Possible pitfalls during the implementation phase and how you can avoid them

Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Be sure to include a title slide, objective slide, content slides, reference slide in APA format. Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly citations to support your claims. This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. Save your assignment as an MP4 document (.mp4) or link.

You are a project manager assigned to implementing a new computer system in an organization:

  • Why is it important to understand usability, configurability, and interoperability? Should these concepts outweigh the underlining cost of the new system? Which system do you recommend and why?
  • During phase one, you are selecting a team. What characteristics are important to consider when selecting a team?
  • During phase two the following principle was discussed, “lead with culture, determining where the resistance is,” and then, engage all levels of employees (Sipes, 2019, p. 161). What does this principle mean to you and how can you implement this principle?
  • How will you handle physician and other key professionals’ resistance to change and using the new system?
  • Discuss possible pitfalls during the implementation phase and how you can avoid them?
  • Describe your personal experience with automation and new information systems.

Qualitative Health Research

Qualitative Health Research

Since the early 1970s, psychoanalysts, social scientists, and feminists have argued that women’s desires for slen- der bodies were the cause of their eating disorders (Bruch, 1973; Chernin, 1981; Garner & Garfinkel, 1982; Orbach, 1986). Throughout the 1990s, feminists argued for a broader sociocultural analysis of eating disorders, recog- nizing that women’s role in society, contradictory female expectations, and female oppression were essential forces contributing to women’s food and body pathologies (Bordo, 1993; Fallon, Katzman, & Wooley, 1994; Nasser, 1997). Recently, there has been a movement toward understanding how sociocultural factors that evoke pow- erlessness such as poverty, immigration, heterosexism, and rapid sociocultural change affect women’s risk for eating disorders (Katzman & Lee, 1997; Nasser, Katzman, & Gordon, 2001; Ruggiero, 2003). The evolution of these arguments reflects the growing awareness that eating disorders are spreading across ethnic, cultural, socioeco- nomic, and geographical boundaries, raising questions about the sociocultural risk factors of eating disorders (Le Grange, Louw, Breen, & Katzman, 2004; Lee & Lee, 2000; Pike & Borovoy, 2004)Qualitative Health Research.

ORDER A PLAGIARISM – FREE PAPER NOW

Anorexia nervosa, the most salient eating disorder, has long been considered a culture-bound syndrome “rooted in Western cultural values and conflicts” (Prince, 1985, p. 300) predominantly affecting White, well-educated

women of middle- to upper-class backgrounds living in Western societies (Bruch, 1973). It is well established that eating disorders now afflict women living in Western and non-Western societies, and new research findings suggest that the global rise of eating disorders coincides with economic and social changes associated with accul- turation to Western values, which are believed to heighten women’s vulnerability to eating disturbances. As women around the world retool their identities in the face of glo- balization, eating disorders now affect women from dif- ferent ethnic backgrounds and sociocultural milieus (Becker, Fay, Gilman, & Striegel-Moore, 2007; Lake, Staiger, & Glowinski, 2000; Miller & Pumariega, 2001; Soh, Touyz, & Surgenor, 2006; Tsai, Curbow, & Heinberg, 2003; Wildes, Emery, & Simons, 2001)Qualitative Health Research. Clearly, as eating disorders are diagnosed in places once thought “immune” to these illnesses, their cultural boundedness, salient illness expressions (i.e., fat phobia), and prevalence have been questioned, raising concern over the sociocultural

392592QHR211010.1177/10497323103 92592CheneyQualitative Health Research

1University of Connecticut, Storrs, Connecticut, USA

Corresponding Author: Ann M. Cheney, University of Connecticut, Department of Anthropology, Beach Hall, Unit 2176, 354 Mansfield Dr., Storrs, CT 06269, USA Email: ann.cheney@uconn.edu

“Most Girls Want to be Skinny”: Body (Dis)Satisfaction Among Ethnically Diverse Women

Ann M. Cheney1

Abstract

In this article, I present the findings from an ethnographic study of 18 women college students living in the northeastern United States. I examine how ethnically diverse women dealt with the messages of the dominant White society’s obsession with thinness, and whether it affected their perceptions of an ideal body image. From the analysis of the interviews, I identified and extracted several themes related to ethnicity, aesthetic body ideals, body dissatisfaction, and disturbed eating. Grounded in the women’s narratives, I found that ethnically diverse women coming of age in American society experience anxieties and emotional stress as they related to others in their daily lives. Their stories shed light on how the body is a vehicle for social mobility and is used by women from marginalized identities to strategically negotiate social inequalities embedded in daily social relationships and interactions that more privileged women do not encounter.

Keywords

adolescents / youth; body image; eating disorders; ethnicity; gender

at WALDEN UNIVERSITY on July 1, 2016qhr.sagepub.comDownloaded from1348 Qualitative Health Research 21(10)

determinants of eating disorders (see Lee, 1997; van’t Hoft & Nicolson, 1996).

