Worldview Analysis And Personal Inventory

Based on the required topic study materials (Read “The Role of Spirituality in Health Care,” by Puchalski, from Proceedings (Baylor University Medical Center) (2001).

URL:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1305900/), write a reflection about worldview and respond to following:

  1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
  2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
  3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview: (a) What is ultimate reality? (b) What is the nature of the universe? (c) What is a human being? (d) What is knowledge? (e) What is your basis of ethics? (f) What is the purpose of your existence?

Remember to support your reflection with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Read “The Role of Spirituality in Health Care,” by Puchalski, from Proceedings (Baylor University Medical Center) (2001).

URL:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1305900/ 

 
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Strategic Plan Line Graph

i need someone who is proficient in graphs/ statistic nursing,here are the figures to use.I JUST NEED A LINE GRAPH THANKS.

The objective is to create a line graph for the following information:

Volumes projected in this area for the first year are 1275 patient days (or visits). With physician support and effective marketing, it is expected that the volume will increase 10% the second year, 14% the third year, and 20% the fourth year. The financial goal of this project is to break even by the end of the third year of operations.
For payroll, merit increases and overtime hours should be computed at 5% each. Use the salaries and benefit data from you’re your current knowledge of your local market or assume average hourly rate for the Registered Nurse is $28/hour and assistive personnel hourly rates at $9/hour. Benefit costs can be estimated at 25% of hourly rates.
Expected revenue is calculated at $4864 per case for the first year. The payer mix for this facility is: Medicare 37.9%; Medicaid 4.5%; Managed Care (HMO/PPO) 38.8%; Private Pay 6%; other insurance 10.6%; Worker’s Comp 2.2%.

 
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PICOT/PICo and Practice Questions

Week 2: PICOT/PICo and Practice Questions

  • Using the area of interest from Week 1, identify the following.
    • Will you be using a quantitative or qualitative approach for your EBP project proposal?
    • Explain why this approach is the best one to provide information for your area of interest.
    • Create a PICOT/PICo question using the PICOT/PICo format for quantitative and PICo for qualitative approaches.
    • Identify your practice question, being sure to include the following.
      • For a quantitative approach
        • A questioning part such as “what is,” “what are,” “is there,” or “are there”
        • Population being studied
        • Variables being studied
        • Suggestion of the relationship between variables
      • For a qualitative approach
        • Phenomenon or concept of interest
        • Group or population of interest
        • Suggestion of which qualitative research design is being used
 
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Identification of Area of Interest


Week 1: Identification of Area of Interest

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For this discussion the focus is on presenting the area of interest for the evidence-based practice proposal that is required for this course.

  1. State your area of research or evidence-based practice (EBP) interest from NR 500; remember that the topic must be consistent with your specialty track.
  2. State your MSN program specialty track and defend how your selected area of research or EBP interest from NR 500 is consistent with your selected MSN program track.
  3. Would you like to change your area of research or EBP interest from NR 500? Why or why not?
  4. If you changed or modified your area of research or EBP interest, please identify the revised area of research.
  5. Defend how your area of research/EBP interest is of importance to the MSN program specialty track you have selected—scholarly references are required.
  6. Identify an initial PICOT/PICo question that reflects you area of interest for the evidence-based practice proposal that is required for this course.
 
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How can our understanding of perception help us become more effective communicators?

No minimum words just answer every question with support and have at least 1 scholarly source.

Discussion 1: Perception

· Link (video): The Communication Process (Links to an external site.) (25:35)

Initial Post Instructions Perception of messages is not as straightforward as we need it to be, nor as easy. Additionally, in our changing society, we are learning how to interact with people who culturally have different beliefs, values, and attitudes. For the initial post, address the following:

· How can our understanding of perception help us become more effective communicators?

· Think of time when you interacted with someone from a different culture. Using the communication model, how did your conversation evolve? Was there a miscommunication?

· What could you have done differently?

