Respond to discussion post In patients age 65 and above.docx
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This document discusses a proposed DNP project that would implement a communication tool based on Sieben's Domain Management Model to improve communication and symptom management for patients aged 65+ with Alzheimer's or related dementias after being discharged from hospice care. It identifies several extraneous variables that could impact the effectiveness of this tool for both caregivers and nurses. These include caregiver time/well-being, the patient's health status, nurses learning the new strategy, and their motivation to change practice. The document also reviews two literature sources that discuss additional stressors on caregivers over time and the important role of hospice nurses in supporting communication between patients, caregivers, and families during care transitions.
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BRIEF REPORTSocial Support and Relationship Satisfaction i.docx
BRIEF REPORT
Social Support and Relationship Satisfaction in Bipolar Disorder
Grace B. Boyers and Lorelei Simpson Rowe
Southern Methodist University
Social support is positively associated with individual well-being, particularly if an intimate partner provides
that support. However, despite evidence that individuals with bipolar disorder (BPD) are at high risk for
relationship discord and are especially vulnerable to low or inadequate social support, little research has
explored the relationship between social support and relationship quality among couples in which a partner has
BPD. The current study addresses this gap in the literature by examining the association between social
support and relationship satisfaction in a weekly diary study. Thirty-eight opposite-sex couples who were
married or living together for at least one year and in which one partner met diagnostic criteria for BPD
completed up to 26 weekly diaries measuring social support and relationship satisfaction, as well as psychiatric
symptoms. Results revealed that greater social support on average was associated with higher average
relationship satisfaction for individuals with BPD and their partners, and that more support than usual in any
given week was associated with higher relationship satisfaction that week. The converse was also true, with
greater-than-average relationship satisfaction and more satisfaction than usual associated with greater social
support. The results emphasize the week-to-week variability of social support and relationship satisfaction and
the probable reciprocal relationship between support and satisfaction among couples in which a partner has
BPD. Thus, social support may be important for maintaining relationship satisfaction and vice versa, even after
controlling for concurrent mood symptoms.
Keywords: bipolar disorder, marriage, social support, longitudinal, relationship satisfaction
Bipolar disorder (BPD) is a severe and chronic illness charac-
terized by extreme mood shifts (American Psychiatric Association,
2000) and impairment in occupational and social functioning, even
between affective episodes (Fagiolini et al., 2005; Judd & Akiskal,
2003). Individuals with BPD are less likely to marry or live with
a romantic partner, and those who do are at higher risk for
relationship distress and dissolution compared to individuals with
other psychiatric disorders and those without mental illness (Co-
ryell et al., 1993; Judd & Akiskal, 2003; Whisman, 2007). Rela-
tionship dysfunction has been attributed to a number of factors,
including patient mood symptoms (e.g., Lam, Donaldson, Brown,
& Malliaris, 2005), caregiver burden (Reinares et al., 2006), and
deficits in psychosocial functioning (Coryell et al., 1993). Partners
of individuals with BPD are also at risk for social, occupational,
and financial distress, and symptoms of depression and anxiety
(Lam et al., 2005). The high risk for individual and couple distress
has led to calls to investig ...
Understanding Oncology Nurses’ Grief: A Qualitative Meta-Analysis
Barbour, L. C. (2016, September 16-18). Understanding oncology nurses’ grief: A qualitative meta-analysis. A presentation at the Athabasca University 2016 Graduate Student Conference, Edmonton, AB.
Quality Of Life, Spirituality and Social Support among Caregivers of Cancer P...
Caregiving can be both rewarding and challenging. Literature suggests that family caregivers may
experience increased symptoms of psychological and social malfunctioning. However, it may also provide one
with opportunities to renew relationships or feel connected to a higher power. The current study is an attempt to
investigate how caregiving influences a person’s general wellbeing. The sample consisted of 25 caregivers of
cancer patients and 25 appropriately matched control.World Health Organization- QOL (1991),
Multidimensional Scale of Perceived Social Support by Zimet, et al (1988) and Spiritual Perspective Scale by
Reed (1986) were used to asses QOL, Social support and spirituality respectively. The obtained data was
analyzed in SPSS using independent sample t-test. Results indicated a significant difference between Caregivers
and the control group on QOL, spirituality and social support.
Recommended
BRIEF REPORTSocial Support and Relationship Satisfaction i.docx
BRIEF REPORT
Social Support and Relationship Satisfaction in Bipolar Disorder
Grace B. Boyers and Lorelei Simpson Rowe
Southern Methodist University
Social support is positively associated with individual well-being, particularly if an intimate partner provides
that support. However, despite evidence that individuals with bipolar disorder (BPD) are at high risk for
relationship discord and are especially vulnerable to low or inadequate social support, little research has
explored the relationship between social support and relationship quality among couples in which a partner has
BPD. The current study addresses this gap in the literature by examining the association between social
support and relationship satisfaction in a weekly diary study. Thirty-eight opposite-sex couples who were
married or living together for at least one year and in which one partner met diagnostic criteria for BPD
completed up to 26 weekly diaries measuring social support and relationship satisfaction, as well as psychiatric
symptoms. Results revealed that greater social support on average was associated with higher average
relationship satisfaction for individuals with BPD and their partners, and that more support than usual in any
given week was associated with higher relationship satisfaction that week. The converse was also true, with
greater-than-average relationship satisfaction and more satisfaction than usual associated with greater social
support. The results emphasize the week-to-week variability of social support and relationship satisfaction and
the probable reciprocal relationship between support and satisfaction among couples in which a partner has
BPD. Thus, social support may be important for maintaining relationship satisfaction and vice versa, even after
controlling for concurrent mood symptoms.
Keywords: bipolar disorder, marriage, social support, longitudinal, relationship satisfaction
Bipolar disorder (BPD) is a severe and chronic illness charac-
terized by extreme mood shifts (American Psychiatric Association,
2000) and impairment in occupational and social functioning, even
between affective episodes (Fagiolini et al., 2005; Judd & Akiskal,
2003). Individuals with BPD are less likely to marry or live with
a romantic partner, and those who do are at higher risk for
relationship distress and dissolution compared to individuals with
other psychiatric disorders and those without mental illness (Co-
ryell et al., 1993; Judd & Akiskal, 2003; Whisman, 2007). Rela-
tionship dysfunction has been attributed to a number of factors,
including patient mood symptoms (e.g., Lam, Donaldson, Brown,
& Malliaris, 2005), caregiver burden (Reinares et al., 2006), and
deficits in psychosocial functioning (Coryell et al., 1993). Partners
of individuals with BPD are also at risk for social, occupational,
and financial distress, and symptoms of depression and anxiety
(Lam et al., 2005). The high risk for individual and couple distress
has led to calls to investig ...