Until recently, it was believed that African American women, Latinas, and minority women in general do not commonly suffer from body dissatisfaction and eating disorders, because their sociocultural statuses make them less likely to develop an obsessive desire to be thin when compared to White women (Silber, 1986). Despite strong arguments against such naïve standpoints (see Thompson, 1992), eating disorders often continued to be conceptual- ized as illnesses predominantly affecting White women (Bruch, 1973; Dolan, 1991; Gordon, Perez, & Joiner, 2002). Since the 1990s, a flurry of clinical studies have demonstrated that there is a relationship between height- ened socioeconomic status and increased vulnerability to eating disorder symptoms (Lee & Lee, 2000; Polivy & Herman, 2002; Rogers, Resnick, Mitchell, & Blum, 1997). However, the findings have been inconsistent, indicating that more work should be done to tease out the complex relationships among gender, eating disorders, and social status.

This article adds to a growing body of literature show- ing how and why educated young women from various ethnicities suffer from body dissatisfaction and exhibit eating disorder symptoms. By examining women’s narra- tives about the social meanings of their body, the findings from this study contribute to our understanding of how ethnically diverse women conceptualize beauty and inter- act with mainstream body ideals. Through a detailed anal- ysis of ethnically, culturally, and socially diverse women’s experiences with body image (dis)satisfaction and dietary restraint, I elucidate how the body is used as a site to enhance social mobility and contest certain ethnic valua- tions of a gendered body.

The Symbolic Power of the Slender Body Recent cross-cultural research shows that “body image and weight concerns as well as dietary patterns have highly contextualized and locally variable meanings” (Becker, 2004, p. 536)Qualitative Health Research. For instance, psychologist and medical anthropologist Anne Becker’s work among young women living in rural Fiji sheds light on the mean- ing attached to the slender body. Becker, Burwell, Gilman, Herzog, and Hamburg (2002) found that rapid social change and exposure to Western television programs cor- responded with the adoption of a slender body image ideal and a significant increase in body dissatisfaction, disordered eating patterns, and eating disorders among young Fijian women. An in-depth analysis of 30 qualita- tive interviews revealed that Fijian women with eating disorders attempted to become socially and economically successful like the women they watched on television

programs (Becker, 2004). Becker’s findings suggested that the increase in disordered eating among Fijian women should be understood as a strategy to acquire power rather than an attempt to be thin. For Becker, Fijian women afflicted with eating disorders reshaped their self-image in the hopes of greater economic pros- perity, gender equity, and independence. To a similar degree, in Curaçao, a postcolonial island in the Caribbean, Katzman, Hermans, van Hoeken, and Hoek (2004) illus- trated how anorexia was common among mixed-ethnicity women of high socioeconomic status who had lived abroad. In their narratives, mixed-race, educated women with experiences traveling and living abroad spoke of their struggles to fit into a higher social class of pre- dominantly White people. They perceived that being thin was one of the ways by which they could gain accep- tance. It is increasingly apparent that social, cultural, and historical factors are likely to mediate women’s body (dis)satisfaction and eating behaviors.

This point is well illustrated in research conducted among ethnic minority women living in the United States. Scholars have grappled over whether ethnic minority women’s idealization of a larger body size is associated with greater body satisfaction (see Miller & Pumariega, 2001). The debate might have much to do with differing definitions of beauty ideals and concepts of self among ethnically diverse populations. For instance, following their study of body aesthetics among Black and Latina women, Rubin, Fitts, and Becker (2003) suggested that definitions of beauty move beyond the physical body to encompass embodied ways of being and acting. An in-depth analysis of a focus group with 18 college- educated African American and Latina women indicated that they defined beauty as body ethics, or “values and beliefs regarding care and appreciation of diverse body types” (p. 55). These women had an attitude of “self- acceptance and body nurturance.” By rejecting main- stream representations of beauty, one is able to stay “true to oneself,” upholding individual cultural values and ide- als, reinforcing positive attitudes toward good health and well-being (p. 70). As these and other authors—including Nichter (2000) and Parker et al. (1995)—have demon- strated, Latina and African American women express and embody beauty in ways that boldly challenge and move beyond rigid physical descriptions of the aesthetically appealing body to include attitude, style, and presentation of self.

