Describe an experience you have had with the Human Resources Department at a former or your current employer. Were you satisfied with the outcome? Why or why not?

Please answer each question separately. Each question must be 250-300 words each. Please be plagiarism free and also, make sure sources are cited APA.

1. Describe an experience you have had with the Human Resources Department at a former or your current employer. Were you satisfied with the outcome? Why or why not?

2. Do you feel it is right for employers to monitor their employees’ activities on social network sites, such as Facebook? Why or why not?

 
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Proposal For Change

Select a health care facility or service (e.g., hospital, physician practice, long-term care facility, ambulance service, pharmacy, or skilled nursing facility).

Design a 700- to 800-word proposal for a process improvement or cultural change that would affect all levels of staff in the organization (e.g., Lean Six Sigma or Studer Group).

Cite 1 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

 
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Academic Success And Professional Development Plan

Part 3:Strategies to promote Academic Integrity and  Professional Ethics

Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and ultimately help in the care of patients. Work that lacks integrity is subject to erode quickly or worse.

Fortunately, there are strategies and tools that can help ensure integrity in academic and professional work. This Assignment asks you to consider these tools and how you might apply them to your own work.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by appending the original document you began in the previous assignment.

To Prepare:

  • Reflect on the strategies presented in the Resources for this Module in support of academic style, integrity, and scholarly ethics.
  • Reflect on the connection between academic and professional integrity.

The Assignment:

Part 3, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

Using the Academic and Professional Success Development Template you began in Module 1 and expanded in Module 2, write a 2- to 3-paragraph analysis that includes the following:

  • Explanation for the relationship between academic integrity and writing
  • Explanation for the relationship between professional practices and scholarly ethics
  • Cite at least two resources that support your arguments, being sure to use proper APA formatting.
  • Use Grammarly and SafeAssign to improve the product.
  • Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity.

Part 3, Section 2: Strategies for Maintaining Integrity of Work

Expand on your thoughts from Section 1 by:

  • identifying and describing strategies you intend to pursue to maintain integrity and ethics of your: (1) academic work as a student of the MSN program and (2) professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.

Note:Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from theAcademic Success and Professional Development Plan Template.

 
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A Culture Of Patient Safety

Assignment Description

A Culture of Patient Safety

Read this article:

Sammer, C. & James, B. (2011, September 30). Patient safety culture: The nursing unit leader’s role. OJIN: The Online Journal of Issues in Nursing,16(3), Manuscript 3.                  

In the Hospital Hope scenario, what do you think was the most important factor that led to the change in practice in the SICU?

If you worked in a facility that needed a practice change, what framework would you use and why?

Assignment Expectations:

Length: 1250 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two scholarly sources plus the textbook are required

 
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Informatics And The Application Of New Knowledge


Report Issue

 Prepare for interprofessional stakeholders a 10–12-slide presentation (not including title and reference pages) explaining how nurse leaders can use information technology to improve nursing practices that support and sustain positive patient outcomes. You do not need to actually present your assessment but be sure to include speaker’s notes for each slide.

The dissemination of evidence-based practice outcomes helps nurses build stakeholder engagement and support for the use of information system and technology for health care delivery.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Describe the importance of effective scholarship and evidence-based information to advance the profession of nursing. 

o Describe the basic differences between research (qualitative and quantitative) and evidence-based practice (EBP).

o Describe how nurse leaders use evidence-based practice to support and sustain patient-care outcomes.

o Describe how theory development and research exploration supports nursing practice changes that increase positive patient outcome.

· Competency 3: Explain the use of information management tools and technologies to monitor and improve health care delivery and patient outcomes. 

o Identify a nursing practice that has recently changed in a specific health care setting.

o Describe how nurse leaders use communication to build interprofessional stakeholder engagements.

· Competency 4: Communicate in a manner that is consistent with expectations of a nursing professional. 

o Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.

For this assessment, imagine a group of interprofessional stakeholders involved with patient care in your health care setting would like to increase positive patient outcomes. Nurse leaders have recommended changes in the practice that incorporate informatics and the application of new knowledge into your nursing practices.

You are asked to present a brief overview using PowerPoint (or some other presentation software) to a small group of student nurses. After the session has concluded, the training department would like to use your presentation as a training resource.

Preparation

Select a nursing practice in your own health care setting that has changed for the better since you first began nursing.