Understanding Oncology Nurses’ Grief: A Qualitative Meta-Analysis
Barbour, L. C. (2016, September 16-18). Understanding oncology nurses’ grief: A qualitative meta-analysis. A presentation at the Athabasca University 2016 Graduate Student Conference, Edmonton, AB.
Quality Of Life, Spirituality and Social Support among Caregivers of Cancer P...
Caregiving can be both rewarding and challenging. Literature suggests that family caregivers may
experience increased symptoms of psychological and social malfunctioning. However, it may also provide one
with opportunities to renew relationships or feel connected to a higher power. The current study is an attempt to
investigate how caregiving influences a person’s general wellbeing. The sample consisted of 25 caregivers of
cancer patients and 25 appropriately matched control.World Health Organization- QOL (1991),
Multidimensional Scale of Perceived Social Support by Zimet, et al (1988) and Spiritual Perspective Scale by
Reed (1986) were used to asses QOL, Social support and spirituality respectively. The obtained data was
analyzed in SPSS using independent sample t-test. Results indicated a significant difference between Caregivers
and the control group on QOL, spirituality and social support.
SOCW 04 wk 2 discussion 1 response to studentsLearning Resources.docx
SOCW 04 wk 2 discussion 1 response to students
Learning Resources to be used as references to support your answer.
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Centers for Medicare & Medicaid Services. (2012). Discharge planning. Retrieved from http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Discharge-Planning-Booklet-ICN908184.pdf
Discharge-Planning-Booklet-ICN908184.pdf
Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge.
· Chapter 2, “General Medical Social Work” (pp. 9–20)
Craig, S. L., & Muskat, B. (2013). Bouncers, brokers, and glue: The self-described roles of social workers in urban hospitals. Health Social Work, 38(1), 7–16.
Note: Retrieved from Walden Library databases.
Gehlert, S., & Browne, T. (Eds). (2012). Handbook of health social work (2nd ed.). Hoboken, NJ: Wiley.
· Chapter 2, “Social Work Roles and Health-Care Settings” (pp. 20–40)
Judd, R. G., & Sheffield, S. (2010). Hospital social work: Contemporary roles and professional activities. Social Work in Health Care, 49(9), 856–871.
Note: Retrieved from Walden Library databases.
Fox, M. T., Persaud, M., Maimets, I., Brooks, D., O‘Brien, K., & Tregunno, D. (2013). Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults: A systematic review and meta-analysis. BMC Geriatrics, 13, 70.
Note: Retrieved from Walden Library databases.
Marshall, J. W., Ruth, B. J., Sisco, S., Bethke, C., Piper, T. M., Cohen, M., & Bachman, S. (2011). Social work interest in prevention: A content analysis of the professional literature. Social Work, 56(3), 201–211.
Note: Retrieved from Walden Library databases.
Work #1 wanda kinchen (Title of work #1) Answer in APA format with 2 citations per paragraph treat each answer as a separate work or file and each work or file need separate references. Support your posts with specific references to the Learning Resources given in this work. Be sure to provide full APA citations for your references. Treat each work or answer as a separate work and each work needs separate references. Respond to at least two different colleagues’ postings in the following ways:
· Provide a constructive critique of your colleague’s post about the three specific roles.
· Suggest different perspectives of the interventions your colleagues described for the three specific issues.
· Support your post with specific references to the resources. Be sure to provide full APA citations for your references.
Work #1 wanda kinchen
Wanda Main Post
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The three primary roles of medical social workers that I find rewarding are Janitor (cleaning up the mess of others), Glue (adhesive that hold things together) and Challenger (advocating for social change and the well-being .
WK 11 socw 8205 Discussion 2 Social Work in Palliative Care.docx
WK 11 socw 8205 Discussion 2: Social Work in Palliative Care
Palliative care refers to specialized medical care that focuses on providing relief from physical symptoms and improving the quality of life of patients and caregivers. Palliative care can be provided to patients with any medical condition at any stage of illness to relieve symptoms. It can be a patient’s primary treatment (which is often the case with end-of-life care), or it can be provided in combination with standard medical treatments. Palliative care team members work alongside a patient’s medical team and can include professionals from multiple disciplines, including doctors, nurses, social workers, and chaplains.
To prepare for this Discussion:
Review this week’s resources. Think about the circumstances, timing, payment, and other features related to palliative care.
Post a description of perceptions of palliative care from the perspective of a 300 to 500 words question or topic in bold then answers
Patient
Caregiver
Social worker
Then, explain the roles of social workers in providing palliative care.
Compare and contrast the fundamental differences between palliative care and hospice care.
Explain medical conditions where you might consider palliative care over hospice care for a patient. Justify your position.
Use examples to illustrate your case.
Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style and intext citations
Resources
Sanders, S., & Swails, P. (2011). A quest for meaning: Hospice social workers and patients with end-stage dementia. Social Work, 56(2), 129–140.
Waldrop, D. P., & Meeker, M. A. (2012). Hospice decision making: Diagnosis makes a difference. Gerontologist, 52(5), 686–697.
Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge.
Chapter 5, “The Hospice Social Worker” (pp. 45–55)
McCoyd, J. L. M., & Kerson, T. S., (Eds.). (2016). Social work in health settings: Practice in context (4th ed.) New York, NY: Routledge.
Chapter 20, “Geriatric Social Work in a Community Hospital: High-Tough, Low-Tech Work in a High-Tech, Low-Touch Environment” (pp. 249-259)
Gehlert, S., & Browne, T. (Eds.). (2019). Handbook of health social work (3rd ed.). Hoboken, NJ: Wiley.
Chapter 22, “Pain Management and Palliative Care” (pp. 525-562)
American Cancer Society. (2013) Hospice care. Retrieved from http:/www.cancer.org/acs/groups/cid/documents/webcontent/002868-pdf.pdf
Caring Connections. (n.d.). Palliative care questions and answers. Retrieved from
http://caringinfo.org/i4a/pages/index.cfm?pageid=3355
.