Discussion 2: Listening Analysis

Initial Post Instructions Read the lesson for this week and complete the listening exercise in the Listen Up! section to evaluate your listening skills. Then, address the following:

· State the results of the exercise.

· Using the information from the exercise, describe an instance when you failed to be an effective listener.

· Next, respond to the following prompts, making connections to the ideas contained in the listening chapter assigned for the week. Explain your thought process and provide examples to give explanation to your descriptions of why you feel that way.

· Where in the stages of listening did you experience breakdown?

· What was the reason you failed to listen effectively? Were listening barriers present?

· What could you have done differently to improve your listening?

Discussion 3: Conflict Management

Initial Post Instructions For the initial post, address the following:

· How can you manage your emotions in a conflict situation so that you remain aware of how you are communicating and listening?

· When you have a conflict with someone with whom you only communicate online (instructor, another student, online customer service, etc.), how do you resolve your conflict? What is appropriate, and what is not?

· When you have a conflict with someone you see face-to-face, how do you resolve your conflict? What is appropriate, and what is not?

Discussion 4: Culture & Groups

Initial Post Instructions For the initial post, address one (1) of the following:

· Scenario 1: A colleague from another country has limited English-speaking skills and does not comprehend the group task. Additionally, this colleague has the habit of giving gifts to business associates at the end of projects. Gift-giving is an expected part of business etiquette in her culture. How do you deal with these issues to ensure the success of the group? What criteria would you set early on in the process?

· Scenario 2: Your manager asks you to take on a new project that you think you could take on by yourself. He suggests that you form a task group with 15-20 members, which you think is too much. One of the members he recommends adding to the team is John. This gives you additional concern because you think John has had hidden agendas in the past. Even though you think you can do this on your own, how is a group decision different from an individual decision? How can you convince your manager that a smaller group would be better? How do you deal with John if your manager insists on him being in the group?

Discussion 5: Grabbing and Maintaining Attention

Required Resources

· Minimum of 1 video

· Minimum of 1 scholarly source

Initial Post Instructions For the initial post, address the following:

· Why is knowing your audience an important part of capturing and maintaining their attention?

· What cultural considerations do you need to take into account for your particular audience/topic?

· How are you going to keep the audience’s attention throughout the speech?

· Find at least one example on YouTube, TEDx, or other video repositories of good attention-getting examples. Post the URL and explain how the video is a good model for capturing the audience’s attention. The video can be on any topic but must be appropriate for sharing.

· Make sure to include a scholarly source to support your points.

Discussion 6: Delivery: the Good, the Bad, and the Ugly

Find a video or article about speech anxiety, speech content, organization, or delivery. For the initial post, address the following:

· Summarize the content.

· Include tips on verbal and nonverbal communication with audience members of different cultures.

· Explain why you thought it was important.

· Determine how it will help you deliver a presentation.

Discussion 7: Relationships and Technology

Initial Post Instructions For the initial post, select one of the following options and address the related questions:

Option 1: Interpersonal Relationships

· Pick an important relationship and describe its relationship culture.

· When the relationship started, what relationship schemata guided your expectations?

· Describe a relationship story that you tell with this person or about this person. What personal idioms do you use?

· What routines and rituals do you observe?

· What norms and rules do you follow?

· How do self-concept, self-image, self-esteem, and self-disclosure effect a relationship?

Option 2: Technology

· How does technology affects your communication in various contexts including the following:

· Academic

· Professional

· Civic

· Personal

· Examine how your engagement with technology changes from context to context.

· For example, do you use online technology more in one context than another?

· In what contexts/situations might you prefer “old media” like phone, written letter, or even face-to-face communication?

Follow-Up Post Instructions Respond to at least two peers or one peer and the instructor. Select one peer who chose the option you did not choose.

· For example, for Option 1, examine where your interpersonal relationships have the same or similar routines, rituals, norms, and rules and where they are very different.

· For Option 2, how are the context for technology use the same or different? Is there a trend or pattern that you see as a whole?

Further the dialogue by providing more information and clarification.