In this article I build on these earlier studies, and explore the social meaning of the body and how it is used as a vehicle for social mobility. The analysis is grounded in the works of Pierre Bourdieu (1984), who eloquently pointed out that the body is a symbolic marker of class, and signifies social distinction. Bourdieu discussed the social processes and everyday practices that define

at WALDEN UNIVERSITY on July 1, 2016qhr.sagepub.comDownloaded from

Cheney 1349

individual persons and social distinction, which is accomplished through the accumulation of symbolic capital (e.g., money, education, and social networks). The body, in a Bourdieuian framework, thus acts as a commodity or medium through which certain kinds of capital are acquired. Bourdieu wrote:

The body is the most indisputable materialization of class tastes, which it manifests in several ways. It does this first in the seemingly most natural fea- tures of the body, the dimensions (volume, height, weight) and shapes (round or square, stiff or sup- ple, straight or curved) of its visible forms, which express in countless ways a whole relation to the body, i.e., a way of treating it, caring for it, feeding it, maintaining it, which reveals the deepest dispo- sitions of the habitus. (1984, p. 190)

According to Bourdieu, the body acts as a commodity or medium through which certain kinds of capital and power are articulated, and where esteemed cultural values are encoded. The women’s narratives presented in this article illuminate how attaining a slender body—a form of power—is a means by which women of diverse ethnici- ties and social classes can overcome inequalities in every- day social relationships and interactions. Focusing on the mundane and ordinary—the social reality most taken for granted—these women’s narratives offer rich insight into the complexities of the ways that being thin is a mecha- nism that women utilize to gain a sense of belonging and acceptance in American society.

Methods In this study, I employed a feminist methodological framework and collected life histories from 18 college- educated women. The interviews were guided by a semi- structured interview protocol, with several questions intended to bring out descriptions of the women’s life experiences related to the social meaning of the body. I asked the young women to talk about their family life; the communities in which they grew up; their adoles- cence, education, and social interactions; and involve- ment with peers. In addition, I asked women who immigrated to the United States and women who were born into ethnically diverse families to further explain their experiences of being exposed to more than one cul- ture (i.e., their parents’ native cultures and American culture, or their own native culture and American cul- ture). I also gathered what I refer to as “body narratives,” which encouraged women to talk about their relationship to food and their bodies, and elicited information on women’s perceived beauty ideals as well as dieting prac- tices. This technique permitted an in-depth exploration of

how media imagery and mainstream ideas about beauty influence women’s dietary choices and relationships to their bodies. In the process of collecting body narratives, several women recounted their history with food-related troubles. These women’s narratives tell how they saw the thin body as a way to gain social acceptance and eventu- ally to improve their relations with others. During the interviews I did not use a voice recorder, but maintained the integrity of women’s narratives by transcribing the field notes as soon as possible after the interview and immediately expanding on the notes.1 As the women spoke, I recorded as much detail as possible, including descriptions of the women—facial expressions, tones, unspoken communication, demeanor—and verbatim quotes. Additionally, I recorded my impressions and interpretation of the emotional condition of the young women before, during, and after the interview (Dewalt & Dewalt, 2002).

As a White, educated woman, I recognized that a criti- cal and reflective approach to the research process was crucial in the study of ethnic minority women. As Adamson and Donovan (2002) stated, “The production of reflexive accounts is essential in all qualitative research projects but particularly in research involving ethnic minorities or ‘other’ groups” (p. 823). Utilizing a femi- nist framework allowed me to examine how my own sub- jectivity influenced the interview process and later my interpretation of the results. Feminist psychological researchers Tolman and Szalacha (1999) addressed this approach in their work: “This psychological approach to data analysis is accomplished in part because this method is explicitly relational, in that the researcher brings her self-knowledge into the process of listening by using clinical methods of empathy to contribute to her under- standing of what a girl is saying” (p. 14). This approach placed the young woman as the focus of the inquiries, actively allowing her to construct her story. At the same time, it made me critically aware of how my own life his- tory and subjective biases influence the research process. This methodological approach moved away from homog- enizing women, and highlighted their lived experiences.

The young women in this study were chosen based on their ethnicity and educational status. I used purposive sampling (nonrandomized selection), as well as snowball sampling, a technique that involves referrals by other par- ticipants, to recruit ethnically diverse women (Bernard, 2002). All the young women in the study were under- graduate university students between the ages of 18 and 24 attending the same public, 4-year institution located in the northeastern United States. Three of the women in the study were current students of mine. To overcome the power differences embedded in the student–teacher rela- tionship, which can influence the results by creating com- munication barriers, I conducted interviews with these

at WALDEN UNIVERSITY on July 1, 2016qhr.sagepub.comDownloaded from

1350 Qualitative Health Research 21(10)

students near the end of the semester, or after the completion of the term (see Geiger, 1990). Other young women were recruited through a variety of student organizations including, but not limited to, the Puerto Rican/Latin American Cultural Center, Asian American Cultural Center, Black Students Association, and West Indian Student Awareness Organization. The research was not limited to women who self-identified or who were clini- cally diagnosed as having or having had an eating disor- der. The study was reviewed and received full ethical approval from the University of Connecticut Institutional Review Board prior to the start of the research. At the beginning of each interview, I informed each young woman of my reasons for conducting the research. All women were informed that the information they shared was anonymous and confidential. Additionally, each woman was aware that she could withdraw from the interview process at any point without providing an explanation. Consent was obtained prior to the start of the interview. Pseudonyms are used throughout the article to protect women’s identities and maintain confidentiality.