FIRST ASSIGNMENT1FIRST ASSIGNMENT2.docx
FIRST ASSIGNMENT
1
FIRST ASSIGNMENT
2
First Assignment
[Name]
[Course]
[Professor]
[Date]
Abstract
In a multi-cultural atmosphere, the management of ethics and principal decision management helps in serving just in a fair and square way. For the concerned metropolitan agency, a proper action plan will be used managing all the aspects including principle-based management and ethical decision making in a multicultural environment. Racial discrimination in the organization can be fought well by establishing discrimination-free hiring practices in the organization. The agency will be revising its business practices so that the lack of officers can be managed well.
Action plan to address community concerns
In recent years, many employers have embraced the idea of cultural diversity activities with the goal of making make a comprehensive work environment condition. Most experts concur that a differing workforce is a commendable yearning. In any case, social decent variety can offer ascent to moral issues that can be trying for chiefs and workers to determine. The agency has faced some issues over the past years including the concern of the society related to racial discrimination. Keeping in view the concerns of the society, the organization has aimed at coming up with some action plan so that the business practices can be improved and the concerns of the society can be addressed.
Family Knowledge about Palliative Care
Ernesto Pena Morgado
Ana G. Méndez
NR502: Research Proposal
February Session, 2019
Family Knowledge about Palliative Care
In the United States, the vast majority of palliative care is performed in the home. It is obvious that in this scenario the members of the family play a leading role. Most research related to palliative care in the United States does not describe the level of commitment of the patient and caregivers with such care. (Dillon, 2016).
In a study presented about "How home hospice facilitates patient and family engagement", his author, Dillon, describes how some caregivers cheered for instruction on how to manage their relatives palliative care in relation to the use of the comfort kit, including the management of morphine in relationship to be better prepared to relieve the pain of the patient (Dillon, 2016, pp.595). Another wife described how the education and holistic instruction provided was helpful in dealing with and understanding the care that would be provided to her husband. (Dillon, 2016).
The author concludes that offering instruction and education in relation to such difficult issues as helping to face death, has an important implication in the participation of the patient and the family in palliative care, and is the first necessary step to train patients and the family to make informed decisions (Dillon, 2016).
The hospita.
Research Paper For this assignment, write about a hazardous mate.docx
Research Paper
For this assignment, write about a hazardous materials incident or an environmental health and safety (EHS) project that involves a material(s) with a hazard(s) that falls under the hazard classification that we have studied so far (water/air reactive, corrosive, or toxic). The incident or project could be one that you have researched or been involved with.
Your essay must include the following:
summary of the project or incident,
identification of the hazardous material(s) involved and hazardous classification,
discussion of chemical properties and interactions relevant to the incident/project,
any short or long-term mitigation implemented, and
conclusion (your professional opinion on the project/incident).
Your response must be at least 400 words in length. You are required to use at least two references, including your textbook for your response. All sources used, including the textbook, must be referenced. Paraphrased and/or quoted materials must have accompanying citations in APA format.
State Tested Nursing Aides’
Provision of End-of-Life
Care in Nursing Homes
Implications for Quality Improvement
Emma Nochomovitz, MPH
Maryjo Prince-Paul, PhD, APRN, AHPCN, FPCN
Mary Dolansky, PhD, RN
Mendel E. Singer, PhD
Peter DeGolia, MD, CMD
Scott H. Frank, MD, MS
v An increasing prevalence in deaths occurring
within nursing homes has led to a growing
concern surrounding quality issues in end-of-life
(EOL) nursing home care. In addition, prior
research has failed to emphasize the importance
of state tested nursing aides (STNAs) in
providing this type of care. The purpose of this
study was to examine quality issues in EOL
nursing home care within the context of STNAs’
comfort in providing this care. A convenience
sample of 108 STNAs from four nursing homes
in the Cleveland, Ohio area used PDAs to
provide answers to an audio questionnaire.
Questions included emergent themes from the
literature pertaining to EOL care in nursing
homes, as well as materials from a national
education initiative to improve palliative care.
Findings demonstrated lack of comfort in
discussing death with nursing home residents
and their families and insufficient knowledge
surrounding EOL decisions and certain types
of EOL care. Overall, the level of comfort
providing EOL care was found to be associated
with STNAs’ perceived importance of EOL
care, understanding of hospice, and spiritual
well-being.
JOURNAL OF HOSPICE AND PALLIATIVE NURSING v Vol. 12, No. 4, July/August 2010 255
Author Affiliations: Emma Nochomovitz, MPH, is
Research Analyst, National Quality Forum,
Washington, DC and Case Western Reserve
University, Cleveland, OH.
Maryjo Prince-Paul, PhD, APRN, AHPCN, FPCN,
is Assistant Professor, Frances Payne Bolton School of
Nursing, Case Western Reserve University, Cleveland, OH.
Mary Dolansky, PhD, RN, is Assistant Professor,
Frances Payne Bolton School of Nursing, Case
Western Reserve University, Cleveland, OH.
Mendel E. Singer, PhD, ...
Barriers to Practice and Impact on CareAn Analysis of the P.docx
Barriers to Practice and Impact on Care:
An Analysis of the Psychiatric Mental
Health Nurse Practitioner Role
Heather Muxworthy, DNR PMHNP-BC
Nancy Bowllan, EdD, MS, RN
• Abstract
This paper is a retrospective review of the literature analyzing the role of the psychiatric mental health nurse practitioner in
the community. Presented here is an appraisal of national and state mental health initiatives. Professional nursing regulations
are reviewed, focusing on New >brk State advanced practice nursing. Barriers to practice are assessed with discussion on how
barriers, such as statutory collaboration, impede access to treatment in the community for mentally ill psychiatric patients.
The current New )brk State legislative agenda is featured. Clinical vignettes from a nurse practitioner's private community
practice are presented to introduce and conclude how clinical practice barriers impede autonomous practice.
Clinical vignette (2007)
An advanced practice psychiatric mental
health nurse practitioner (APRN-PMHNP)
provides mental health services within a
small community based private practice. The
New York State Nurse Practice Tlci mandates
that a psychiatric nurse practitioner (NP)
maintain a statutory collaborative agreement
with a collaborating psychiatrist in order
to provide comprehensive mental health
services. Although some third-party insurance
companies authorize APRN-PMHNPs on
panels, a collaborative agreement must be
established with a psychiatrist from each
insurance panel. This becomes a critical issue
when the collaborative psychiatrist decided to
close his practice and abruptly discontinued
the collaborative agreement. In order to prevent
discontinuity in care, the APRN-PMHNP needed
to establish a collaborative agreement with
another psychiatrist and develop a practice
agreement (Form 4NP) based on protocols
established by the State of New York. This
time-consuming process resulted in a disruption
in treatment for several patients. The APRN-
PMHNP managing this case reported a major
incident by a high-risk patient that occurred
as a result of this disruption in continuity of
care. This case vignette highlights the potential
negative consequences related to statutory
collaborative agreements as well as the ability
of an APRN-PMHNP to provide effective, safe,
and consistent care.
