Steps in Evidence-Based Practice

Steps in Evidence-Based Practice

Once you graduate and obtain your first job out of your Master of Social Work program, you may be asked to identify the gaps in services at your new agency. You may be asked to create a new group or help to identify a new evidence-based intervention that can be introduced to the clients. Understanding how to research the current literature, and then choose and evaluate an intervention, is an important component of being a successful social worker. For this course, you have researched new and interesting interventions that are currently being used with children, adolescents, adults, and the elderly. Further, you have explored the importance of connecting theory to practice.

For this Assignment, use will practice steps in Evidence-Based Practice. 1) You will think of a practice problem. 2) You then conduct a literature review on available research. 3) You will evaluate the evidence to determine which intervention to use. 4) You will consider client values and your clinical expertise. 5) You will think about what you hope the client gains from this intervention (i.e., decreased depression, increased quality of life, decreased PTSD symptoms) and consider how you might measure this change. Steps in Evidence-Based Practice

To prepare:

  • Choose a population of interest to you.
    • Adolescents
  • Choose a presenting problem (depression, family conflict, homelessness, etc.) related to the population of interest.
  • Conduct a literature review focused on the presenting problem within the population of interest.
  1. Submit a 12- to 15-page scholarly paper supported with a minimum of sixpeer-reviewed articles as references. In the paper, you should:
  • Briefly describe the population and presenting problem you are focusing on for this assignment.
  • Provide a review of the articles you reviewed from this project and explain what you learned from conducting this research.
  • Briefly describe at least 2 evidence-based interventions currently used for your chosen population when addressing this particular problem. Provide supporting references when explaining the evidence behind the interventions.
  • Explain which of these interventions you might choose to use and why.
    • Consider client values and your clinical expertise and how those might affect your decision of which intervention to use.
  • Describe how you might apply the specific skills and techniques of the chosen intervention.
  • Briefly explain how you could measure the outcomes of this intervention.
  • Explain any cultural considerations that you need to take into account when working with this population or the particular presenting problem. Steps in Evidence-Based Practice
  • Discuss how the Code of Ethics applies when working with this particular presenting problem and population.
  • Explain how you would apply a trauma-informed lens when working with this population.

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Support your Final Project with specific references to the resources. Be sure to provide full APA citations for your references.

The Final Project will be evaluated according to the Final Project Rubric, located bellow and in the Course Information area.

 

 

Learning Resources to use as References to support your work and Citation for this Final Project

Resource List

This page contains all of the resources for this course.

Photo Credit: [ONOKY – Eric Audras]/[Brand X Pictures]/Getty Images

Week 1

Required Readings

Beder, J. (2000). The integration of theory into practice: Suggestions for supervisors. Professional Development: The International Journal of Continuing Social Work Education, 3(2), 40–48. Retrieved from http://www.profdevjournal.org/articles/32040.pdf

 

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

Week 2

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. Steps in Evidence-Based Practice

Required Readings

Daley, M., R., & Hickman, S. (2011). Dual relations and beyond: Understanding and addressing ethical challenges for rural social work. Journal of Social Work Values and Ethics, 8(1). Retrieved from http://www.socialworker.com/jswve/spr11/spr11daleyhickman.pdf

National Association of Social Workers. (2008). Code of ethics. Retrieved from http://www.socialworkers.org/pubs/code/default.asp

Reamer, F. G. (2011, November 30). When bad things happen to good social workers: The perils of ethics mistakes. Social Work Today. Retrieved from http://www.socialworktoday.com/news/eoe_113011.shtml

 

Gutiérrez, L. M. (1995). Understanding the empowerment process: Does consciousness make a difference? Social Work Research, 19(4), 229–237.

Note: Retrieved from Walden Library databases.

Reamer, F. G. (2003). Boundary issues in social work: Managing dual relationships, Faculty Publications. Paper 162. Retrieved from https://www.bu.edu/ssw/files/2015/09/Reamer-F.-Boundary-Issues-in-Social-Work-Managing-dual-relationships.pdf

Zur, O., & Lazarus, A. A. (n.d.). Six arguments against dual relationships and their rebuttals. Retrieved from http://www.zurinstitute.com/dualarguments.html Steps in Evidence-Based Practice

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

Week 3

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 Disease Control and Prevention. (2013). Adverse Childhood Experiences (ACE) Study. Retrieved from http://www.cdc.gov/ace

 

Woolley, M. E. (2013). Assessment of children. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 1–39). Hoboken, NJ: Wiley.

McCormick, K. M., Stricklin, S., Nowak, T. M., & Rous, B. (2008). Using eco-mapping to understand family strengths and resources. Young Exceptional Children, 11(2), 17–28.

Note: Retrieved from Walden Library databases.

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

 

  • Working With Children and Adolescents: The Case of Claudia (pp. 15–17)

 

Note: Depending on your concentration, you may not receive a case study book until a later term. Therefore, if you did not receive a copy of Social Work Case Studies: Concentration Year in your previous course, use the linked PDF provided here. If you did receive the book referenced above, you may find the cases there or use the PDF.

 

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

Week 4

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. Steps in Evidence-Based Practice

Required Readings

Gutiérrez, L., Oh, H. J., &Gillmore, M. R. (2000). Toward an understanding of (em)power(ment) for HIV/AIDS prevention with adolescent women. Sex Roles, 42(7–8), 581–611.

Note: Retrieved from Walden Library databases.

Springer, D. W., & Powell, T. M. (2013). Assessment of adolescents. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 71–95). Hoboken, NJ: Wiley.

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

  • The Bradley Family (pp. 17–19)

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

 

  • Working With Families: The Case of Brady (pp. 26–28)

 

Note: Depending on your concentration, you may not receive a case study book until a later term. Therefore, if you did not receive a copy of Social Work Case Studies: Concentration Year in your previous course, use the linked PDF provided here. If you did receive the book referenced above, you may find the cases there or use the PDF.

 

Required Media

Laureate Education (Producer). (2013a). Bradley family: Episode 2 [Video file]. Retrieved from https://class.waldenu.edu

 

Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

Week 5

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. Steps in Evidence-Based Practice

Required Readings

Congress, E. (2013). Assessment of adults. In M. Holosko, C. Dulmus, & K. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 125–145). Hoboken, NJ: Wiley.

Cowger, C. D. (1994). Assessing client strengths: Clinical assessment for client empowerment. Social Work, 39(3), 262–268.

Note: Retrieved from Walden Library databases.

Mental Measurements Yearbook. (n.d.). Lincoln, NE: Buros Institute of Mental Measurements.

Note: Retrieved from Walden Library databases.

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

 

  • Mental Health Diagnosis in Social Work: The Case of Miranda (pp. 7–9)

 

Note: Depending on your concentration, you may not receive a case study book until a later term. Therefore, if you did not receive a copy of Social Work Case Studies: Concentration Year in your previous course, use the linked PDF provided here. If you did receive the book referenced above, you may find the cases there or use the PDF.

 

Hawkins, R. L., & Kim, E. J. (2012). The socio-economic empowerment assessment: Addressing poverty and economic distress in clients. Clinical Social Work Journal, 40(2), 194–202.

Note: Retrieved from Walden Library databases.

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader]. Steps in Evidence-Based Practice

  • The Cortez Family (pp. 23–25)

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

Week 6

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

Christ, G., & Diwan, S. (2008). Chronic illness and aging: The role of social work in managing chronic illness care. Council on social work education. Retrieved from http://www.cswe.org/getattachment/Centers-Initiatives/CSWE-Gero-Ed-Center/Teaching-Tools/Gero-Competencies/Practice-Guides/Assignments-Measurments/CI-Sec2-Role-SW.pdf.aspx

 

Paveza, G. J. (2013). Assessment of the elderly. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 177–195). Hoboken, NJ: Wiley.