Throughout this article I use the term ethnically diverse women to encompass the varied ways that these women self-identified, which included White (7 parti- cipants), Hispanic (3 participants), Persian, Filipino, Jamaican, Vietnamese, Peruvian, Black Puerto Rican, Indian Italian, and Asian Indian. The women from ethnic minorities were either born into an immigrant family or had immigrated to the United States during their child- hood or adolescence with their families; in one case, a young woman immigrated by herself. Six of the 11 ethnic minority women were not born in the United States, and an additional 5 indicated that their parents were foreign- born and had immigrated to the United States prior to the informant’s birth. Ethnic minority women who said that they or their parents had lived in another country prior to living in the United States discussed their affiliation with their country of origin; they maintained varying degrees of connection with the home country. One woman was born in the United States to American-born parents (the mother grew up in Brazil), yet immediately after her birth moved to Costa Rica, where she lived until she was five. This woman described herself as possessing a Latin American rather than Euro-American heritage. The six participants who had exposure to two different countries indicated that they maintained connections to their coun- try of origin through visits and interactions with family members living there. It is important to indicate the length of time these immigrant women had spent in American society. I did this by differentiating between women who were first-generation immigrants to the United States and women who were second-generation immigrants born to immigrant families in the United States. All seven of the White women in the study were born and raised in the

United States. The women’s ages ranged from 18 to 23, and the mean age was 20. Social class was self-assessed and ranged from working class (1 participant) to upper- middle class (2 participants), with the other 15 partici- pants identifying as middle class. The heterogeneity of the group allowed for a wide range of perspectives and experiences.

The findings are structured using an analysis of the contradictions, conflicts, and struggles that were present in women’s lives, enabling underlying patterns and theo- retical concepts to arise from women’s narratives (Strauss & Corbin, 1990). I developed a codebook to highlight patterns and ideas that emerged from the themes. In cod- ing the interviews I sought theoretical saturation, which means that neither new cultural data nor new relation- ships between variables emerged from within the wom- en’s narrations (Bernard, 2002, p. 471). In the case of nonsaturation, I conducted subsequent interviews so that theoretical saturation was reached and no new themes were discovered.

Findings Ethnically diverse women talked about the struggles, ten- sions, and conflicting expectations they faced growing up and entering American society. An in-depth exploration of women’s lives indicated that body (dis)satisfaction was intricately connected to feelings of belonging and accep- tance. The thread linking many of the women’s narratives was the symbolic power that the slender body engendered, an image that women tended to either desire or reject.

Feminist scholar Susan Bordo (1993) wrote that in contemporary consumer culture, cultural beauty ideals perpetuate the image of the slender body as the epitome of ideal femininity. The slender body is encoded with images of control, achievement, and success—culturally esteemed values specific to womanhood in consumer societies. Bordo contended that the slender body is homogenized, depicting a dominant gender, class, and ethnic type. In line with Bordo’s work, the women in the present study reproduced images that reinforced the notion that the het- erosexual, middle- to upper-class White woman is the cul- tural prototype of ideal feminine beauty in American society. Regardless of their ethnic, socioeconomic, and cultural backgrounds, women in the study expressed their conflicts dealing with messages promulgated by the media and endorsed by American society, in which thinness and whiteness symbolize beauty and ideal femininity.

Accepting or Rejecting the Slender “White” Body Ideal Bordo’s (1993) depiction of femininity was echoed in several women’s narratives, reinforcing that the slender

at WALDEN UNIVERSITY on July 1, 2016qhr.sagepub.comDownloaded from

Cheney 1351

White body was a pervasive image in these women’s daily lives. Some women explicitly expressed their own desires for this body image, using references to Hollywood movie stars and other celebrities who possessed desirable physical characteristics and who, by extension, embodied power and prestige. For instance, ethnically diverse women reproduced an anglicized image of beauty in which the ideal woman possessed a light skin color (white, tan, or “not too dark”), light eyes (blue, green, or hazel), and light-colored (blonde or light brown) straight hair. Consider the description of an ideal woman given by Lisa, a young White woman of middle- to upper-class background. She excitedly talked about Jessica Simpson2 as her ideal:

Her chest is medium sized, and her body in general is really nice. . . . Her hair color [blonde] is really great, but you know it’s impossible to get. Jessica’s hair is actually darker, like dirty blonde, but she treats it so often, and it’s really expensive. They [a cable television station] said she takes extrava- gant lengths to get her hair that color, and that it really isn’t pure blonde.