Introduction
Several national initiatives in the past
decade have identified mental healthcare
indicators that address system issues and the
efficiency of access to mental health treatment
by consumers within the community. Healthy
People 2010, Healthy People 2020, and the
National Consensus Statement on Mental
Health Recovery are o n l y a few of the
national initiatives that recognize the lack
of access and need for more mental health
Heather Muxworthy is a psychiatric/mental health r^urse practitioner at Wegman s School of Nursing. St. ¡ohn Fisher College in Rochester. NY. Nancy Bowllan
is a clinical nurse specialist track coordinator and associate.
Patient–Provider CommunicationsResearch shows that the quali.docx
Patient–Provider Communications
Research shows that the quality of the patient–provider relationship (Beach, Keruly, & Moore, 2006) and the communications between the patient and provider (Piette et al., 2003) influence a patient’s course of treatment and health outcomes. Unfortunately, there are many barriers to good communication in the patient–provider relationship. Health professionals debate about the best strategies for effective communication.
The initial steps of the Generalist Intervention Model support engagement and building of rapport between a patient and a social worker. Medical social workers are trained to be effective listeners and communicators. Given their unique skills, medical social workers are often called upon to support and navigate the relationships between patients and other providers on the health care team as advocates, liaisons, and mediators.
To prepare for this Discussion:
Consider patient–provider communications as an integral part of delivering social work services to patients. Review this week’s resources and think about how to deliver effective communications within the patient–provider relationship.
Post a description of the importance of patient–provider communication. Be sure to address the relationship between patient–provider communications and illness outcomes.
Identify a minimum of three factors that might lead to poor patient–provider communications.
Provide your rationale.
Explain the ways patient–provider communications might be improved.
Then, explain the role culture plays in patient–provider communications.
Finally, explain the roles of a social worker in assisting a patient to improve communications with other members of the health care team.
Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style.
Resource
Gehlert, S., & Browne, T. (Eds.). (2019). Handbook of health social work (3rd ed.). Hoboken, NJ: Wiley.
Chapter 12, “Communication in Health Care” (pp. 250-271)
Bomba, P. A., Morrissey, M. B., & Leven, D. C. (2011). Key role of social work in effective communication and conflict resolution process: Medical Orders for Life-Sustaining Treatment (MOLST) program in New York and shared medical decision making at the end of life.
Journal of Social Work in End-of-Life & Palliative Care, 7
(1), 56–82.
.
EMPIRICAL STUDYThe meaning of learning to live with medica.docx
EMPIRICAL STUDY
The meaning of learning to live with medically
unexplained symptoms as narrated by patients in primary
care: A phenomenological�hermeneutic study
EVA LIDÉN, PhD1, ELISABETH BJÖRK-BRÄMBERG, PhD2 &
STAFFAN SVENSSON, MD3
1Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 2Institute
of Environmental Medicine, Karolinska Institutet, Solna, Sweden, and 3Angered Family Medicine Unit, Angered, Sweden
Abstract
Background: Although research about medically unexplained symptoms (MUS) is extensive, problems still affect a
large group of primary care patients. Most research seems to address the topic from a problem-oriented, medical
perspective, and there is a lack of research addressing the topic from a perspective viewing the patient as a capable person
with potential and resources to manage daily life. The aim of the present study is to describe and interpret the experiences of
learning to live with MUS as narrated by patients in primary health-care settings.
Methods: A phenomenological�hermeneutic method was used. Narrative interviews were performed with ten patients
suffering from MUS aged 24�61 years. Data were analysed in three steps: naive reading, structural analysis, and
comprehensive understanding.
Findings: The findings revealed a learning process that is presented in two themes. The first, feeling that the symptoms
overwhelm life, involved becoming restricted and dependent in daily life and losing the sense of self. The second, gaining
insights and moving on, was based on subthemes describing the patients’ search for explanations, learning to take care of
oneself, as well as learning to accept and becoming mindful. The findings were reflected against Antonovsky’s theory of sense
of coherence and Kelly’s personal construct theory. Possibilities and obstacles, on an individual as well as a structural level,
for promoting patients’ capacity and learning were illuminated.
Conclusions: Patients suffering from MUS constantly engage in a reflective process involving reasoning about and
interpretation of their symptoms. Their efforts to describe their symptoms to healthcare professionals are part of this
reflection and search for meaning. The role of healthcare professionals in the interpretative process should be acknowledged
as a conventional and necessary care activity.
Key words: MUS, primary care, person centred care, phenomenological-hermeneutics
(Accepted: 19 March 2015; Published: 16 April 2015)
Medically unexplained symptoms (MUS) is a condi-
tion that affects a large but heterogeneous group
of people. The health services have so far been
unsuccessful in addressing the healthcare needs of
these people, partly because of outdated theories and
diagnostic systems that fail to encompass the com-
plexity of the patients’ health problems (Fink &
Rosendal, 2008). The lack of a medical explanation
and cure leaves patients and healthcare professionals
in a ...
Topic area grief and students in middle school introduct
Topic area grief and students in middle school introduct
My topic is Global sexual violence Those is my search (The .docx
My topic is:
Global sexual violence
Those is my search (
The United Nations Children ’s Fund (UNICEF) published a global child abuse research report on the 4th, pointing out that about 10% of girls under the age of 20 have been sexually assaulted or other compulsive sexual behaviors; more than half of children between the ages of 2-14 are often suffered Parents or guardians beaten; and about 20% of the murder victims worldwide are teenagers and children under 20 years old.
The vast majority of violent incidents come from people who interact daily with children, such as family members, peers, and partners. On the whole, the proportion of wars that harm children is not large; but in the context of armed conflicts and other humanitarian crises, domestic violence suffered by women and children will grow significantly.
Sexual violence is a serious public health problem, which can have a long or short profound impact on physical and mental health. For example, it may affect the ability to reproduce and increase fertility, increase the risk of sexually transmitted diseases, and may lead to suicide or self-mutilation. And other behaviors. During or after sexual violence, the victim's killing due to honorary murder is also part of sexual violence. Although women are the main victims of sexual violence, people of any age and gender may be harmed by sexual violence.)