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

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  • The Petrakis Family (pp. 20–22)

Required Media

Laureate Education (Producer). (2013c). Petrakis family: Episode 3 [Video file]. Retrieved from https://class.waldenu.edu

 

Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

Week 7

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. Steps in Evidence-Based Practice Steps in Evidence-Based Practice

Required Readings

Gutiérrez, L. M. (1990). Working with women of color: An empowerment perspective. Social Work, 35(2), 149–153.

Note: Retrieved from Walden Library databases.

Geller, S. M., & Greenberg, L. S. (2012). Challenges to therapeutic presence. In Therapeutic presence: A mindful approach to effective therapy (pp. 143–159). Washington, DC: American Psychological Association.

Note: Retrieved from Walden Library databases.

McTighe, J. P. (2011). Teaching the use of self through the process of clinical supervision. Clinical Social Work Journal, 39(3), 301–307.

Note: Retrieved from Walden Library databases.

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

  • The Petrakis Family (pp. 20–22)

Hill, C. E., & Knox, S. (2001). Self-disclosure. Psychotherapy: Theory, Research, Practice, Training, 38(4), 413–417.

Note: Retrieved from Walden Library databases.

Required Media

Laureate Education (Producer). (2013c). Petrakis family: Episode 3 [Video file]. Retrieved from https://class.waldenu.edu

 

Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

Week 8

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

Chiesa, C. (2012). Scripts in the sand: Sandplay in transactional analysis psychotherapy with children. Transactional Analysis Journal, 42(4), 285–293.

Note: Retrieved from Walden Library databases. Steps in Evidence-Based Practice

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

 

  • Working with Children and Adolescents: The Case of Claudia (pp. 15–17)

 

Note: Depending on your concentration, you may not receive a case study book until a later term. Therefore, if you did not receive a copy of Social Work Case Studies: Concentration Year in your previous course, use the linked PDF provided here. If you did receive the book referenced above, you may find the cases there or use the PDF.

 

Ruffolo, M. C., & Allen-Meares, P. (2013). Intervention with children. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 41–69). Hoboken, NJ: Wiley.

Taylor, E. R. (2009). Sandtray and solution-focused therapy. International Journal of Play Therapy, 18(1), 56–68.

Note: Retrieved from Walden Library databases.

Malawista, K. L. (2004). Rescue fantasies in child therapy: Countertransference/ transference enactments. Child and Adolescent Social Work Journal, 21(4), 373–386.

Note: Retrieved from Walden Library databases.

van der Kolk, B. A. (2003). The neurobiology of childhood trauma and abuse. Child and Adolescent Psychiatric Clinics, 12, 293–317. Retrieved from http://www.traumacenter.org/products/pdf_files/neurobiology_childhood_trauma_abuse.pdf

van der Kolk, B. A. (2005a). Child abuse & victimization. Psychiatric Annals, 35(5),374–378. Retrieved from http://www.traumacenter.org/products/pdf_files/neurobiology_childhood_trauma_abuse.pdf

 

van der Kolk, B. A. (2005b). Developmental trauma disorder. Psychiatric Annals, 35(5), 401–408.

Note: Retrieved from Walden Library databases. Steps in Evidence-Based Practice

Gil, E. (1991). The healing power of play: Working with abused children. New York, NY: Guilford Press:

Chapter 2, “The Child Therapies: Application in Work With Abused Children (pp. 26–36) (PDF)

Chapter 3, “The Treatment of Abused Children” (pp. 37–82) (PDF)

 

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

Week 9

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

LeCroy, C. W., & Williams, L. R. (2013). Intervention with adolescents. In M. Holosko, C. Dulmus, & K. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 97–124). Hoboken, NJ: Wiley.

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader]. Steps in Evidence-Based Practice

  • The Bradley Family (pp. 17–19)

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

 

  • Working With Families: The Case of Brady (pp. 26–28)

 

Note: Depending on your concentration, you may not receive a case study book until a later term. Therefore, if you did not receive a copy of Social Work Case Studies: Concentration Year in your previous course, use the linked PDF provided here. If you did receive the book referenced above, you may find the cases there or use the PDF.

Centers for Disease Control and Prevention. (2012). Suicide prevention: Youth suicide. Retrieved from https://www.cdc.gov/violenceprevention/suicide/index.html

 

Required Media

Laureate Education (Producer). (2013a). Bradley family: Episode 2 [Video file]. Retrieved from https://class.waldenu.edu

 

Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

Week 10

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

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

  • The Levy Family (pp. 15–16)

Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351.

Note: Retrieved from Walden Library databases.

Thyer, B. A. (2013). Intervention with adults. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 147–176). Hoboken, NJ: Wiley.

Yoder, M., Tuerk, P. W., Price, M., Grubaugh, A., L., Strachan, M., Myrick, H., &Acierno, R. (2012). Prolonged exposure therapy for combat-related posttraumatic stress disorder: Comparing outcomes for veterans of different wars. Psychological Services, 9(1), 16–25. Steps in Evidence-Based Practice

Note: Retrieved from Walden Library databases.

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

 

  • Working With Clients With Compulsive Disorder: The Case of Marjorie (pp. 18–20)

 

Note: Depending on your concentration, you may not receive a case study book until a later term. Therefore, if you did not receive a copy of Social Work Case Studies: Concentration Year in your previous course, use the linked PDF provided here. If you did receive the book referenced above, you may find the cases there or use the PDF.

 

Elliott, D. E., Bjelajac, P., Fallot, R. D., Markoff, L. S., & Reed, B. G. (2005). Trauma‐informed or trauma‐denied: Principles and implementation of trauma‐informed services for women. Journal of Community Psychology, 33(4), 461-477.

Note: Retrieved from Walden Library databases.

Kruger, A. (2000). Empowerment in social work practice with the psychiatrically disabled: Model and method. Smith College Studies in Social Work, 70(3), 427–439.

Note: Retrieved from Walden Library databases.

Required Media

Laureate Education (Producer). (2013b). Levy family: Episode 3 [Video file]. Retrieved from https://class.waldenu.edu

 

Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

Week 11

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

Browne, C. V. (1995). Empowerment in social work practice with older women. Social Work, 40(3), 358–364.

Note: Retrieved from Walden Library databases.

Holosko, M. J., Skinner, J. F., Patterson, C. A., &Brisebois, K. (2013). Intervention with the elderly. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 197–235). Hoboken, NJ: Wiley.

Laidlaw, K. (2001). An empirical review of cognitive therapy for late life depression: Does research evidence suggest adaptations are necessary for cognitive therapy with older adults? Clinical Psychology and Psychotherapy, 8(1), 1–14.

Note: Retrieved from Walden Library databases.

Haber, D. (2006). Life review: Implementation, theory, research, and therapy. The International Journal of Aging and Human Development, 63(2), 153–171.

Note: Retrieved from Walden Library databases.

Monod, S. M., Rochat, E., Büla, C. J., Jobin, G., Martin, E., & Spencer, B. (2010). The spiritual distress assessment tool: An instrument to assess spiritual distress in hospitalised elderly persons. BMC Geriatrics, 10, 88.

Note: Retrieved from Walden Library databases.

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

 

 

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. Steps in Evidence-Based Practice

Required Readings

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

  • The Levy Family (pp. 15–16)

Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351.

Note: Retrieved from Walden Library databases.