Discussion 8: Interviews

Initial Post Instructions For the initial post, address the following:

· Have you ever been on an interview?

· What were some of the questions asked?

· What questions did you ask the interviewer?

· What was the nonverbal used?

· What did you wear?

If you have not been on an interview, look up three questions an interviewer might ask, and answer them. What do you think you would wear?

 
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Nursing Research Paper

his paper will have an 8-page narrative (8 pages maximum – 5 point deduction for over page limit) plus a title page, abstract page, and reference list. 

You must use a minimum of four original research articles for your paper.

The purpose is to write a review of the literature on to answer your PICOT question using original research evidence. Discuss how this health problem is applicable in both the United States and a non-USA country, and appraise four original research studies on this topic.

This is a scholarly paper, written as if it was a “Review of the Literature” article published in a nursing journal. Select articles published within the past five years (2014 to present).
Do not use a non-peer review journal. Do not use a literature review article or systematic review article or clinical protocols as one of your articles. At least TWO of the four original research report articles MUST BE authored by nurses and published in a peer-reviewed nursing journal.  At least ONE of the two nursing research studies must address nursing practice in a non-USA country.

  • Page 1: Title page Create a title for your paper. Refer to your APA Manual.
  • Page 2: Abstract The abstract should open with a sentence that will serve as an introduction to and purpose of the paper. Then describe what is in each part of the paper. An abstract is usually a brief outline of the contents of the paper that typically does not exceed 250 words. At the end of the abstract place the phrase Key Words, and denote 3-4 keywords that would describe your paper (as for publication and indexing in CINAHL or PubMed).
  • Pages 3-11: Narrative
    • Heading: Significance and Background: Start the paper with a short paragraph that introduces the health problem in your PICOT question. (Approximately ½-page).
    • Heading: Purpose: Clearly define the global health problem, and discuss why it is important for nursing (why you are discussing this topic).  Discuss what is known about this problem in the United States and in a non-USA country.  For example, if the focus is adult hypertension, discuss guidelines for defining hypertension in the US and in a non-USA country.  (Approximately 1 page).
    • Heading: Methods: Discuss the methods used to select the following research studies.
      Next use the subheading:
      • Sub-headings: Study #1: Nursing research Study in the USA (Approximately 1½ pages)
      • Sub-headings: Study #2: Nursing Research Study Non-USA (Approximately 1½ pages)
      • Sub-headings: Study #3: Nursing Research Study USA or Non-USA (Approximately 1½ pages)
      • Sub-headings: Study #4: Nursing Research Study USA or Non-USA (Approximately 1½ pages)
    • Heading: Conclusion.  Summarize the key points from your discussion. How would you translate (use) the new evidence found from your appraisals to change practice or answer your PICOT question? (Approximately 1 page).
  • Page 12+: Reference page: Refer to your APA Manual.
 
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While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

This assignment uses a rubric. 

You are required to submit this assignment to LopesWrite.

RUBRIC

An introduction is present, and it relates to the body of the paper. Information presented in the introduction is intriguing and encourages the reader to continue reading. 10%

A reflective and insightful comparison of research questions is presented. 20%

A reflective and insightful comparison of sample populations is presented. 20%

A reflective and insightful comparison of the limitations of the study is presented. 20%

A conclusion and recommendations for further research are reflective and insightful. 10%

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 5%

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 5%

Writer is clearly in command of standard, written, academic English. 5%

All format elements are correct. 2%

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 3%

 
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Developing An Organizational Philosophy And Mission Statement

Darr writes, ” To transform the organization so that its culture is a living reflection of values that facilitate the mission and vision, management must know what values are present in the culture” (2011, p. 56). 

Create a hypothetical organizational philosophy statement. Include a mission statement, vision statement, and core principles/values.  Assignments are to be a minimum of 2 full pages of text and 3 reputable references in proper APA format.

Reference:
Darr, K. (2011).  Ethics in Health Services Management.  (5th Edition).  Baltimore, MD:  Health Professions Press, Inc.