Based on the 4+ academic articles identified in the "Literature Review" assignment, students will write an annotated bibliography that provides an outline of each article. An annotated bibliography provides a summary of an academic paper and relates the paper to one's own research topic.
For this assignment, you will write an annotated bibliography for
each
article you found during your literature search assignment. If any of those articles were
not
academic (i.e. published in an peer-reviewed scientific journal), you must find a replacement article that is academic.
Guidelines
Your annotated bibliography should include the following:
An introduction paragraph that tells your reader (a) your topic and focus of your research and (b) the general context of your topic.
Each annotation should include:
A full citation of the paper in APA style
Three paragraphs that summarizes, analyzes, and applies the source
The first paragraph
summarizes
the source by...
providing context of the source
outlining the thesis (main point) of the source
indicating the main finding of the paper
The second paragraph
analyzes
the source by explaining the benefits and limitations of the research
The third paragraph
applies
the source by explaining how the source's ideas, research, and information can be applied to your topic of study
Grading:
Below Sufficient (2-point)
Sufficient (4-points)
Above Sufficient (6-points)
Examples
Here's an example annotated bibliography from a student in a previous class who received full credit for this assignment.
Below, an exa.
Coping Strategies Among Caregivers Of Patients With Schizophrenia: A Descript...
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Reflective Journal Week 7Topic Philosophies and Theories for Ad.docx
Reflective Journal Week 7
Topic: Philosophies and Theories for Advanced Nursing Practice
Course objective:
1. Examine organizational theories utilized in the nursing discipline.
2. Explore possible applications of organizational theories in nursing practice, research, and theory development.
Discussion Question: 7 DQ 1
How can the DNP-prepared nurse apply the concepts of a complex adaptive system to individual patient care? Provide examples.
Complex Adaptive Systems
The science and theory of complex adaptive systems, also known as complexity science, has emerged as an alternative to existing paradigms. Complex adaptive systems demonstrate identifiable characteristics: embeddedness, self-organization, non-linearity, unpredictability, and others. These systems exhibit emergent behavior that arises from simple rules and interconnections among diverse elements with porous boundaries, as they interact with and respond to the environment. The health system and the profession of nursing can be viewed as complex adaptive systems, and when done so, new insight can be gained. While several authors have stated they believe nursing is indeed a complex adaptive system, a visual model has not yet been advanced.
Health care organizations are complex adaptive systems where things that happen are unique, dynamic, and unpredictable; they also have diverse agents including providers, patients, and other stakeholders that serve as a source of creativity and problem-solving solutions but can also create communication difficulties (McDanial, Lanham, & Anderson, 2009). The Meikirch model uses five components that spontaneously arrange themselves with interactions; these interacting components include life’s demands, biologically given potential, personally acquired potential, social determinants, and environmental determinants. An example of how the adaptive process works in looking at how life itself is an evolutionary process starting from conception and ending at death with the demands of life, social, and environment constantly evolving with numerous adaptive processes that occur as different complex interactions happen in an individual’s life.
Complex adaptive systems (CAS) comprise five major components, and as a rule, they are labelled from “a” to “e”. The first component (a) represents the demands of life that people seek to address sufficiently. They respond to these needs by using their (b) biologically given potential and (c) personally acquired potential. These two kinds of potentials are significantly dependent on the (d) environmental and (e) social health determinants. These components are coupled with interactions that link various healthcare agents to the components (Bircher & Hahn, 2016). Therefore, DNP-prepared nurses can effectively apply the CAS to individual patient care.
DNP nurses can apply the CAS approach in problem solving by recognizing an organization’s networks and complexities and the relationships between the components of the sys ...
A03510108
International Journal of Humanities and Social Science Invention (IJHSSI) is an international journal intended for professionals and researchers in all fields of Humanities and Social Science. IJHSSI publishes research articles and reviews within the whole field Humanities and Social Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
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SOCW 04 wk 2 discussion 1 response to studentsLearning Resources.docx
SOCW 04 wk 2 discussion 1 response to students
Learning Resources to be used as references to support your answer.
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Centers for Medicare & Medicaid Services. (2012). Discharge planning. Retrieved from http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Discharge-Planning-Booklet-ICN908184.pdf
Discharge-Planning-Booklet-ICN908184.pdf
Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge.
· Chapter 2, “General Medical Social Work” (pp. 9–20)
Craig, S. L., & Muskat, B. (2013). Bouncers, brokers, and glue: The self-described roles of social workers in urban hospitals. Health Social Work, 38(1), 7–16.
Note: Retrieved from Walden Library databases.
Gehlert, S., & Browne, T. (Eds). (2012). Handbook of health social work (2nd ed.). Hoboken, NJ: Wiley.
· Chapter 2, “Social Work Roles and Health-Care Settings” (pp. 20–40)
Judd, R. G., & Sheffield, S. (2010). Hospital social work: Contemporary roles and professional activities. Social Work in Health Care, 49(9), 856–871.
Note: Retrieved from Walden Library databases.
Fox, M. T., Persaud, M., Maimets, I., Brooks, D., O‘Brien, K., & Tregunno, D. (2013). Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults: A systematic review and meta-analysis. BMC Geriatrics, 13, 70.
Note: Retrieved from Walden Library databases.
Marshall, J. W., Ruth, B. J., Sisco, S., Bethke, C., Piper, T. M., Cohen, M., & Bachman, S. (2011). Social work interest in prevention: A content analysis of the professional literature. Social Work, 56(3), 201–211.
Note: Retrieved from Walden Library databases.
Work #1 wanda kinchen (Title of work #1) Answer in APA format with 2 citations per paragraph treat each answer as a separate work or file and each work or file need separate references. Support your posts with specific references to the Learning Resources given in this work. Be sure to provide full APA citations for your references. Treat each work or answer as a separate work and each work needs separate references. Respond to at least two different colleagues’ postings in the following ways:
· Provide a constructive critique of your colleague’s post about the three specific roles.
· Suggest different perspectives of the interventions your colleagues described for the three specific issues.
· Support your post with specific references to the resources. Be sure to provide full APA citations for your references.
Work #1 wanda kinchen
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The three primary roles of medical social workers that I find rewarding are Janitor (cleaning up the mess of others), Glue (adhesive that hold things together) and Challenger (advocating for social change and the well-being .