Thyer, B. A. (2013). Intervention with adults. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 147–176). Hoboken, NJ: Wiley.

Beder, J. (2000). The integration of theory into practice: Suggestions for supervisors. Professional Development: The International Journal of Continuing Social Work Education, 3(2), 40–48. Retrieved from http://www.profdevjournal.org/articles/32040.pdf on August 28, 2017

Larson, R. & Wilson, S. (2014). Adolescence across place and time: Globalization and the changing pathways to adulthood. In R. Lerner and L. Steinberg Handbook of Adolescent Psychology. New York: Wiley & Sons.

Roberts, M. (2015) Problems of Adolescence. BBC News. Retrieved from www.bbcnews.com on August 28, 2017

 

Yoder, M., Tuerk, P. W., Price, M., Grubaugh, A., L., Strachan, M., Myrick, H., &Acierno, R. (2012). Prolonged exposure therapy for combat-related posttraumatic stress disorder: Comparing outcomes for veterans of different wars. Psychological Services, 9(1), 16–25.

Note: Retrieved from Walden Library databases.

Plummer, S.-B., Makris, S., &Brocksen, S. M. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

 

  • Working With Clients With Compulsive Disorder: The Case of Marjorie (pp. 18–20)

 

Note: Depending on your concentration, you may not receive a case study book until a later term. Therefore, if you did not receive a copy of Social Work Case Studies: Concentration Year in your previous course, use the linked PDF provided here. If you did receive the book referenced above, you may find the cases there or use the PDF. Steps in Evidence-Based Practice

 

Elliott, D. E., Bjelajac, P., Fallot, R. D., Markoff, L. S., & Reed, B. G. (2005). Trauma‐informed or trauma‐denied: Principles and implementation of trauma‐informed services for women. Journal of Community Psychology, 33(4), 461-477.

Note: Retrieved from Walden Library databases.

Kruger, A. (2000). Empowerment in social work practice with the psychiatrically disabled: Model and method. Smith College Studies in Social Work, 70(3), 427–439.

Note: Retrieved from Walden Library databases.

Required Media

Laureate Education (Producer). (2013b). Levy family: Episode 3 [Video file]. Retrieved from https://class.waldenu.edu

WAL_SOCW6111_10_A_EN.pdf

 

My posted discussion on this matter

Introductory video

My name is Cheraldo A. Morales Sweatt. I am originally from Puerto Rico but I am living in OK at this time. The population I picked is adolescence is a psychological and physical transitional stage between puberty and adulthood (Roberts, 2015).  It is in most times associated with teenagers but the physical and psychological changes may begin before teenage years and extend till the early twenties.  Due to the psychological, physical and hormonal changes occurring in adolescents, they tend to suffer from a transition crisis in search of identity. I intend to work with adolescents upon graduation because I feel that this stage of life is the make or break stage in terms of personalities and characters.  Some of the social issues facing adolescents are internet and online addiction violence and cyber bullying, eating disorders and addiction to drugs, alcohol and sex (Larson & Wilson, 2014). Young adults within this bracket are often under pressure to fit in with what is cool and in their struggle to achieve identity, they may fall into addictions and moral vices.  I expect that it will be difficult to break the ice when dealing with this category of people, as they are known to be rebellious. However, I will aim to strike a connection with them such that they will be free to open up and we can tackle the issues they face together.

 

References

Beder, J. (2000). The integration of theory into practice: Suggestions for supervisors. Professional Development: The International Journal of Continuing Social Work Education, 3(2), 40–48. Retrieved from http://www.profdevjournal.org/articles/32040.pdf on August 28, 2017

Larson, R. & Wilson, S. (2014). Adolescence across place and time: Globalization and the changing pathways to adulthood. In R. Lerner and L. Steinberg Handbook of Adolescent Psychology. New York: Wiley & Sons.

Roberts, M. (2015) Problems of Adolescence. BBC News. Retrieved from www.bbcnews.com on August 28, 2017 . Steps in Evidence-Based Practice

Living a Healthy Lifestyle Through Proper Nutrition

Living a Healthy Lifestyle Through Proper Nutrition

Create a 3 page essay paper that discusses Should Overweight Employee Be Penalized. We live in a modern society that provides us with more than ample means of living a healthy lifestyle through the proper nutrition intake, diet, and exercise. Living a Healthy Lifestyle Through Proper Nutrition However, most people fail to take advantage of these basic opportunities presented to them. The result is a weakened state of health for the individual. As such, the individual ends up requiring much more healthcare than his insurance program can provide. Added to this problem is the fact that the new health care laws of the United States has made it more difficult and expensive for the employers to keep their employees covered with ample medical insurance benefits. The continued rising cost of healthcare coverage has thus forced some employers to take the health matters of their employees in their own hands by forcing them to participate in a company mandated healthcare program or face severe penalties for non-participation.

ORDER A FREE-PLAGIARISM PAPER HERE

Their intention is clear, to keep their health care costs down, but at the expense of sticking their noses in where it does not belong, in the private lives of their employees. Their participate or pay fines choice disrespects the freedom of an individual to choose how he lives his life and how he participates in various activities. It would appear that an increasing number of companies are opting for such health care rider coverage for their employees. As many as. “almost half (47%) of companies already use or plan to use financial penalties over the next three to five years on workers who don’t take part in health-improvement programs.View less » Living a Healthy Lifestyle Through Proper Nutrition

ANOVA Testing Nursing essay

ANOVA Testing Nursing essay

PUB-550: Application and Interpretation of Public Health Data

PUB-550 Topic 5: ANOVA Testing

Objectives:
  1. Compare and contrast the types of ANOVA tests and their application. ANOVA Testing Nursing essay.
  2. Apply the results of an ANOVA to determine statistical difference between means and potential interactions.

Application of ANOVA

The purpose of this assignment is to calculate and interpret an ANOVA table. For this assignment, use IBM SPSS Statistics. ANOVA Testing Nursing essay

Part 1:

Using the “Example Dataset,” assess this statement using ANOVA: “People with different levels of education exercise for different amounts of time during the week.”

Select and conduct the appropriate ANOVA test to assess the statement. Export the ANOVA table to a Word document.

Part 2:

In 250-500 words, discuss the following regarding the use of ANOVA.

  1. Describe when the use of ANOVA is more appropriate than the use of a t-test.
  2. Describe which ANOVA test you used and why.
  3. Interpret the results by (a) stating the reason the study or test was done; (b) presenting the main results, including explaining the within and between subjects variation and the F-ratio from the ANOVA table; (c) explaining what the results mean, including discussing whether there is a statistically significant difference between education groups and amount of exercise; and (d) making suggestions for future research. ANOVA Testing Nursing essay

General Requirements

Submit one Word document for the Part 1 assignment content and a second Word document for Part 2 of the assignment. Submit both Word documents to the instructor. ANOVA Testing Nursing essay

APA style is not required, but solid academic writing is expected.

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

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You are not required to submit this assignment to LopesWrite.

Attachments

PUB-550-RS-Example Dataset.xlsx

 

Topic 5 DQ 1

Compare the various types of ANOVA by discussing when each is most appropriate for use and which types of research questions each best answers. Include specific examples to illustrate the appropriate use of each test and how interaction is assessed using ANOVA. ANOVA Testing Nursing essay.

Topic 5 DQ 1

Analysis of Variance (ANOVA) is a collection of statistical models, and their associated procedures, in which the observed variance in a particular variable is partitioned into components attributable to different sources of variation. It is very useful for analyzing datasets. It is a way to find out if survey or experiment results are significant. In other words, they help you to figure out if you need to reject the null hypothesis or accept the Alternative hypothesis. It basically allows comparisons to be made between three or more groups of data. For example, when multiple medications that treat the same condition are being tested to see which one works better or which one has the most benefit (Glen, 2020) ANOVA Testing Nursing essay.