Directions

Use the tools in your presentation software to develop a creative and engaging presentation. Use the notes portion of PowerPoint to capture your narrative script for each slide. Include the following in your presentation:

· Describe briefly an example of a nursing practice that has changed in the last two years.

· Explain how theory development, research exploration, and information technology supports the changes you have described.

· Describe the basic differences between research (qualitative and quantitative) and evidence-based practice (EBP).

· Explain how nurse leaders use communication practices and technology to build interprofessional stakeholder engagements in support of the change you have identified.

· Describe how nurse leaders use evidence-based practice to support and sustain patient-care outcomes.

Additional Requirements

· Length: Submit a presentation of 10–12 slides (not including title and reference slides). Include both a title slide and a reference slide with 4–6 references to support your presentation information and ideas.

· Formatting Guidelines: Create streamlined slides with minimal information. 

o Be precise.

o Keep bulleted content on one line.

o Use images instead of words when appropriate.

· Narrative Script: Use the notes portion to create a detailed narrative for each slide

 
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Structural Versus Strategic Family Therapies


Assignment 1: Structural Versus Strategic Family Therapies

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

· Refer to Gerlach (2015) in this week’s Learning Resources for guidance on creating a structural family map. Link :  http://sfhelp.org/fam/map.htm 

Assignment

In a 2- to 3-page paper, address the following:

· Summarize the key points of both structural family therapy and strategic family therapy.

· Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.

· Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.

· Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

Jane – you can just make up an example of a family

 
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Inflammatory Bowel Disease And Urinary Obstruction

Report Issue

 Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle. less than 10% turnitin.

this is a sample of the “SOAP NOTE TEMPLATE ” the assignment should be similar to it

those 2 diseases are together not seperate.

PATIENT INFORMATION

Name: Mr. W.S.

Age: 65-year-old

Sex: Male

Source: Patient

Allergies: None

Current Medications: Atorvastatin tab 20 mg, 1-tab PO at bedtime

PMH: Hypercholesterolemia

Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago.

Surgical History: Appendectomy 47 years ago.

Family History: Father- died 81 does not report information

 Mother-alive, 88 years old, Diabetes Mellitus, HTN

Daughter-alive, 34 years old, healthy

Social Hx: No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone.

SUBJECTIVE:

Chief complain: “headaches” that started two weeks ago

Symptom analysis/HPI:

The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness. He states that he has been under stress in his workplace for the last month.

Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting.

ROS:

CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC: Headache and dizzeness as describe above. Denies changes in LOC. Denies history of tremors or seizures. 

HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing.

Respiratory: Patient denies shortness of breath, cough or hemoptysis.

Cardiovascular: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal

dyspnea.

Gastrointestinal: Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or

diarrhea.

Genitourinary: Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence.

MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping sound.

Skin: No change of coloration such as cyanosis or jaundice, no rashes or pruritus.

Objective Data

CONSTITUTIONAL: Vital signs: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI 25. Report pain 0/10.

General appearance: The patient is alert and oriented x 3. No acute distress noted. NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time. Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.

HEENT: Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema, or exudate. Bilateral tympanic membranes intact, pearly gray with sharp cone of light. Maxillary sinuses no tenderness. Nasal mucosa moist without bleeding. Oral mucosa moist without lesions,.Lids non-remarkable and appropriate for race.

Neck: supple without cervical lymphadenopathy, no jugular vein distention, no thyroid swelling or masses.

Cardiovascular: S1S2, regular rate and rhythm, no murmur or gallop noted. Capillary refill < 2 sec.

Respiratory: No dyspnea or use of accessory muscles observed. No egophony, whispered pectoriloquy or tactile fremitus on palpation. Breath sounds presents and clear bilaterally on auscultation.

Gastrointestinal: No mass or hernia observed. Upon auscultation, bowel sounds present in all four quadrants, no bruits over renal and aorta arteries. Abdomen soft non-tender, no guarding, no rebound no distention or organomegaly noted on palpation

Musculoskeletal: No pain to palpation. Active and passive ROM within normal limits, no stiffness.

Integumentary: intact, no lesions or rashes, no cyanosis or jaundice.

Assessment 

Essential (Primary) Hypertension (ICD10 I10): Given the symptoms and high blood pressure (156/92 mmhg), classified as stage 2. Once the organic cause of hypertension has been ruled out, such as renal, adrenal or thyroid, this diagnosis is confirmed.