Lisa was enthusiastic when she spoke of her idealized image of beauty. She shared her knowledge of the prac- tices Jessica Simpson engaged in to become beautiful. Lisa also had blonde hair, which she frequently had treated at a hair salon. Her subtle comparison of herself to Jessica Simpson reinforced that the slender, anglicized body was the ideal that she strove for; yet, Lisa was aware that this body is nearly impossible to achieve, because it is expensive and individuals must engage in “extravagant” beauty practices to achieve the desired results. Despite the impossibility of attaining this ideal, she dyed her hair, strictly monitored her diet, and exercised. Lisa was able to engage in these beauty regimes and self-disciplinary practices because she had access to the resources neces- sary to cultivate the highly desirable yet decidedly rare body image. She had the financial resources, leisure time, and knowledge of the practices that she must engage in to achieve this ideal. By embodying the slender White body, Lisa possessed social capital, which was visible in the contours of her body as well as in the ways in which she adorned her body. Near the end of our discussion, Lisa stated with an air of confidence, “I buy designer clothes. You get a better fit, and your clothes aren’t the same as everyone else’s.” Through daily food, body, and con- sumer practices, Lisa was able to elevate her social status and prestige by molding her body into an image that encodes dominant gender ideology and embodies social distinction. Qualitative Health Research

Abby, a Black Puerto Rican woman who grew up in a “snobby,” upper-middle-class neighborhood, similarly

emphasized whiteness in descriptions of ideal feminine beauty. Her narrative echoed Lisa’s, and adds to under- standing of the complexity with which thinness and whiteness are embedded in women’s definitions of beauty and experiences of their bodies. When Abby was asked to discuss her image of the ideal woman, she responded, “She should have a natural tan, not too dark and not too light; green or hazel eyes; and straight hair.” She contin- ued to state, “I hate curly hair, because I have curly hair.” Abby idealized lighter shades and hues of beauty. She was not alone, as many women in the study talked about lighter-skinned women who had long, straight, light- colored hair, light eyes, and a glistening tan as the epit- ome of beauty. Frizzy, kinky, or curly hair (nonstraight hair) deviates from White standards of beauty, which can become, for some women, a source of conflict and anxi- ety (Patton, 2006). The desire for long, flowing, straight, and preferably blonde (or lighter) hair—which, as Lisa pointed out, requires time and money—pervades women’s depictions of beauty in American society (see Nicther, 2000; Nichter & Vuckovic, 1994). Desiring beauty based on the standards of the so-called ideal White woman was a theme connecting many of the young women’s voices, and was not specifically linked to ethnicity and/or social class. This begs the question: What do lighter shades of skin; soft, smooth, and sleek hair; and a svelte figure offer ethnically diverse women? Does the slender body engen- der social distinction, and by extension, wealth and power?

Jessica, a White woman from a lower-middle-class background, provided insight into the complexities of desiring the White, slender body. As she explained, the “skinny girl” possesses valued personality characteris- tics: “Skinny girls . . . are always portrayed as the sexy, intelligent, successful, and in-control women.” The oppo- site of the skinny girl is the chubby or fat girl who, as Jessica explained, is “fat, funny, and clumsy.” Most note- worthy is that Jessica conflated slenderness with social, sexual, intellectual, personal, and economic success, so that being slender raised one’s social status. She was well aware that the fat body does not offer the same level of prestige. This point was clarified when Jessica stated, “If someone calls me fat, I get upset.” In American society, the fat body is seen as possessing an “incorrect attitude,” symbolizes a body out of control, and is situated at the bottom of the hierarchy of valued body ideals (Bordo, 1993, p. 203). Lisa’s comments align with Becker’s (2004) findings that the slender female body embodies positive attributes, and that cultivating a culturally valued aesthetic body ideal is a method to experience social rewards and improved social positioning. Desiring slen- der bodies because of the esteem they embody is prob- lematic, however. As Lisa articulated, a young woman’s self-worth is inexorably linked to the size and shape of

at WALDEN UNIVERSITY on July 1, 2016qhr.sagepub.comDownloaded from

1352 Qualitative Health Research 21(10) Qualitative Health Research

her body. In line with Jessica, many other women associ- ated the “skinny girl” with positive characteristics, expressing their desires to mold their bodies and selves into the images that pervade their daily lives. As the women discussed above illustrate, in American society, “The current standard of beauty is a White, young, slim, tall, and upper class woman” (Patton, 2006 p. 30), an image that unfortunately marginalizes other forms of femininity and female beauty.