There are two types of ANOVA that are commonly used, the One-Way ANOVA and the Two-Way ANOVA. A one-way ANOVA is a type of statistical test that compares the variance in the group means within a sample while considering only one independent variable or factor. It is a hypothesis-based test, meaning that it aims to evaluate multiple mutually exclusive theories about one data. A one-way ANOVA compares three or more than three categorical groups to establish whether there is a difference between them. Within each group, there should be three or more observations and the means of the samples are compared ANOVA Testing Nursing essay. For example, conducting research on whether people gain more weight during Thanksgiving, Christmas or Easter (Mackenzie, 2018). In a one-way ANOVA, there are two possible hypotheses. The null hypothesis (H0) is that there is no difference between the groups and equality between means. And the alternative hypothesis (H1) is that there is a difference between the means and groups (Mackenzie, 2018). In the two-way ANOVA, each sample is defined in two ways and resultingly put into two categorical groups. For example weight and gender. It actually compares the effect of multiple groups of two independent variables on a dependent variable and on each other (Mackenzie, 2018). ANOVA Testing Nursing essay

 

References:

Glen, S. (2020). ANOVA Test: Definition, Types, Examples. Retrieved from

https://www.statisticshowto.datasciencecentral.com/probability-and-statistics/hypothesis-testing/anova/#top

Mackenzie, R. (2018). One-Way vs Two-Way ANOVA: Differences, Assumptions, and Hypotheses. Retrieved from

https://www.technologynetworks.com/informatics/articles/one-way-vs-two-way-anova-definition-differences-assumptions-and-hypotheses-306553

 

Topic 5 DQ 2

Different types of software can be used for data management. Compare Excel and SPSS and discuss specific SPSS software features that make it preferable to Excel for data management. Provide examples illustrating when electing to use SPSS could be preferable to Excel and vice versa ANOVA Testing Nursing essay.

Topic 5 DQ 2

SPSS is a powerful program which provides many ways to rapidly examine data and test scientific hunches. SPSS can produce basic descriptive statistics, such as averages and frequencies, as well as advanced tests such as time-series analysis and multivariate analysis (Zhang, 2015). The program also is capable of producing high-quality graphs and tables. Compared with Excel, SPSS’s statistical analysis, chart function and database connectivity function can be more powerful. According to Zhang (2015) SPSS software has the characteristics of high speed, no programming, convenient data interface and flexible function module to deal with the huge data which is affected by random factors. Compared with SPSS, Excel shows its more professional. It is worth mentioning that these two types of software documents can be introduced into each other ANOVA Testing Nursing essay. This greatly reduces the trouble of data entry. Users can use the same data file to be processed on different software. The main limitation of analyzing data in an Excel spreadsheet is the potential for errors by typing incorrect formulas (Neyeloff, Fuchs and Moreira, 2012). All sensitivity analysis is done manually, including and excluding each study of the effect summary calculations. ANOVA Testing Nursing essay

 

Neyeloff, J. L., Fuchs, S. C., & Moreira, L. B. (2012). Meta-analyses and Forest plots using a microsoft excel spreadsheet: step-by-step guide focusing on descriptive data analysis. BMC Res Notes (5) 52. https://doi.org/10.1186/1756-0500-5-52.

Zhang, K. (2015). Application of SPSS single factor analysis of variance in biostatistics ANOVA Testing Nursing essay.

 

Geopolitical community and phenomenological community

Give a positive response  to the following on geopolitical community and phenomenological community;

What is the geopolitical community in which you live? Why is it geopolitical?

My geopolitical community is Turlock, California. There is a big agricultural industry here and people’s sensibilities tend to lean conservatively, though there are small liberal pockets here and there. Often Turlock and Modesto (adjacent towns) are lumped together in terms of spacial community because a lot of people live in one and often work in the other. I live in Turlock but work in Modesto so I am involved in both communities socially and professionally. Geopolitical community and phenomenological community

What is a phenomenological community to which you belong? Why is it a phenomenological community?

My phenomenological community is very similar to my geopolitical one. If Modesto doesn’t count as part of my spacial community because I don’t live there, then I certainly feel like I’m a part of that community as well. There is also a significant Middle Eastern (specifically Assyrian) community in the Turlock/Modesto area and I certainly feel a part of them. While I was born and raised in the US my parents maintained a strong active cultural presence in our lives growing up.

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What would some challenges and benefits be for community health nurses in providing care for different communities? For similar communities? For the same community? What are some possible solutions to the challenges?

Challenges to working in different communities would largely relate to communication and culture. Does the nurse speak the same language as the community in which he/she is working? That can be a big challenge to overcome. Also, practicing culturally competent care is another layer to add onto one’s practice and can be difficult at times. Ensuring that the nurse is not judgmental or condescending if practicing in a lower socioeconomic community than the one she is from is also important. We must treat all of our patients with respect and dignity. “Clinicians may also have to step outside of their usual therapeutic role to serve the client as an advocate” (Hope, Mocarski, Bautista, & Holt, 2016). This is specifically referring to community health workers working with people who identify as transgender, but it can apply to any member of any community. Nurses must be flexible and use all the resources at their disposal. On the other hand, some communities may have limited resources, so the nurse must make do with what he has. A benefit to all this may be a feeling of fulfillment or satisfaction in overcoming a lot of these challenges. Some possible solutions would be networking with outside resources or partially taking on that advocate or caseworker role (as long as the scope of the position allows) in ensuring the patients receive the best care possible. Geopolitical community and phenomenological community

When working in similar or the same community to one’s own, some of the challenges may still be there in terms of resources, however, one may experience a sense of kinship with these communities that make the challenges seem less daunting. The language barrier is usually not an issue with these communities and the nurse will already understand the culture of the members living in his/her own community.

 

Hope, D. A., Mocarski, R., Bautista, C. L., & Holt, N. R. (2016). Culturally competent evidence-based behavioral health services for the transgender community: Progress and challenges. American Journal Of Orthopsychiatry, (4), 361.

management’s role in this technology initiative

management’s role in this technology initiative

You work for a health care organization and have been asked to develop a proposal on how the organization might adopt a technology trend to improve the quality of the health care delivered to organization members.

Use the content from the Technology Trends Proposal assignments in Weeks 2 through 4, and research the educational and training needs for the selected technology to help you develop your presentation.

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Developa 10- to-slide Microsoft® PowerPoint® presentation to present your findings and recommendations to the board of the health care organization in which you: Mobile devices in Healthcare

  • Analyze the types of technology trends researched.
  • What are the types and uses of technology across the health care industry? management’s role in this technology initiative
  • Which technology trend did you select? Why?
  • What are the benefits of the selected technology that support quality initiatives?
  • Analyze the impact of the technology trend selected.
  • What impact do they have?
  • Analyze security risks and privacy safeguards related to health care technology.
  • What are the privacy risks and security safeguards of the selected technology?
  • Examine strategies to evaluate system effectiveness.
  • What strategies will be used to evaluate system effectiveness of the selected technology?
  • Explain management’s role in this technology initiative.
  • Analyze the need for education and training on the use of technology within health care.
  • What are the educational and training needs for the use of the selected technology?

Formatyour presentation according to APA guidelines.

Provide detailed speaker notes in your presentation. Your notes must consist of complete sentences and paragraphs and represent the words you would speak if you were giving an in-person presentation.