WK 11 socw 8205 Discussion 2 Social Work in Palliative Care.docx
WK 11 socw 8205 Discussion 2: Social Work in Palliative Care
Palliative care refers to specialized medical care that focuses on providing relief from physical symptoms and improving the quality of life of patients and caregivers. Palliative care can be provided to patients with any medical condition at any stage of illness to relieve symptoms. It can be a patient’s primary treatment (which is often the case with end-of-life care), or it can be provided in combination with standard medical treatments. Palliative care team members work alongside a patient’s medical team and can include professionals from multiple disciplines, including doctors, nurses, social workers, and chaplains.
To prepare for this Discussion:
Review this week’s resources. Think about the circumstances, timing, payment, and other features related to palliative care.
Post a description of perceptions of palliative care from the perspective of a 300 to 500 words question or topic in bold then answers
Patient
Caregiver
Social worker
Then, explain the roles of social workers in providing palliative care.
Compare and contrast the fundamental differences between palliative care and hospice care.
Explain medical conditions where you might consider palliative care over hospice care for a patient. Justify your position.
Use examples to illustrate your case.
Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style and intext citations
Resources
Sanders, S., & Swails, P. (2011). A quest for meaning: Hospice social workers and patients with end-stage dementia. Social Work, 56(2), 129–140.
Waldrop, D. P., & Meeker, M. A. (2012). Hospice decision making: Diagnosis makes a difference. Gerontologist, 52(5), 686–697.
Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge.
Chapter 5, “The Hospice Social Worker” (pp. 45–55)
McCoyd, J. L. M., & Kerson, T. S., (Eds.). (2016). Social work in health settings: Practice in context (4th ed.) New York, NY: Routledge.
Chapter 20, “Geriatric Social Work in a Community Hospital: High-Tough, Low-Tech Work in a High-Tech, Low-Touch Environment” (pp. 249-259)
Gehlert, S., & Browne, T. (Eds.). (2019). Handbook of health social work (3rd ed.). Hoboken, NJ: Wiley.
Chapter 22, “Pain Management and Palliative Care” (pp. 525-562)
American Cancer Society. (2013) Hospice care. Retrieved from http:/www.cancer.org/acs/groups/cid/documents/webcontent/002868-pdf.pdf
Caring Connections. (n.d.). Palliative care questions and answers. Retrieved from
http://caringinfo.org/i4a/pages/index.cfm?pageid=3355
.
FIRST ASSIGNMENT1FIRST ASSIGNMENT2.docx
FIRST ASSIGNMENT
1
FIRST ASSIGNMENT
2
First Assignment
[Name]
[Course]
[Professor]
[Date]
Abstract
In a multi-cultural atmosphere, the management of ethics and principal decision management helps in serving just in a fair and square way. For the concerned metropolitan agency, a proper action plan will be used managing all the aspects including principle-based management and ethical decision making in a multicultural environment. Racial discrimination in the organization can be fought well by establishing discrimination-free hiring practices in the organization. The agency will be revising its business practices so that the lack of officers can be managed well.
Action plan to address community concerns
In recent years, many employers have embraced the idea of cultural diversity activities with the goal of making make a comprehensive work environment condition. Most experts concur that a differing workforce is a commendable yearning. In any case, social decent variety can offer ascent to moral issues that can be trying for chiefs and workers to determine. The agency has faced some issues over the past years including the concern of the society related to racial discrimination. Keeping in view the concerns of the society, the organization has aimed at coming up with some action plan so that the business practices can be improved and the concerns of the society can be addressed.
Family Knowledge about Palliative Care
Ernesto Pena Morgado
Ana G. Méndez
NR502: Research Proposal
February Session, 2019
Family Knowledge about Palliative Care
In the United States, the vast majority of palliative care is performed in the home. It is obvious that in this scenario the members of the family play a leading role. Most research related to palliative care in the United States does not describe the level of commitment of the patient and caregivers with such care. (Dillon, 2016).
In a study presented about "How home hospice facilitates patient and family engagement", his author, Dillon, describes how some caregivers cheered for instruction on how to manage their relatives palliative care in relation to the use of the comfort kit, including the management of morphine in relationship to be better prepared to relieve the pain of the patient (Dillon, 2016, pp.595). Another wife described how the education and holistic instruction provided was helpful in dealing with and understanding the care that would be provided to her husband. (Dillon, 2016).
The author concludes that offering instruction and education in relation to such difficult issues as helping to face death, has an important implication in the participation of the patient and the family in palliative care, and is the first necessary step to train patients and the family to make informed decisions (Dillon, 2016).
The hospita.
Research Paper For this assignment, write about a hazardous mate.docx
Research Paper
For this assignment, write about a hazardous materials incident or an environmental health and safety (EHS) project that involves a material(s) with a hazard(s) that falls under the hazard classification that we have studied so far (water/air reactive, corrosive, or toxic). The incident or project could be one that you have researched or been involved with.
Your essay must include the following:
summary of the project or incident,
identification of the hazardous material(s) involved and hazardous classification,
discussion of chemical properties and interactions relevant to the incident/project,
any short or long-term mitigation implemented, and
conclusion (your professional opinion on the project/incident).
Your response must be at least 400 words in length. You are required to use at least two references, including your textbook for your response. All sources used, including the textbook, must be referenced. Paraphrased and/or quoted materials must have accompanying citations in APA format.
State Tested Nursing Aides’
Provision of End-of-Life
Care in Nursing Homes
Implications for Quality Improvement
Emma Nochomovitz, MPH
Maryjo Prince-Paul, PhD, APRN, AHPCN, FPCN
Mary Dolansky, PhD, RN
Mendel E. Singer, PhD
Peter DeGolia, MD, CMD
Scott H. Frank, MD, MS
v An increasing prevalence in deaths occurring
within nursing homes has led to a growing
concern surrounding quality issues in end-of-life
(EOL) nursing home care. In addition, prior
research has failed to emphasize the importance
of state tested nursing aides (STNAs) in
providing this type of care. The purpose of this
study was to examine quality issues in EOL
nursing home care within the context of STNAs’
comfort in providing this care. A convenience
sample of 108 STNAs from four nursing homes
in the Cleveland, Ohio area used PDAs to
provide answers to an audio questionnaire.
Questions included emergent themes from the
literature pertaining to EOL care in nursing
homes, as well as materials from a national
education initiative to improve palliative care.
