computer program to
aid in the assessment and management of children’s
dental anxiety
The program includes games, information about
dentistry, and has an information-gathering
component to assist dental staff in providing the most
effective anxiety-reducing interventions
5. The current study
Given the relatively serious correlates and high
prevalence of dental anxiety, it’s important to provide
interventions that are suitable for diverse ranges of
children with differing ways of coping with threat
The Dental Jungle team was therefore interested in
validating a coping styles measure developed by
Heather Buchanan at the University of Nottingham (a
DJ project member): The Monitoring Blunting
Dental Scale (MBDS)
6. Monitoring and blunting: the
theory
Arose out of Miller’s (1981) attempts to reconcile
inconsistent results for the effect of increased
information/predictability on distress and anxiety in
threatening situations
Miller proposed that there are two major modalities
for coping with threatening information:
Monitoring – attending to and seeking out
information about threatening stressor(s)
Blunting – avoiding or distracting oneself from
threatening information
7. The congruency hypothesis
A key to the usefulness of monitoring blunting theory is
the hypothesis that individuals tend to cope better in
threatening situations when they are able to utilise their
preferred coping modality – the congruency hypothesis.
I.e. That “monitors” tend to cope better when provided
with lots of information about a stressful situation or
medical procedure, while “blunters” tend to cope better
when able to avoid or distract themselves from threatening
information
Some evidence that this is the case – e.g. Shiloh et al.
(1998), Sparks (1989), van
Zuuren, Grypdonck, Crevits, Walle, & Defloor
(2006), including in dentistry (Litt, Nye & Shafer, 1995).
8. How do monitoring & blunting relate to
dental anxiety interventions?
A 2003 study by Buchanan and Niven categorised the
dental anxiety management techniques used by
paediatric dentists who responded to a conference
survey. Techniques congruent with a monitoring
modality were far more commonly used. In
particular, the “Tell-Show-Do” technique was very
popular.
Similarly, an Australian study found that dentists
reported little use of blunting-congruent techniques
such as audiovisual distraction
(Wright, Giebartowski, & McMurray, 1991)
9. Scales used to measure monitoring
and blunting
A number of scales have been developed to measure
individual monitoring or blunting preferences. These include
(among others):
The Miller Behavioral Style Scale (Miller, 1987)
The Threatening Medical Situations Inventory (van Zuuren, de Groot,
Mulder & Muris, 1996)
The Child Behavioral Style Scale (Miller et al., 1995)
However – these scales tend to measure individuals’ general
monitoring or blunting preferences across a wide array of
(often rather artificial) hypothetical threatening situations.
No validated scale currently exists measuring monitoring or
blunting preferences in dental situations.
10. Therefore, back to the scale
To this end, Buchanan and Niven (1996) proposed the
Monitoring Blunting Dental Scale (MBDS) in a conference
presentation.
The MBDS is a 24 item self report scale asking respondents to
indicate how likely they would be to utilise a number of
different coping strategies in four hypothetical dental
scenarios:
Having an appointment at the dentist tomorrow
Sitting in the dentist’s waiting room
Having a tooth drilled
Having an injection in your gum
11. MBDS items
Each scenario is followed by 6 coping strategies: 3
monitoring, and 3 blunting.
Example monitoring item:
“I would read all of the posters on the wall about tooth
decay and dental treatment.”
Example blunting items:
“I would watch the TV on the wall, if there was one”
“I would try to push any thoughts about the needle or
injection out of my head.”
Respondents are asked to indicate how likely they’d be to
use each given coping strategy on a Likert response scale
with options of Definitely Not, Probably Not, Probably, and
Definitely.
12. The validation study – details and
sample
A questionnaire including the MBDS was completed
by 240 eleven to thirteen year old children at a decile 9
intermediate school in central Auckland.
The questionnaire was completed in pen and paper
form in class.
The questionnaire also included a dental anxiety
measure, another measure of coping styles (for
convergent validation), and qualitative questions
about what other strategies the children might use in
the given hypothetical situations.
13. The results – MBDS reliability
The internal consistency reliability of the MBDS subscales
(12 items in each) was measured using Cronbach’s alpha.
Monitoring subscale alpha = .74
Blunting subscale alpha = .76
Both of these values indicated acceptable reliability by
Nunnally’s (1978) criterion of a minimum of 0.7.
Contrasts somewhat with findings for other monitoring-
blunting scales, which often have problematic reliability
values for blunting (e.g. Miller, 1987; Miller, Roussi, Caputo
& Kruus, 1995).
14. Convergent validity & the CBSS-M
Important to assess convergent validity – the degree to
which MBDS results converged with those of a related scale
Most closely related scale: the Child Behavioral Style Scale
developed by Miller et al. (1995).
This scale has four stimulus scenarios, including two
stressful medical scenarios (doctor and dentist)
Each scenario is followed by 4 monitoring strategies (e.g. “I
would think about what the doctor might do”) and 4
blunting strategies.
For the purposes of the study, I used only the items relating
to these two medical scenarios, with some item revisions. I
dubbed this shortened scale the Child Behavioral Style
Scale – Medical situations, or CBSS-M.
15. Results – convergent validity
correlations
Correlation between the MBDS and CBSS-M
Monitoring subscales = .61(p < .001)
Correlation between the MBDS and CBSS-M Blunting
subscales = .66 (p < .001)
These correlations are suggestive of acceptable
convergent validity
But: no strict standards exist for interpretation
Further, how should measurement error be accounted
for in interpretation?