Cite 1peer-reviewed, scholarly, or similar references to support your assignment management’s role in this technology initiative

Alzheimer Assignment Example

Alzheimer Assignment Example

HCS 212 Week 4 Complete Discussion 1. How will knowing the major body systems, organs, and their functions help you in the health care job you have or would like to have? Provide at least one specific example in your response. Discussion 2. A friend contacts you and tells you that his parent has just been diagnosed with Alzheimer-/Fibromyalgia/Myelodysplastic Syndrome [pick one]. He confides in you that he is scared and doesn’t know anything about the disease.

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o How would you help him? o What resources would you connect him to? · What associations would you refer him to? Individual Assignment – Health Care Terms As you start your journey into the world of health care, it is essential that you begin developing a vocabulary of the health care industry. Resources: Health Care Terms assignment posted to the Course Materials forum. NOTE: do not use the copy of the assignment posted under Week 4 of the Materials tab. Alzheimer Assignment Example In an MS Word document, define the following terms in your own words based on your readings or other research, as needed. Definitions should be comprehensive (at least two to three complete sentences in length), and properly cited and referenced: · Medicare · Medicaid · Indemnity Insurance · Managed Care · Certification (physicians) · Public health · Ambulatory care · Palliative care · Homeostasis · The lymphatic system · Plasma · Alveoli · Synaptic Transmission · The limbic system · Pancreas Learning Team Assignment – Submit Body Parts Presentation Thesis Statement Alzheimer Assignment Example

Spiritual Assessment Interview Essay

Spiritual Assessment Tool

In every country, there is opportunity to improve the quality and performance of the health-care system. In order for medical providers to deliver holistic care, thorough spiritual assessment should be examined during their care. Despite growing professional awareness of the importance of religion and spirituality in health, patients’ religious backgrounds and spirituality may be overlooked by physicians, nurses, psychologists, and other health care professionals (The Joint Commission, 2005). In this case, The Joint Commission requires health organizations to include a spiritual assessment to maintain accreditation so that medical providers will make an effort to seek spiritual impressions and insights about patients and their problems and how to assist them. The Joint Commission suggests some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Ultimately, after using different resources I created my own tool for assessing the spiritual needs of patients while asking 5 questions that were answered by my observation. Spiritual Assessment Interview Essay

Spiritual Assessment Tool

For many people spirituality and religion are two important dimensions of their existence and can be powerful resources in helping them achieve well-being and deal with life’s challenges. In this case, out of the six different spiritual assessment tool possibilities I decided to research the assessment F.A.C.T. I searched for a spiritual assessment tool that focused on remaining short and easy, versatile, and focused. Additionally, F.A.C.T is a great assessment tool as it allows me to obtain information on a person’s spiritual life, history, and practices and on how these affect their ability to cope with their present healthcare crisis (LaRocca-Pitts, 2012). In this case, many people use their faith or spirituality to help them cope with a health crisis. I picked FACT because it mentions a person’s faith or spiritual practice and how it affects their medical outcomes which are important in restoring spirituality back into American healthcare.

 

Interview

I decided to choose a lady I interviewed recently about the affordable health care act. Her name is Anita Blackwell and she is a private consultant for ADHD and pediatric nurse Practitioner with a masters in counseling and education.  I chose Ms. Blackwell because she has tons of experience in health care and has been a administrator before. I wanted to interview her and get her perspective of her views on the spiritual assessment of FACT as she dealt with a medical issue that she is currently healing from.

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Question #1 Spiritual Assessment Interview Essay

What is your Faith or belief? Do you consider yourself a person of Faith

or a spiritual person? What things do you believe that give your life meaning and purpose?

 

  • “My belief is Christianity and I consider myself a women of God. I believe in the life of Jesus and the bible. As those things show me direction in life, my family and friends is what gives me my meaning and purpose of life”

 

Question #2   Spiritual Assessment Interview Essay

Active (or Available, Accessible, Applicable): Are you currently Active in your faith

community? Are you part of a religious or spiritual community? Is support for your faith

Available to you? Do you have Access to what you need to Apply your faith (or your

beliefs)? Is there a person or a group whose presence and support you value at a time like

this?

  • “I am very active in my faith community and I am familiar with a religious community. My friend, family and church are there for support regarding my faith. The bible is something that gives me access to what I need definitely. I am apart of several groups who support and value my needs. Bible studies and prayer partners are who I value as support”

Question #3   Spiritual Assessment Interview Essay

Coping (or Comfort); Conflicts (or Concerns): How are you Coping with your medical

situation? Is your faith (your beliefs) helping you Cope? How is your faith (your beliefs)

providing Comfort in light of your diagnosis? Do any of your religious beliefs or spiritual

practices Conflict with medical treatment? Are there any particular Concerns you have for

us as your medical team?

 

  •  I am coping with my medical situation by remaining hopeful and continuing my life. Staying active in the church and maintaining my daily routine is really what motivates me to do better. My faith gives me hope which is helping me cope. My faith provides me comfort because it lets me put my hope in something greater than myself. Actually no beliefs conflict with my medical treatment and I currently have no concerns about getting better or anything”

Question #4 Spiritual Assessment Interview Essay

Do you think your treatment is responsible for your 100 percent recovery?

  • “I think treatment and the medication has a lot to do with recovery but I also think without my faith I wouldn’t be able to make it. My faith gives me hope which motivates me to be stronger and do better. My health was a huge concern but I know god works in mysterious ways and I am getting better”

 

Question #5   Spiritual Assessment Interview Essay

If your medical provider wishes to use other methods in assisting with your treatment do you think your faith/religion will come in the way of that?

 

  • “I don’t think my religion will come in the way of anything. Currently I am on the right path to recovery. I don’t think there would be any reasons for me to question whether or not the doctor’s treatments are appropriate. I trust my physicians as well as my faith. I know god will lead me into the right paths. Good things will follow. Spiritual Assessment Interview Essay.

 

Analysis

What went well?

There were a lot of great outcomes of this interview. After speaking with Ms. Blackwell I discovered that this assessment wasn’t just questions toward healing but it can be used as a plan to help assist the patient. In this case, it is important to remember that when conducting spiritual assessment is not an end in itself. It is the first step in creating a Spiritual Care Plan (Galek et al 2005). Overall, she seemed comfortable discussing these personal questions about her religion. What made the interview go so well was to see how much her faith means to her and how she applies it to her everyday life.

What to do differently in the future

In the future if I ever have to do another assessment I think I would try and focus more on the patients experiences rather than their view on religion. I will make sure I answer the questions according to FACT but I think I would add additional questions regarding their experiences just so I can get a better understanding of what their faith means to them.

Barriers and Challenges

Time constraints were a challenge. Also, asking such personal questions about faith can be a challenge as the patient isn’t always comfortable talking about those concepts. Overall, a barrier in this assessment was myself. I am currently growing in my faith so it was difficult asking Ms. Blackwell questions I had no idea myself. I think its important to make sure on is familiar with the questions he/she is asking as well. Spiritual Assessment Interview Essay

How to address challenges and changes that are necessary

            In the future, I can address these challenges by continuing to utilize my resources and gain knowledge in my faith that way when it comes down to interviewing a patient or whomever I will be able to feel comfortable asking those questions. Also, making sure I have enough time and not conducting a last minute interview. Time constraints and be a challenge because the it doesn’t give the person who is being interviewed enough time to prepare.

Spiritual experiences

I remember going to church as a kid with Ms. Blackwell and praying every night before bed. She would say things like “your faith is what gives you hope” (Blackwell, personal communication, September 20, 2014). These experiences allowed me and her to feel more comfortable when conducting this interview.