Not all women idealize the White, slender body. Several women contested the uncritical consumption of media images that promote thinness as the feminine ideal. Kantha, who is Jamaican, mocked the image of the slen- der White girl. She said, “The skinny White girl has the attitude of ‘I’m perfect.’” Kantha lived in Jamaica until early adolescence, and then moved to a low-income Puerto Rican community. As a first generation immigrant woman, she rejected such oppressive images of the “White girl,” and talked about how beauty is fluid and encompasses both inner and outer beauty. Kantha out- lined her culture’s notions of beauty, comparing Jamaican women’s beauty ideals and American models of beauty: in the United States, the emphasis is rigidly limited to types of physical beauty, and there is little emphasis on inner beauty. In America, Kantha explained, “[t]he White girl is tall and skinny and blond”; she is also “perfect.” In addition, Kantha elaborated that White girls “have a firmer body, and a flat stomach.” Regarding Jamaican culture, she said,

We are into appearance, but there are different kinds of outer beauty. In the States it’s about being skinny, and there is more of an emphasis on outer physical beauty, and we don’t emphasize it as much. It’s different—a more curvaceous body type. Ideally, the female is curvy, has a big butt, big boobs [breasts], everything is big. . . . Black girls might want a flat stomach, but they don’t want to be too skinny. . . . Just because you’re thinner doesn’t mean you are good on the inside.

Similarly, Adriana, who was born in Peru and moved to the United States at the age of 13, expressed a comparable definition of beauty. For her, beauty extended beyond the body: “Appearance is important, but it’s about style.” She described that there are “Black” clothes, “like ghetto style,” and “White” clothes.3 Adriana named the “high- end” stores where “White” clothes could be bought. For her and many other non-White women, beauty depended on style and what they decide to put on their body—not the size and shape of their body.

Adriana, a first-generation immigrant woman, rejected outright the White beauty codes. She explained why: When she entered American society as an adolescent she

immediately recognized her already devalued position as an ethnic minority, and refused to be further denigrated. She continued to idealize a voluptuous body image that coincided with her notions of beauty, and contested hege- monic Western beauty codes. The value Adriana placed on her ethno-specific body ideal was revealed in the fol- lowing comment: “Minorities are much more accepting of bigger bodies. Blacks and Hispanics want big butts, hips, a different body type altogether.” According to Andriana, White girls “are like clones,” and they succumb to pres- sures of the media. She indicated that the media cause many White women to develop anorexia. As a woman of minority status who had to overcome oppressive racial, ethnic, and cultural barriers living in American society, she asserted, “I have my own personality. I live up to my own expectations. I don’t conform to society, because we’ve done it for so long.” Adriana openly criticized White women and their “weakness,” suggesting that they do not have the strength of personality to reject dominant and oppressive images of beauty. It is their weakness that also contributes to their body dissatisfaction and eating pathologies. Often, African American and ethnic minority women are pitted against the dominant cultural standard of beauty, contributing to oppression and marginalization (Patton, 2006). Adriana’s words echoed other ethnic minority women who asserted their agency by challenging mainstream beauty norms. Several women rejected the slender body and refused to comply with constraints imposed by the dominant White culture, ultimately exhib- iting their social power through their identification with ethno-specific body images that embraced diverse notions of beauty. Qualitative Health Research

Women of African, Latina, and Philippino cultural backgrounds not only talked about the curvaceous body as beautiful, but also how a woman presents herself through her hair style, attitude, and fashion to reveal her overall beauty. This is consistent with Nichter’s (2000) and Rubin et al.’s (2003) findings that body size is not the sole indi- cator of beauty, but taking care of the body and presenting themselves positively frames some women’s definitions of beauty. Similar to body ethics, the term employed by the women of color in the study by Rubin et al., these women’s notion of beauty rejected “the dominant cultural ethos that encourages women to reshape their bodies to emulate the cultural ideal” (p. 70). Several women in my study proudly identified with their minority status, assert- ing that their ideas of beauty differ from mainstream rep- resentations of the “White girl,” and promote a more extensive and expressive notion of female beauty Qualitative Health Research.

Environmental assessment to identify quality and risk management priorities for a health care organization

Assessment_5-6_context.pdf

Assessment 5 Context

1 MHA-FP5014 Assessment 5 Context

Change Leadership: Risk Management and Patient Safety Transforming from reactive to proactive mode requires health care executives to understand the competencies central to high-reliability organizational leadership. Youngberg (2011) outlines the relevant leadership competencies as:

• The ability to reinforce the systems and structure to promote safety based on evidence drawn from the science of safety.

• The ability to create a culture that develops and supports those who provide care and services to allow for greater capacity for teamwork, risk awareness, risk mitigation, and resiliency.

• The ability to focus and align resources to create and promote advancements in safety. • The commitment to assure that evidence-based, patient-centered, and system-centered

work is done. • The promise to all concerned that honest, ethical dialogue with patients is necessary

when breaches in safety occur. (p. 296)

Additionally, health care executives must understand the characteristics of high-reliability organizations and the associated risk management responsibilities. These characteristics include trust and transparency, reporting, flexibility in hierarchy, justice and accountability, engagement, and dedication to organizational learning (Youngberg, 2011).