Findings demonstrated lack of comfort in
discussing death with nursing home residents
and their families and insufficient knowledge
surrounding EOL decisions and certain types
of EOL care. Overall, the level of comfort
providing EOL care was found to be associated
with STNAs’ perceived importance of EOL
care, understanding of hospice, and spiritual
well-being.
JOURNAL OF HOSPICE AND PALLIATIVE NURSING v Vol. 12, No. 4, July/August 2010 255
Author Affiliations: Emma Nochomovitz, MPH, is
Research Analyst, National Quality Forum,
Washington, DC and Case Western Reserve
University, Cleveland, OH.
Maryjo Prince-Paul, PhD, APRN, AHPCN, FPCN,
is Assistant Professor, Frances Payne Bolton School of
Nursing, Case Western Reserve University, Cleveland, OH.
Mary Dolansky, PhD, RN, is Assistant Professor,
Frances Payne Bolton School of Nursing, Case
Western Reserve University, Cleveland, OH.
Mendel E. Singer, PhD, ...
Barriers to Practice and Impact on CareAn Analysis of the P.docx
Barriers to Practice and Impact on Care:
An Analysis of the Psychiatric Mental
Health Nurse Practitioner Role
Heather Muxworthy, DNR PMHNP-BC
Nancy Bowllan, EdD, MS, RN
• Abstract
This paper is a retrospective review of the literature analyzing the role of the psychiatric mental health nurse practitioner in
the community. Presented here is an appraisal of national and state mental health initiatives. Professional nursing regulations
are reviewed, focusing on New >brk State advanced practice nursing. Barriers to practice are assessed with discussion on how
barriers, such as statutory collaboration, impede access to treatment in the community for mentally ill psychiatric patients.
The current New )brk State legislative agenda is featured. Clinical vignettes from a nurse practitioner's private community
practice are presented to introduce and conclude how clinical practice barriers impede autonomous practice.
Clinical vignette (2007)
An advanced practice psychiatric mental
health nurse practitioner (APRN-PMHNP)
provides mental health services within a
small community based private practice. The
New York State Nurse Practice Tlci mandates
that a psychiatric nurse practitioner (NP)
maintain a statutory collaborative agreement
with a collaborating psychiatrist in order
to provide comprehensive mental health
services. Although some third-party insurance
companies authorize APRN-PMHNPs on
panels, a collaborative agreement must be
established with a psychiatrist from each
insurance panel. This becomes a critical issue
when the collaborative psychiatrist decided to
close his practice and abruptly discontinued
the collaborative agreement. In order to prevent
discontinuity in care, the APRN-PMHNP needed
to establish a collaborative agreement with
another psychiatrist and develop a practice
agreement (Form 4NP) based on protocols
established by the State of New York. This
time-consuming process resulted in a disruption
in treatment for several patients. The APRN-
PMHNP managing this case reported a major
incident by a high-risk patient that occurred
as a result of this disruption in continuity of
care. This case vignette highlights the potential
negative consequences related to statutory
collaborative agreements as well as the ability
of an APRN-PMHNP to provide effective, safe,
and consistent care.
Introduction
Several national initiatives in the past
decade have identified mental healthcare
indicators that address system issues and the
efficiency of access to mental health treatment
by consumers within the community. Healthy
People 2010, Healthy People 2020, and the
National Consensus Statement on Mental
Health Recovery are o n l y a few of the
national initiatives that recognize the lack
of access and need for more mental health
Heather Muxworthy is a psychiatric/mental health r^urse practitioner at Wegman s School of Nursing. St. ¡ohn Fisher College in Rochester. NY. Nancy Bowllan
is a clinical nurse specialist track coordinator and associate.
Patient–Provider CommunicationsResearch shows that the quali.docx
Patient–Provider Communications
Research shows that the quality of the patient–provider relationship (Beach, Keruly, & Moore, 2006) and the communications between the patient and provider (Piette et al., 2003) influence a patient’s course of treatment and health outcomes. Unfortunately, there are many barriers to good communication in the patient–provider relationship. Health professionals debate about the best strategies for effective communication.
The initial steps of the Generalist Intervention Model support engagement and building of rapport between a patient and a social worker. Medical social workers are trained to be effective listeners and communicators. Given their unique skills, medical social workers are often called upon to support and navigate the relationships between patients and other providers on the health care team as advocates, liaisons, and mediators.
To prepare for this Discussion:
Consider patient–provider communications as an integral part of delivering social work services to patients. Review this week’s resources and think about how to deliver effective communications within the patient–provider relationship.
Post a description of the importance of patient–provider communication. Be sure to address the relationship between patient–provider communications and illness outcomes.
Identify a minimum of three factors that might lead to poor patient–provider communications.
Provide your rationale.
Explain the ways patient–provider communications might be improved.
Then, explain the role culture plays in patient–provider communications.
Finally, explain the roles of a social worker in assisting a patient to improve communications with other members of the health care team.
Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style.
Resource
Gehlert, S., & Browne, T. (Eds.). (2019). Handbook of health social work (3rd ed.). Hoboken, NJ: Wiley.
Chapter 12, “Communication in Health Care” (pp. 250-271)
Bomba, P. A., Morrissey, M. B., & Leven, D. C. (2011). Key role of social work in effective communication and conflict resolution process: Medical Orders for Life-Sustaining Treatment (MOLST) program in New York and shared medical decision making at the end of life.
Journal of Social Work in End-of-Life & Palliative Care, 7
(1), 56–82.
.
EMPIRICAL STUDYThe meaning of learning to live with medica.docx
EMPIRICAL STUDY
The meaning of learning to live with medically
unexplained symptoms as narrated by patients in primary
care: A phenomenological�hermeneutic study
EVA LIDÉN, PhD1, ELISABETH BJÖRK-BRÄMBERG, PhD2 &
STAFFAN SVENSSON, MD3
1Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 2Institute
of Environmental Medicine, Karolinska Institutet, Solna, Sweden, and 3Angered Family Medicine Unit, Angered, Sweden
Abstract
Background: Although research about medically unexplained symptoms (MUS) is extensive, problems still affect a
large group of primary care patients. Most research seems to address the topic from a problem-oriented, medical
perspective, and there is a lack of research addressing the topic from a perspective viewing the patient as a capable person
with potential and resources to manage daily life. The aim of the present study is to describe and interpret the experiences of
learning to live with MUS as narrated by patients in primary health-care settings.
Methods: A phenomenological�hermeneutic method was used. Narrative interviews were performed with ten patients
suffering from MUS aged 24�61 years. Data were analysed in three steps: naive reading, structural analysis, and
comprehensive understanding.