Tools ability to meet needs of the patient

I think this was a successful tool because it provides a quick and accurate determination of whether or not a person’s current health crisis is affecting their spiritual well-being and then based on that determination. Ultimately this assessment suggest a treatment plan which could better the patients health.

         

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Conclusion

Any properly trained healthcare provider can use the FACT Spiritual Assessment Tool as it includes a short history with three questions that involve faith, availability and coping plus an outcome for treatment if needed. Though it is important that the person administering spiritual assessments is professional, the faith, availability and treatment is to be addressed enough to support that individual in their medical illnesses. Using different resources I was able to come up with questions that addressed Ms. Blackwell’s beliefs and how they are implemented throughout her life. These assessments improve quality in healthcare as it allows medical providers to become more familiar with their patients beliefs.  Restoring holistic care back into American health care has become big business. However, there is always an opportunity to improve the quality and performance of a health-care system and  in order for medical providers to deliver holistic care, these thorough spiritual assessment have be examined during patient care. Spiritual Assessment Interview Essay

 

References

Galek, K., Flannelly, K.J., Vane, A., Galek, R.M. (2005) Assessing a patient’s spiritual needs: A

comprehensive instrument. Holistic Nursing Practitioner, 19(2), 62-69.

Implicit Spiritual Assessment: An Alternative Approach for Assessing Client Spirituality. (2013). Social Work, 58(3), 223-230. doi:10.1093/sw/swt019

LaRocca-Pitts, M. (2012). FACT, A Chaplain’s Tool for Assessing Spiritual Needs in an Acute Care Setting. Chaplaincy Today, 28(1), 25-32.

The Joint Commission. (2005). Evaluating your spiritualassessment process. Retrieved September 21, 2014, from   http://www.professionalchaplains.org/files/resources/reading_room/evaluating_your_spiritual_assessment_process.pdf

Spiritual Assessment Interview Essay

 Benchmark Assignment – Spiritual Needs Assessment and Reflection – rubric
1
Unsatisfactory
0.00%                                                 2
Less Than Satisfactory
65.00%                                                 3
Satisfactory
75.00%                                                 4
Good
85.00%                                                 5
Excellent
100.00%                         70.0 %Content 40.0 % Tool for Assessing the Spiritual Needs of Patients          CONHCP: 5.2                                                Tool for assessing the spiritual needs of patients show little to no relevance to the experiences of patients. A transcript of the interview is either missing or not relevant.                                                Tool for assessing the spiritual needs of patients is present but lacks focus on experiences of patients. A clear transcript of the interview is provided.                                                Tool for assessing the spiritual needs of patients is present and focuses on experiences of patients. A clear transcript of the interview is provided.                                                Tool for assessing the spiritual needs of patients is present and focuses on experiences of patient. The tool uses reliable methods for gathering data. A clear transcript of the interview is provided.                                                Tool for assessing the spiritual needs of patients is present and focuses on experiences of patients. The tool uses effective methods for gathering data that produces the results intended. A clear transcript of the interview is provided.30.0 % Analysis of Interview Experience                                                An analysis of the interview experience shows little to no relevance to the assignment instructions. Spiritual Assessment Interview Essay                                               An analysis of the interview experience is included but addresses a few of the points included in the assignment instructions.                                                An analysis of the interview experience is included and addresses most of the points included in the assignment instructions.                                                An analysis of the interview experience is included and addresses all of the points included in the assignment instructions.                                                An analysis of the interview experience is included and addresses all of the points included in the assignment instructions. The analysis shows a deep understanding of the connections.20.0 %Organization and Effectiveness 7.0 % Thesis Development and Purpose                                                Paper lacks any discernible overall purpose or organizing claim.                                                Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.                                                Thesis and/or main claim are apparent and appropriate to purpose.                                                Thesis and/or main claim are clear and forecast the development of the paper. They are descriptive and reflective of the arguments and appropriate to the purpose.  Spiritual Assessment Interview Essay.                                              Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.8.0 % Argument Logic and Construction                                                Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.                                                Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.                                                Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.                                                Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.                                                Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.5.0 % Mechanics of Writing  (includes spelling, punctuation, grammar, language use)                                                Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.                                                Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. Sentence structure is correct but not varied. Spiritual Assessment Interview Essay                                              Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.                                                Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.                                                Writer is clearly in command of standard, written, academic English.10.0 %Format 5.0 % Paper Format  (use of appropriate style for the major and assignment)                                                Template is not used appropriately, or documentation format is rarely followed correctly.                                                Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.                                                Appropriate template is used. Formatting is correct, although some minor errors may be present.                                                Appropriate template is fully used. There are virtually no errors in formatting style.                                                All format elements are correct.5.0 % Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)                                                Sources are not documented.                                                Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.                                                Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.                                                Sources are documented, as appropriate to assignment and style, and format is mostly correct.                                                Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.100 % Total Weightage

Spiritual Assessment Interview Essay

Personality disorder Decision Tree paper

Personality disorder Decision Tree paper

Decision Tree

Introduction

Personality disorders are characterized by inflexible and unhealthy thinking patterns, as well as unhealthy functioning and behaviors. People with personality disorders experience problems when it comes to the perception and relating to people and situations. This leads to significant problems and challenges in social activities, relationships, academics, and even work (Ekselius, 2018) Personality disorder Decision Tree. People with personality disorders might not be aware of their personality disorders because their way of thinking and behavior seems normal to them. They may even put the blame other individuals for their issues and problem. Personality disorders normally start during adolescence or early adulthood. There are various types of personality disorders. The 32-year-old client, in this case, the study presented with symptoms of being manipulative, exploitative, lack of remorse, blaming other people for her mistakes, irresponsibility, stealing, and often breaking the law Personality disorder Decision Tree. These behaviors started manifesting during the client’s childhood. The purpose of this paper is to identify the differential diagnosis for the client, evaluate the available treatments and finally present decisions about the diagnosis and treatment for the client.

Decision #1: Differential Diagnosis

The diagnosis for this client is an antisocial personality disorder. This decision was selected because the client manifests symptoms consistent with the symptoms outlined in DSM-5 diagnostic criteria for antisocial personality disorder. According to the DSM-5 diagnostic criteria, the characteristic symptoms of the antisocial personality disorder include disregarding and violating the law and rights of other people; manipulating and deceiving others; problems with maintaining interpersonal relationships; blaming other people for self-mistakes; irresponsible behaviors; and lack of remorse (Grenyer et al., 2018) Personality disorder Decision Tree. The client in the case study manifests symptoms such as disregarding the law; manipulative and exploitative behaviors; disregard for the law as indicated by imprisonment; blaming third-parties for her mistakes; delinquent behaviors such as stealing; lack of remorse; relationship behaviors; aggression; illegal possession of a gun; and recklessness as indicated by her inability to manage finances. Moreover, the behaviors started manifesting since childhood and hence confirming the diagnosis of antisocial personality disorder.

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Selecting antisocial personality disorder as the diagnosis for this client hoped that the correct diagnosis for the client was made. Therefore, this facilitates the right treatment for this client. The correct diagnosis ensures that there is no misdiagnosis and thus an individual receives treatment for the ailment (Singh et al., 2017).

Since the client exhibits symptoms of antisocial personality disorder as per the DSM-5 diagnostic criteria, there is no difference between the achieved outcome and the expected outcome Personality disorder Decision Tree.