Differential diagnosis:

Ø Renal artery stenosis (ICD10 I70.1)

Ø Chronic kidney disease (ICD10 I12.9)

Ø Hyperthyroidism (ICD10 E05.90)

Plan

Diagnosis is based on the clinical evaluation through history, physical examination, and routine laboratory tests to assess risk factors, reveal identifiable causes and detect target-organ damage, including evidence of cardiovascular disease.

These basic laboratory tests are:

· CMP

· Complete blood count

· Lipid profile

· Thyroid-stimulating hormone

· Urinalysis

· Electrocardiogram

Ø Pharmacological treatment: 

The treatment of choice in this case would be:

Thiazide-like diuretic and/or a CCB

· Hydrochlorothiazide tab 25 mg, Initial dose: 25 mg orally once daily. 

Ø Non-Pharmacologic treatment

· Weight loss

· Healthy diet (DASH dietary pattern): Diet rich in fruits, vegetables, whole grains, and low-fat dairy products with reduced content of saturated and trans l fat

· Reduced intake of dietary sodium: <1,500 mg/d is optimal goal but at least 1,000 mg/d reduction in most adults

· Enhanced intake of dietary potassium

· Regular physical activity (Aerobic): 90–150 min/wk

· Tobacco cessation

· Measures to release stress and effective coping mechanisms.

Education

· Provide with nutrition/dietary information.

· Daily blood pressure monitoring at home twice a day for 7 days, keep a record, bring the record on the next visit with her PCP

· Instruction about medication intake compliance. 

· Education of possible complications such as stroke, heart attack, and other problems.

· Patient was educated on course of hypertension, as well as warning signs and symptoms, which could indicate the need to attend the E.R/U.C. Answered all pt. questions/concerns. Pt verbalizes understanding to all

Follow-ups/Referrals

· Evaluation with PCP in 1 weeks for managing blood pressure and to evaluate current hypotensive therapy. Urgent Care visit prn.

· No referrals needed at this time.

References

Domino, F., Baldor, R., Golding, J., Stephens, M. (2017). The 5-Minute Clinical Consult 2017 (25th ed.). Print (The 5-Minute Consult Series).

Codina Leik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.). ISBN 978-0-8261-3424-0

 
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A Culture Of Patient Safety

Assignment Description

A Culture of Patient Safety

Read this article:

Sammer, C. & James, B. (2011, September 30). Patient safety culture: The nursing unit leader’s role. OJIN: The Online Journal of Issues in Nursing,16(3), Manuscript 3.                  

In the Hospital Hope scenario, what do you think was the most important factor that led to the change in practice in the SICU?

If you worked in a facility that needed a practice change, what framework would you use and why?

Assignment Expectations:

Length: 1250 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two scholarly sources plus the textbook are required

 
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Psychotherapy with Groups and Families

H:\Walden & Laureate\Walden Logo.jpg

NURS 6650: Psychotherapy with Groups and Families

Program Overview

The Psychiatric Mental Health Nurse Practitioner (PMHNP) is an advanced practice registered nurse trained to provide a wide range of mental health services to patients and families in a variety of settings. PMHNPs diagnose, conduct therapy, and prescribe medications for patients who have psychiatric disorders, medical organic brain disorders, or substance abuse problems. They are licensed to provide emergency psychiatric services, conduct psychosocial and physical assessment of their patients, develop and manage treatment plans, and provide ongoing manage patient care. They may also serve as consultants or as educators for families and staff. The PMHNP has a focus on making a psychiatric diagnosis, differentiates between medical disorders with psychiatric symptoms, and orders appropriate medications to treat various psychiatric disorders. A PMHNP can often practice autonomously, depending on state licensure laws.

Course Description

Managed care has ushered in a new era of effective mental health services. To that end, the psychiatric mental health nurse practitioner (PMHNP) must know how to optimize not only his or her time, but also the treatment benefits associated with family and group therapy. In this course, the emphasis is on the concept of treatment of the family unit. Group dynamics and benefits associated with group therapy are also emphasized along with introducing the learner to techniques that can be used in group therapy settings. The focus of the practicum experience is on the treatment of the family unit as well as the provision of group psychotherapy.