Findings: The findings revealed a learning process that is presented in two themes. The first, feeling that the symptoms
overwhelm life, involved becoming restricted and dependent in daily life and losing the sense of self. The second, gaining
insights and moving on, was based on subthemes describing the patients’ search for explanations, learning to take care of
oneself, as well as learning to accept and becoming mindful. The findings were reflected against Antonovsky’s theory of sense
of coherence and Kelly’s personal construct theory. Possibilities and obstacles, on an individual as well as a structural level,
for promoting patients’ capacity and learning were illuminated.
Conclusions: Patients suffering from MUS constantly engage in a reflective process involving reasoning about and
interpretation of their symptoms. Their efforts to describe their symptoms to healthcare professionals are part of this
reflection and search for meaning. The role of healthcare professionals in the interpretative process should be acknowledged
as a conventional and necessary care activity.
Key words: MUS, primary care, person centred care, phenomenological-hermeneutics
(Accepted: 19 March 2015; Published: 16 April 2015)
Medically unexplained symptoms (MUS) is a condi-
tion that affects a large but heterogeneous group
of people. The health services have so far been
unsuccessful in addressing the healthcare needs of
these people, partly because of outdated theories and
diagnostic systems that fail to encompass the com-
plexity of the patients’ health problems (Fink &
Rosendal, 2008). The lack of a medical explanation
and cure leaves patients and healthcare professionals
in a ...
Topic area grief and students in middle school introduct
Topic area grief and students in middle school introduct
My topic is Global sexual violence Those is my search (The .docx
My topic is:
Global sexual violence
Those is my search (
The United Nations Children ’s Fund (UNICEF) published a global child abuse research report on the 4th, pointing out that about 10% of girls under the age of 20 have been sexually assaulted or other compulsive sexual behaviors; more than half of children between the ages of 2-14 are often suffered Parents or guardians beaten; and about 20% of the murder victims worldwide are teenagers and children under 20 years old.
The vast majority of violent incidents come from people who interact daily with children, such as family members, peers, and partners. On the whole, the proportion of wars that harm children is not large; but in the context of armed conflicts and other humanitarian crises, domestic violence suffered by women and children will grow significantly.
Sexual violence is a serious public health problem, which can have a long or short profound impact on physical and mental health. For example, it may affect the ability to reproduce and increase fertility, increase the risk of sexually transmitted diseases, and may lead to suicide or self-mutilation. And other behaviors. During or after sexual violence, the victim's killing due to honorary murder is also part of sexual violence. Although women are the main victims of sexual violence, people of any age and gender may be harmed by sexual violence.)
Based on the 4+ academic articles identified in the "Literature Review" assignment, students will write an annotated bibliography that provides an outline of each article. An annotated bibliography provides a summary of an academic paper and relates the paper to one's own research topic.
For this assignment, you will write an annotated bibliography for
each
article you found during your literature search assignment. If any of those articles were
not
academic (i.e. published in an peer-reviewed scientific journal), you must find a replacement article that is academic.
Guidelines
Your annotated bibliography should include the following:
An introduction paragraph that tells your reader (a) your topic and focus of your research and (b) the general context of your topic.
Each annotation should include:
A full citation of the paper in APA style
Three paragraphs that summarizes, analyzes, and applies the source
The first paragraph
summarizes
the source by...
providing context of the source
outlining the thesis (main point) of the source
indicating the main finding of the paper
The second paragraph
analyzes
the source by explaining the benefits and limitations of the research
The third paragraph
applies
the source by explaining how the source's ideas, research, and information can be applied to your topic of study
Grading:
Below Sufficient (2-point)
Sufficient (4-points)
Above Sufficient (6-points)
Examples
Here's an example annotated bibliography from a student in a previous class who received full credit for this assignment.
Below, an exa.
Coping Strategies Among Caregivers Of Patients With Schizophrenia: A Descript...
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Reflective Journal Week 7Topic Philosophies and Theories for Ad.docx
Reflective Journal Week 7
Topic: Philosophies and Theories for Advanced Nursing Practice
Course objective:
1. Examine organizational theories utilized in the nursing discipline.
2. Explore possible applications of organizational theories in nursing practice, research, and theory development.
Discussion Question: 7 DQ 1
How can the DNP-prepared nurse apply the concepts of a complex adaptive system to individual patient care? Provide examples.
Complex Adaptive Systems
The science and theory of complex adaptive systems, also known as complexity science, has emerged as an alternative to existing paradigms. Complex adaptive systems demonstrate identifiable characteristics: embeddedness, self-organization, non-linearity, unpredictability, and others. These systems exhibit emergent behavior that arises from simple rules and interconnections among diverse elements with porous boundaries, as they interact with and respond to the environment. The health system and the profession of nursing can be viewed as complex adaptive systems, and when done so, new insight can be gained. While several authors have stated they believe nursing is indeed a complex adaptive system, a visual model has not yet been advanced.
Health care organizations are complex adaptive systems where things that happen are unique, dynamic, and unpredictable; they also have diverse agents including providers, patients, and other stakeholders that serve as a source of creativity and problem-solving solutions but can also create communication difficulties (McDanial, Lanham, & Anderson, 2009). The Meikirch model uses five components that spontaneously arrange themselves with interactions; these interacting components include life’s demands, biologically given potential, personally acquired potential, social determinants, and environmental determinants. An example of how the adaptive process works in looking at how life itself is an evolutionary process starting from conception and ending at death with the demands of life, social, and environment constantly evolving with numerous adaptive processes that occur as different complex interactions happen in an individual’s life.
Complex adaptive systems (CAS) comprise five major components, and as a rule, they are labelled from “a” to “e”. The first component (a) represents the demands of life that people seek to address sufficiently. They respond to these needs by using their (b) biologically given potential and (c) personally acquired potential. These two kinds of potentials are significantly dependent on the (d) environmental and (e) social health determinants. These components are coupled with interactions that link various healthcare agents to the components (Bircher & Hahn, 2016). Therefore, DNP-prepared nurses can effectively apply the CAS to individual patient care.
DNP nurses can apply the CAS approach in problem solving by recognizing an organization’s networks and complexities and the relationships between the components of the sys ...
A03510108
International Journal of Humanities and Social Science Invention (IJHSSI) is an international journal intended for professionals and researchers in all fields of Humanities and Social Science. IJHSSI publishes research articles and reviews within the whole field Humanities and Social Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
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