Decision #2: Treatment Plan for Psychotherapy

The second decision is to refer the client to a psychologist for psychological testing. The reason for referring the client for psychological testing is to have her undergo a comprehensive assessment. The psychological assessment should include the administration of psychological tests to the client to objectively, comprehensively and consistently assess her behavior (Bornstein, 2015). Therefore, the client will be administered with some clinical, behavioral and psychological assessment tools that will identify any cognitive problems, behavioral problems, or personality problems (Jadhakhan et al., 2019).

The expected outcome by referring the client for psychological testing is that the diagnosis (antisocial personality disorder) would be verified. Secondly, it is anticipated that the administration of psychological tests would identify other mental health conditions or comorbidities that could be contributing to the symptoms the client is manifesting (Jadhakhan et al., 2019) Personality disorder Decision Tree.

According to the findings from the comprehensive psychological battery test, the client exhibits symptoms of various personality disorders. However, the highest score was on the traits associated with antisocial personality disorder and this, therefore, is suggestive that the diagnosis for this client is an antisocial personality disorder. Therefore, there is no difference between the achieved outcome and the expected outcome. This is because as was expected, the psychological testing revealed that the client’s diagnosis was an antisocial personality disorder. Moreover, the psychological testing indicated a probability of other comorbidities for the client as demonstrated by the results showing that the client has symptoms of personality disorder Personality disorder Decision Tree. Evidence demonstrates that the majority of individuals with one personality disorder also manifest symptoms and signs of other personality disorders (Grenyer et al., 2018). This explains why the client manifests symptoms for multiple personality disorders, even though the score was highest for antisocial personality disorder.

Decision #3: Treatment Plan for Psychopharmacology

The third decision that was selected is to refer Rhoda to group-based cognitive behavior therapy. This decision was chosen because the group-based cognitive behavior therapy (G-CBT) has been demonstrated to be effective in improving symptoms and treating many personality disorders such as antisocial personality disorder. According to CBT, antisocial personality disorder results from the maladaptive beliefs as well as environmental factors that facilitate and promote the problematic behaviors associated with the disorder (Mancke et al, 2018). Additionally, the lack of the appropriate skills to adjust and respond suitably to situations is associated with the development of antisocial personality disorder. Therefore, the CBT utilizes different therapeutic techniques to change the negative thinking patterns and beliefs and thus eventually modify the behavior. Also, CBT equips people with the necessary skills to adapt, handle and respond suitably to situations (Mancke et al, 2018). More importantly, the CBT is a group-CBT and thus this will allow the client to interact with other members of the group (Mancke et al, 2018). This will improve the client’s social skills and thus improve her ability to maintain interpersonal relationships.

The selection of G-CBT for this client hoped that the behavioral deficits and symptoms the client is manifesting would greatly improve. The G-CBT will alter and modify the negative thinking pattern and maladaptive beliefs for this client. Additionally, a G-CBT will equip her with the essential social skills. G-CBT will lead to the client adopting a maladaptive thinking pattern and thus result in behavior change, and at the same time, the client will adopt the socially accepted behaviors (Mancke et al, 2018) Personality disorder Decision Tree.

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Ethical Considerations

The first ethical consideration that the therapist should consider is informed consent. The PMHNP should obtain informed consent from the client before starting any assessment or treatment. The autonomy of the client should also be respected and therefore is she refuses any treatment, the PMHNP should accept the client’s decision. Thirdly, any information that the client reveals during the therapy including issues associated with breaking the law should be kept confidential and private (Warrender, 2017). Lastly, evidence shows that people with personality disorders may sometimes fail to respect the boundary issues and the therapeutic relationship. Therefore, the PMHNP should ensure that the client is educated about the expected boundaries during the treatment. Boundary issues common among people with personality disorders include irrational demands associated with the availability and accessibility of the therapist, irrationality, disrespect, and excessive phone calls to the therapist (Warrender, 2017). Therefore, it is the responsibility of the PMHNP to identify the honest needs of this client and maintain firm boundaries to ensure the provision of ethical and competent treatment. Personality disorder Decision Tree.

Conclusion

The diagnosis for this client was identified as an antisocial personality disorder. This decision was selected since the client reported and manifested symptoms associated with antisocial personality disorder according to the DSM-5 diagnostic criteria. The second decision that was chosen was to refer the client to a psychologist form comprehensive psychological testing to confirm or rule out the diagnosis of antisocial personality disorder and any other associated comorbidity. The final decision was to refer Rhoda to a G-CBT due to the intervention’s efficacy in the treatment of personality disorders. In conclusion, the ethical considerations during the treatment for this client involve autonomy, informed consent, as well as boundary issues Personality disorder Decision Tree.

References

Bornstein R. (2015). Personality Assessment in the Diagnostic Manuals: On Mindfulness, Multiple Methods, and Test Score Discontinuities. J Pers Assess, 97(5), 446–455.

Ekselius L. (2018). Personality disorder: a disease in disguise. Upsala journal of medical sciences, 123(4), 194–204. https://doi.org/10.1080/03009734.2018.1526235.

Grenyer, B., Lewis, K. L., Fanaian, M., & Kotze, B. (2018). Treatment of personality disorder using a whole of service stepped care approach: A cluster randomized controlled trial. PloS one, 13(11), e0206472. https://doi.org/10.1371/journal.pone.0206472.

Jadhakhan, F., Lindner, O. C., Blakemore, A., & Guthrie, E. (2019). Prevalence of common mental health disorders in adults who are high or costly users of healthcare services: protocol for a systematic review and meta-analysis. BMJ Open, 9(9), e028295. https://doi.org/10.1136/bmjopen-2018-028295.

Mancke F, Schmitt R, Winter D, Inga N, Sabine H & Scmahl C. (2018). Assessing the marks of change: how psychotherapy alters the brain structure in women with borderline personality disorder. J Psychiatry Neurosci, 43(3), 171–181.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Singh, H., Schiff, G. D., Graber, M. L., Onakpoya, I., & Thompson, M. J. (2017). The global burden of diagnostic errors in primary care. BMJ quality & safety, 26(6), 484–494. https://doi.org/10.1136/bmjqs-2016-005401.

Warrender D. (2017). Borderline personality disorder and the ethics of risk management: The action/consequence model. Nursing Ethics, 25(7), 918-927. Personality disorder Decision Tree

 

Decision Tree
For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.
Learning Objectives
Students will:
• Evaluate clients for treatment of mental health disorders
• Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders
** Assigned in Week 3 and submitted in Week 4 Personality disorder Decision Tree
Examine Case 1: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point, stop to complete the following:
• Decision #1: Differential Diagnosis
o Which Decision did you select?
o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
• Decision #2: Treatment Plan for Psychotherapy
o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Personality disorder Decision Tree
o Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
• Decision #3: Treatment Plan for Psychopharmacology
o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
• Also include how ethical considerations might impact your treatment plan and communication with clients and their family.
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement Personality disorder Decision Tree.
By Day 7