16. Discriminant validity and the SFPS
Also important to assess discriminant validity
As part of the Dental Jungle project, a computerised measure of
dental anxiety called the Smiley Faces Program has been
developed (Buchanan, 2005).
This scale uses the same stimulus scenarios as the MBDS
A pen and paper version of this scale, dubbed the Smiley Faces
Paper Scale (SFPS), was used for the current study.
For each of the four stimulus scenarios is followed by a set of
seven faces to select from:
17. Results – discriminant validity
correlations
Correlation between MBDS Monitoring subscale and
dental anxiety = .08 (p = .221) -> acceptable
Correlation between MBDS Blunting subscale and
dental anxiety = .48 (p < .001) -> problematic?
But how should this relationship be attributed?
Measurement problem – or a genuine causal
relationship?
18. Confirmatory Factor Analysis (CFA)
Allows the researcher to specify a particular model to
be tested in terms of its ability to explain the variances
of and covariances between a set of variables/items
In this case the main model tested was a 2-factor
monitoring-blunting model.
20. CFA – model fit
A central difficulty with CFA is how acceptable model fit
is to be defined. For the 2 factor model:
Chi square = 579 (df 251, p <.001) – so model fit clearly
not perfect
Standardised Root Mean Residual (SRMR) = .078 and
Root Mean Square Error of Approximation (RMSEA) =
.074 – so fairly substantial differences exist between
the model-predicted and observed covariance
matrices, although model error is within rule of thumb
limits for reasonable fit (<.08)
21. CFA fit – alternative models
Alternative models also tested – simple 1 factor model
had poor fit (chi square = 798.1, RMSEA = .095), while
an increase in complexity to a 4 factor model produced
little improvement in fit (RMSEA = .072, chi square =
548.8).
So the main 2 factor model does well in comparison to
main competitors
Poor fit of the 1 factor model provides strong evidence
that monitoring and blunting are not poles of a single
dimension, but rather separate, related dimensions.
22. Conclusions for the scale and
theory
The MBDS has acceptable internal consistency
reliability, convergent validity, and factorial validity
However, discriminant validity with respect to dental
anxiety may be a concern for the blunting subscale
May be useful for future research concerning dental
anxiety, coping, and interventions
Further research is necessary to provide norms or an
other standards with which to interpret individual
subscale scores.
23. References / question time
Buchanan, H. (2005). Development of a computerised dental anxiety scale for children: validation and reliability. British Dental Journal,
199(6), 359-362.
Buchanan, H., & Niven, N. (1996). Monitoring and blunting: How do children cope with threatening dental procedures? Poster session
presented at the British Society of Paediatric Dentistry Annual Conference, Liverpool, UK.
Buchanan, H., & Niven, N. (2003). Self-report treatment techniques used by dentists to treat dentally anxious children: A preliminary
investigation. International Journal of Paediatric Dentistry, 13(1), 9-12.
Litt, M. D., Nye, C., & Shafer, D. (1995). Preparation for oral surgery: Evaluating elements of coping. Journal of Behavioral Medicine, 18(5), 435-
459.
Miller, S. M. (1981). Predictability and human stress: Toward a clarification of evidence and theory. Advances in Experimental Social
Psychology, 14, 203-256.
Miller, S. M. (1987). Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat. Journal of
Personality and Social Psychology, 52(2), 345–353.
Miller, S. M., Roussi, P., Caputo, G. C., & Kruus, L. (1995). Patterns of children's coping with an aversive dental treatment. Health Psychology,
14(3), 236–236.
Nunnally, J. C. (1978). Psychometric theory. New York: McGraw-Hill.
Schuller, A. A., Willumsen, T., & Holst, D. (2003). Are there differences in oral health and oral health behavior between individuals with high
and low dental fear?. Community Dentistry and Oral Epidemiology, 31(2), 116-121.
Shiloh, S., Mahlev, U., Dar, R., & Ben-Rafael, Z. (1998). Interactive effects of viewing a contraction monitor and information-seeking style on
reported childbirth pain. Cognitive Therapy and Research, 22(5), 501–516.
Sohn, W., & Ismail, A. I. (2005). Regular dental visits and dental anxiety in an adult dentate population. The Journal of the American Dental
Association, 136(1), 58-66.
Sparks, G. G. (1989). Understanding emotional reactions to a suspenseful movie: The interaction between forewarning and preferred coping
style. Communication Monographs, 56(4), 325-340.
van Zuuren, F. J., de Groot, K. I., Mulder, N. L., & Peter, M. (1996). Coping with medical threat: An evaluation of the threatening medical
situations inventory (TMSI). Personality and Individual Differences, 21(1), 21–31.
van Zuuren, F. J., Grypdonck, M., Crevits, E., Walle, C. V., & Defloor, T. (2006). The effect of an information brochure on patients undergoing
gastrointestinal endoscopy: A randomized controlled study. Patient Education and Counseling, 64(1-3), 173-182.
Wright, F. A. C., Giebartowski, J. E., & McMurray, N. E. (1991). A national survey of dentists' management of children with anxiety or
behaviour problems. Australian Dental Journal, 36(5), 378-383.