 
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Ethical Decision Making

Write a 1,250-1,500 word paper in which you explore decision making methods that can be used to resolve an ethical dilemma using the scenario provided in the assigned reading, “An Unconscious Patient With a DNR Tattoo.” Describe how to use the principles of ethical decision making (reviewed in this topic) to help resolve this ethical dilemma. Address the scenario to generate your conclusions about how you would proceed.

  1. What are the dimensions of the ethical dilemma?
  2. What are the potential organizational policies to which you will refer?
  3. Apply the four core health care ethical principles and the process of ethical decision making in formulating your assistance to the clinical staff.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 
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Post – Mathew

Respond on two different days who selected different types of anemia than you, in the following ways:

Share insights on how the anemia you selected is similar to or different from the one your colleague selected.

Discuss how genetic, gender, ethnic, age, and behavioral factors impact the diagnosis and prescription of treatment for anemic patients.

                                                                 Main Post

                                                 Iron Deficiency Anemia

            Iron deficiency anemia (IDA) can come from two etiologies or a combination of the two: inadequate dairy intake or chronic blood loss. In both, there is no intrinsic factor in the metabolism of iron and both possible causes deplete the iron stores and decrease the hemoglobin production. In the form of hemoglobin, iron is in constant demand by the body. Blood loss can interrupt this constant demand and causes a depletion of stores even faster than usual (Huether & McCance, 2017, p. 517). 

            “Iron is an element that is usually recycled from aged erythrocytes by macrophage phagocytosis and lysis. Hepcidin is a 25-amino acid peptide that is produced by the liver that bind to ferroportin, a transmembrane protein, inducing its internalization and lysosomal degradation. When iron stores are low, hepcidin production is reduced and ferroportin molecules are expressed on the basolateral membrane of enterocytes, when they transfer iron from the cytoplasm of enterocytes to plasma transferrin” (Hammer & McPhee, 2019, p. 153). 

Pernicious Anemia

            “Pernicious Anemia (PA) is the most common type of macrocytic anemia and is caused by a vitamin B-12 deficiency” (Huether & McCance, 2017, p. 515). The absence of intrinsic factor (IF) is the underlying alteration in PA and this is a required transporter for gastric absorption of dietary vitamin B12. Most of these cases result from a type of autoimmune gastritis which causes atrophy from the destruction of parietal and zymogenic cells. Often, there are antibodies that are against the gastric H+-K+ ATPase, and this is a major protein constituent of parietal cell membranes. Also, autoantibodies that are against IF prevent the formation of the B12-IF complex and this causes PA to be secondary to autoimmune destruction of parietal cells (p. 515). 

Comparison

            IDA is the most common type of anemia in the world and usually is from inadequate dairy intake or chronic blood loss (Huether & McCance, 2017, p. 517). Usually, there is no intrinsic dysfunction but both causes potentially destroy iron stores and reduce hemoglobin synthesis (p. 517). 

            PA is the most common type of macrocytic anemia and is caused by a vitamin B12 deficiency (Huether & McCance, 2017, p. 515). This type of anemia is because of the absence of intrinsic factor (IF) (p. 515).

Gender and Iron Deficiency Anemia

            Gender plays a fairly large role in Iron Deficiency Anemia with women of childbearing age being the main victims. The risk of IDA in women of childbearing age is the highest during reproductive years and decreases during menopause. For men, which is does affect, the highest period of time for IDA is during childhood and adolescence (Huether & McCance, 2017, p. 517). In a study by Malik, et al, (2016), “it was found that 39.1% of pregnant women were actually anemic”. One more fact in support of women being more prone to anemia. 

Genetics and Pernicious Anemia

            Genetics actually plays a fairly large role in the Pernicious Anemia as “deficiency of intrinsic factor (IF) may be congenital. In cases like this, it is a genetic disorder with an autosomal recessive inheritance pattern. There has been identification of family cluster and 20-30% of individuals related to someone with PA have it themselves. Usually, it is first-degree female relatives (Huether & McCance, 2017, p. 515). 

 
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