Themes for Success in Leadership • Shared sense of purpose. • Authenticity. • A hands-on approach. • Data-driven, accountable, high standards. • Focus on results. • Clarity of expectations. • A collaborative culture. • Respect. • Limited hierarchy. • Open communication. • Teamwork (Youngberg, 2011).

The National Patient Safety Goals and Strategic Direction The National Patient Safety Goals and Strategic Direction outlined by the National Quality Forum (n.d.), CMS requirements (HHS, n.d.), and the Joint Commission (2017) standards make it clear that effective leaders must be transformational. The National Center for Healthcare Leadership (NCHL) Competencies for Healthcare Executives includes three domains:

• Quality. Risk Management, and Regulatory Compliance. It is appropriate to reflect upon how quality, risk, and regulatory compliance are affected, given the strategic direction from CMS and the NCHL competencies requisite for transformational leadership (HHS, n.d.; NCHL, n.d.).

Assessment 5 Context

2 MHA-FP5014 Assessment 5 Context

Personal Reflection You may wish to reflect upon your own leadership development plans, and assess high- impact competencies for implementation of the content and context of this course. It may be interesting to compare your ratings from before you began this course to your assessment of NCHL competencies, now that you have entered the final phase of the course. If you were to construct a balanced scorecard for your organization, which areas would your position effect? Take a step outside the mechanics of data analysis, strategic direction, and industry and consider your role as a future health care leader.

Ethical Leadership Implicit within the NHCL competencies is the value of ethical leadership. The American College for Healthcare Executives’ code of ethics serves as a reminder that our actions should be patient- and community-focused (ACHE, n.d.). As a health care leader, you will be expected to own the vision and mission, support the strategic direction, and remain flexible while upholding your role as fiduciaries.

Professional Communication Another aspect of leading within this dynamic industry is the need to practice professional communications. What are the most appropriate forms of communication to support your efforts? E-mail and social media communications are fraught with potential miscommunication and liability issues. It is important to explore issues associated with a professional communication.

References American College of Healthcare Executives. (n.d.). ACHE code of ethics. Retrieved from

National Center for Healthcare Leadership. (n.d.). NCHL Health Leadership Competency Model. Retrieved from http://www.nchl.org/static.asp?path=2852,3238

National Quality Forum. (n.d.). NQF’s mission and vision. Retrieved from http://www.qualityforum.org/About_NQF/Mission_and_Vision.aspx

The Joint Commission. (2017). Facts about the national patient safety goals. Retrieved from http://www.jointcommission.org/facts_about_the_national_patient_safety_goals

U.S. Department of Health & Human Services. (n.d.). Accountable care organizations. Retrieved from http://oig.hhs.gov/compliance/accountable-care-organizations/index.asp

Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett.http://www.ache.org/ABT_ACHE/code.cfmhttp://www.nchl.org/static.asp?path=2852%2C3238http://www.qualityforum.org/About_NQF/Mission_and_Vision.aspxhttp://www.jointcommission.org/facts_about_the_national_patient_safety_goalshttp://oig.hhs.gov/compliance/accountable-care-organizations/index.asp

  • Change Leadership: Risk Management and Patient Safety
    • Themes for Success in Leadership
    • The National Patient Safety Goals and Strategic Direction
    • Personal Reflection
    • Ethical Leadership
    • Professional Communication

Overview Assessment 5-6.docx

· Overview

Generate recommendations for process improvement and organizational fitness for a selected organization in the form of a 6– 8-page proposal that is targeted for its management team.

Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in a sequence.

Health care leaders function within a complex, high-risk environment where errors can lead to injury and death. The goal of any health care leader is to assess and manage risk, while concurrently promoting a culture of patient safety.

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

· Competency 1: Conduct an environmental assessment to identify quality- and risk-management priorities for a health care organization.

· Analyze existing organizational structures, mission, and vision.

· Competency 3: Analyze the process and outcomes of a care quality- or risk-management issue.

· Provide macro-level discussion on finances, internal processes, learning and growth, and also customer satisfaction.

· Competency 4: Analyze applicable legal and ethical institution-based values as they relate to quality assessment.

· Convey the organization’s values through an ethical, organizational, and directional strategy to impact the needed changes for quality improvement.

· Recommend evidence-based and best practices for monitoring and improving discussion.

· Competency 5: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.

· Communicate information and ideas accurately, including reference citations and correct grammar.

Context

Patient safety is the cornerstone of high-quality care.

Youngberg (2011) addresses the need for leaders to create a systemic mindfulness of patient safety within the high-risk health care delivery environment. Further, the author discusses high-reliability organizations, which attain next to zero error rates, despite a great propensity for error or catastrophic events.