A woman with personality disorder Case #1 A woman with personality disorder SUBJECTIVE Rhonda is a 32-year-old Hispanic female who presents to your office for her initial appointment. When you ask what brought her to your office, she states: “I’m at the end of my rope, I don’t know what else to do.” She then bursts into tears. Rhonda explains that she has very few friends left, and everyone seems to have “abandoned” her. Rhonda explains that she goes out of her way to help other people, and to be nice to them, but this does not seem to help. Rhonda then stands up and begins to pace around your office at times using wild hand gestures to explain the circumstances that led up to her making the appointment with you. She describes the recent breakup with her boyfriend as traumatic and explains “when we first met, he was the best guy in the world. He treated me really well. But he just became a complete monster! Even though he broke off the relationship with me, I was glad to see it end. I hate his guts!” Rhonda explains that her current financial situation is also precarious. She states that she recently purchased an automobile, and is not certain how she is going to pay for it. She states that she had a car that was repossessed last year at that time, and that she borrowed some money from a friend to help pay for the car; the friend later turned around and accused her of theft. “It was my friend’s fault. She told me she would loan me the money and then backed out. I only took the money because she said she would loan it to me … people just can’t go back on their word like that when other people are counting on them.” Rhonda reports that she was “always in trouble” as a kid. She states that people were always picking on her, to which she adds: “the other kids my age were just stupid. They didn’t know how to have fun.” She says “I have always been impulsive, but it’s fun. Sometimes people can be such prudes … you only go around life once, so you have to make the best of it.” OBJECTIVE Rhonda is currently single. She has no children. Educationally, she had completed two semesters toward her bachelor of arts degree in fine arts. Rhonda currently works as a waitress at a local restaurant Personality disorder Decision Tree. She has held this job for about 2 weeks. Prior to this, Rhonda worked as a housekeeper for a local hotel chain. She states that she was fired from this job because her coworkers were jealous of her and “planted” evidence of her stealing from hotel patrons. She was also arrested for cashing checks under an alias, for which she spent 120 days in jail. Rhonda has a history of multiple incarcerations for offences ranging from larceny to possession of controlled substances to possession of an illegal firearm. She was also arrested several times for fighting and on at least one occasion, used a baseball bat to beat up a girl who she thought was trying to “set her up” with the police. MENTAL STATUS EXAM Rhonda is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. She reports her mood as “terrible!” Affect is labile and seems to change rapidly with the subject being discussed. Her eye contact is normal, but at times, she appears to stare at you. Rhonda is oriented to person, place, and time. She denies visual/auditory hallucinations, no overt paranoia or delusional thought processes noted. Rhonda denies any suicidal or homicidal ideation. Decision Point One BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHICH OF THE FOLLOWING DIAGNOSES WOULD THE PSYCHIATRIC/MENTAL HEALTH NURSE PRACTITIONER (PMHNP) GIVE TO RHONDA? In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis. Decision Point One Borderline Personality Disorder Decision Point Two BASED ON THIS DIAGNOSIS, SELECT YOUR CHOICE OF ACTIONS: Refer to psychologist for psychological testing Begin dialectical behavior therapy Begin treatment with Abilify 5 mg orally daily Decision Point One Histrionic Personality Disorder Decision Point Two BASED ON THIS DIAGNOSIS, SELECT YOUR CHOICE OF ACTIONS: Refer to psychologist for psychological testing Begin Seroquel 25 mg orally at bedtime Refer to group therapy for personality-disordered individuals Decision Point One Antisocial Personality Disorder Decision Point Two BASED ON THIS DIAGNOSIS, SELECT YOUR CHOICE OF ACTIONS: Refer to psychologist for psychological testing Begin Haldol 5 mg orally daily Refer for psychodynamic psychotherapy Borderline Personality Disorder Histrionic Personality Disorder Antisocial Personality Disorder Personality disorder Decision Tree

System Interoperability Discussion

System Interoperability Discussion

For health care organizations in this country and around the world, the achievement of system interoperability is an ever-present aim as health information technology solutions are selected and implemented. Ideally, the technology solution that is selected will work in concert with current and evolving standards and processes. Yet there are a number of factors that can slow or even prevent altogether the achievement of system harmony and integration. System Interoperability Discussion

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Prepare for this Discussion as follows:

•Review the main challenges to interoperability among health care systems

•Select a clinical or administrative area or function in a health care setting, such as radiology, pharmacy, laboratory, ICU, admissions, or patient billing. Preferably, this will be an area in which you intend to work in the near future. Through online research, find out more about the IT standards that would be most relevant to this department or function. Identify interoperability issues that commonly arise and solutions that have been found or are being proposed.

•Consider the ways in which management can help to find solutions to these challenges.

Answer the following:

•In the first line of your posting, identify the health care area or function you selected.

•Describe one significant impediment to achieving system interoperability within and between health care organizations.

•What is the most relevant standard(s) in your selected clinical or administrative area or function, and what are important interoperability issues that arise here? Provide a specific example that illustrates this problem in practice.

•How are these interoperability issues best addressed? What could you, as a manager in this area, do to assist in resolving the problem?View less » System Interoperability Discussion

NR351 Professional Paper Worksheet

NR351 Professional Paper Worksheet

Professional Paper Worksheet Guidelines and Grading Rubrics

PURPOSE

The purpose of this assignment is to allow the learner to demonstrate good organization, appropriate resources, and correct APA formatting for preparing a professional paper.

COURSEOUTCOMES

This assignment enables the student to meet the following course outcomes.

CO3. Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO3)

CO4. Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO4). NR351 Professional Paper Worksheet.

CO5. Apply concepts of professionalism when planning for personal, intellectual, and professional development. (PO5)

CO9. Demonstrate accountability for personal and professional development by assessing information and technology competence, implementing plans for upgrading technology skills, and using effective strategies for online student success using resources provided to Chamberlain students. (PO5). NR351 Professional Paper Worksheet.

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DUEDATE

Submit the assignment by Sunday end of Week 4, 11:59 p.m. MT.

POINTS

This assignment is worth a total of 150 points.

PREPARING THEProfessional Paper Worksheet

  1. Carefully read these instructions and the Rubric.
  2. Download the .courselearn.net/lms/content/1510/51067/NR351/NR351_W4_Professional_Paper_Worksheet_Template_110217.docx”>Professional Paper Worksheet Template (Links to an external site.)Links to an external site.. Rename that document as Your Last Name Professional Paper Worksheet.docx, for example Smith Professional Paper Worksheet. Save it to your own computer or drive in a location where you will be able to retrieve it later.
  3. Type your assignment directly on the saved template. Remember that only Microsoft Word 2010 or a later version is acceptable. The document must be saved as a .docx. Save frequently to prevent loss of your work.
  4. The topic of your paper is Safety. This will also be the title of your paper.
  5. Your Hood textbook will be one of the two resources for your paper. Locate pages in your Hood textbook that correspond to the paper topic listed above. HINT: Begin with the syllabus.
  6. The other resource for your paper is the following assigned article: .idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103796927&site=eds-live&scope=site”>https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103796927&site=eds-live&scope=site (Links to an external site.)Links to an external site. Note: logging in to the Chamberlain Library is needed to access this article. NR351 Professional Paper Worksheet.

Allen, D., Weinhold, M., Miller, J., Joswiak, M. E., Bursiek, A., Rubin, A., … & Grubbs, P. (2015). Nurses as champions for patient safety and interdisciplinary problem solving. MedSurg Nursing24(2), 107-111

IMPORTANT: The library has a limited number of subscriptions to this article. Please do not read this online. If you do, it may mean that your classmates will be denied access until you leave the page. Instead, please use the permalink to find the article and DOWNLOAD it from the library to read on your device. Thank you.

  1. Hood and the assigned article are the only sources to be used to write this NR351 Professional Paper Worksheet.
  2. Follow the instructions and specifics on the Template and the rubric. You will demonstrate your APA abilities in references, citations, quotations, and paraphrasing.
  3. Prepare a detailed outline for your Professional Paper as indicated on the Template (specific descriptions only; complete sentences not needed). The outline (and later the Professional Paper) should not be a summary of the article. NOTE: The Professional Paper will contain 500600 words of content (introduction, body, and conclusion).
  4. Double check your answers with the rubric prior to submission.

Academic Integrity Reminder

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments. NR351 Professional Paper Worksheet

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page. NR351 Professional Paper Worksheet