Credit & Practicum Hours

Quarter Credit Hours: 5 credits

· Didactic – 3 credits

· Practicum – 2 credits (144 practicum hours)

Practicum Hours: This course requires a minimum of 144 practicum hours.

Course Learning Outcomes

· Evaluate evidence-based psychotherapeutic counseling theories for groups and families

· Apply psychotherapeutic counseling techniques and methods for groups and families

· Assess clients presenting for group and family psychotherapy

· Develop psychiatric diagnoses for clients across the lifespan

· Analyze ethical and legal implications of counseling clients presenting for group and family psychotherapy

MSN Learning Outcomes

At the end of this program, students will be able to:

1. Synthesize organizational/systems leadership for cost-effective specialist nursing practice that contributes to high-quality healthcare delivery, advancement of the nursing profession, and social change.

2. Critique evidence-based literature drawing from diverse theoretical perspectives and pertinent research to guide decision making that demonstrates best practices for specialist nursing practice in a global society.

3. Integratively assess, diagnose, plan, implement, and evaluate cost-effective healthcare strategies that reduce health disparities by patient/population advocacy for access to specialist nursing care.

4. Demonstrate ability to effectively communicate using audience-specific oral, written, and information technology for professional delivery of specialist nursing care.

5. Evaluate health needs of diverse populations for necessary teaching/coaching functions based on specialist nursing knowledge to restore/promote health and prevent illness/injury.

6. Exhibit ongoing commitment to professional development and value of nursing theories/ethical principles (altruism, autonomy, human dignity, integrity, social justice) in accordance with ethically responsible, legally accountable, specialist nursing practice.

7. Implement specialist nursing roles to promote quality improvement of patient-centered care in accordance with professional practice standards that transform health outcomes for diverse populations.

 
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Informatics And The Application Of New Knowledge

 Prepare for interprofessional stakeholders a 10–12-slide presentation (not including title and reference pages) explaining how nurse leaders can use information technology to improve nursing practices that support and sustain positive patient outcomes. You do not need to actually present your assessment but be sure to include speaker’s notes for each slide.

The dissemination of evidence-based practice outcomes helps nurses build stakeholder engagement and support for the use of information system and technology for health care delivery.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Describe the importance of effective scholarship and evidence-based information to advance the profession of nursing. 

o Describe the basic differences between research (qualitative and quantitative) and evidence-based practice (EBP).

o Describe how nurse leaders use evidence-based practice to support and sustain patient-care outcomes.

o Describe how theory development and research exploration supports nursing practice changes that increase positive patient outcome.

· Competency 3: Explain the use of information management tools and technologies to monitor and improve health care delivery and patient outcomes. 

o Identify a nursing practice that has recently changed in a specific health care setting.

o Describe how nurse leaders use communication to build interprofessional stakeholder engagements.

· Competency 4: Communicate in a manner that is consistent with expectations of a nursing professional. 

o Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.

For this assessment, imagine a group of interprofessional stakeholders involved with patient care in your health care setting would like to increase positive patient outcomes. Nurse leaders have recommended changes in the practice that incorporate informatics and the application of new knowledge into your nursing practices.

You are asked to present a brief overview using PowerPoint (or some other presentation software) to a small group of student nurses. After the session has concluded, the training department would like to use your presentation as a training resource.

Preparation

Select a nursing practice in your own health care setting that has changed for the better since you first began nursing.

Directions

Use the tools in your presentation software to develop a creative and engaging presentation. Use the notes portion of PowerPoint to capture your narrative script for each slide. Include the following in your presentation:

· Describe briefly an example of a nursing practice that has changed in the last two years.

· Explain how theory development, research exploration, and information technology supports the changes you have described.

· Describe the basic differences between research (qualitative and quantitative) and evidence-based practice (EBP).

· Explain how nurse leaders use communication practices and technology to build interprofessional stakeholder engagements in support of the change you have identified.

· Describe how nurse leaders use evidence-based practice to support and sustain patient-care outcomes.

Additional Requirements

· Length: Submit a presentation of 10–12 slides (not including title and reference slides). Include both a title slide and a reference slide with 4–6 references to support your presentation information and ideas.

· Formatting Guidelines: Create streamlined slides with minimal information. 

o Be precise.

o Keep bulleted content on one line.

o Use images instead of words when appropriate.

· Narrative Script: Use the notes portion to create a detailed narrative for each slide.

 
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