Read further in the Assessment 5 Context [PDF] (Attached) document, which contains important information on the following topics related to change leadership, risk management, and patient safety:

· Themes for Success in Leadership.

· The National Patient Safety Goals and Strategic Direction.

· Personal Reflection.

· Ethical Leadership.

· Professional Communication.

Reference

Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett. 

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as a part of your assessment.

· How does a health care leader establish a culture of patient safety?

· How are risks to patient safety assessed and managed in your current or future work setting?

· What are the other types of risks that are assessed and managed?

· What are the important factors that need to be monitored in your selected work setting?

· How can you contribute to risk management and patient safety within your job?

Imagine that you are the new CEO of your organization, and are charged with transforming the previous status quo to an efficient, high-performing accountable care organization.

· Which tools would you put to work in your new position?

· What types of individuals would be needed for your executive leadership team?

· What competencies might be important to the team members?

· What processes, structural models, or frameworks from this course might help you as a transformational leader?

Resources

Required Resources

Balanced Scorecard

The following resources are required to complete this assessment.

This article introduces the concept of a balanced scored to motivate and measure a business unit performance.

· Kaplan, R. S., & Norton, D. P. (1996). Linking the balanced scorecard to strategy. California Management Review, 39(1), 53–79.

The following reading is available full-text in the Capella University Library. Search for each article by clicking the linked title and following the instructions in the Library Guide. This article explores measure that drives performance using a balanced scorecard.

· Kaplan, R. S., & Norton, D. P. (1992). The balanced scorecard: Measures that drive performance. Harvard Business Review, 70(1), 71–79.

Suggested Resources

Balanced Scorecard

· Balanced Scorecard Institute. (n.d.). Balanced scorecard basics. Retrieved from http://www.balancedscorecard.org/BSCResources/AbouttheBalancedScorecard/tabid/55/Default.aspx

· Behrouzi, F., Shaharoun, A. M., & Ma’aram, A. (2014). Applications of the balanced scorecard for strategic management and performance measurement in the health sector. Australian Health Review, 38(2), 208–217.

· Ippolito, A., & Zoccoli, P. (2013). Theoretical contribution to develop the classical balanced scorecard to health care needs. International Journal of Healthcare Management, 6(1), 37–44.

· Koumpouros, Y. (2013). Balanced scorecard: Application in the General Panarcadian Hospital of Tripolis, Greece. International Journal of Health Care Quality Assurance, 26(4), 286–307.

· Meena, K., & Thakkar, J. (2014). Development of balanced scorecard for healthcare using interpretive structural modeling and analytic network process. Journal of Advances in Management Research, 11(3), 232–256.

Quality Improvement Best Practices

· El-Jardali, F., & Fadlallah, R. (2017). A review of national policies and strategies to improve quality of health care and patient safety: a case study from Lebanon and Jordan. BMC Health Services Research, 17.??

· American College of Healthcare Executives. (n.d.). ACHE code of ethics. Retrieved from http://www.ache.org

· Chavan, M. (2009). The balanced scorecard: A new challenge. The Journal of Management Development, 28(5), 393–406. 

This article chronicles the evolution of BSC performance management framework.

· Norton, D. P. (2008). Strategy execution needs a system. Retrieved from https://hbr.org/2008/08/strategy-execution-needs-a-sys

NBC Archives on Demand

·  Click Study Finds Risks Due to Long Hours by Medical Residents to view a video from NBC Learn.

Study Finds Risks Due to Long Hours by Medical ResidentsBegin Activity icon

Additional Resources for Further Exploration

You may use the following optional resources to further explore topics related to competencies.

· Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett. Available from the bookstore .

· Chapter 22, “Creating Systemic Mindfulness: Anticipating, Assessing, and Reducing Risks of Health Care,” pages 293–304.

· Chapter 23, “Risk Management in Selected High-Risk Hospital Departments,” pages 305–343.

· Chapter 24, “Improving Risk Manager Performance and Promoting Patient Safety with High-Reliability Principles,” pages 343–350.

· Chapter 25, “The Benefits of Using Simulation in Patient Safety,” pages 351–374.

· Chapter 26, “Creating a Mindfulness of Patient Safety Among Physicians Through Education,” pages 375–396.

· Chapter 28, “Improving Literacy to Advance Patient Safety,” pages 407–422.

· Chapter 30, “Managing the Failures of Communication in Health Care Settings,” pages 431–442.

· Chapter 32, “The Risks and Benefits of Using E-mail to Facilitate Communication Between Providers and Patients,” pages 445–462.

· Chapter 33, “Risk Management for Research,” pages 463–476.

Risk-Management Professional Organizations

· The Risk Management Association. (n.d.). Retrieved from https://www.rmahq.org/Default.aspx

· American Hospital Association. (n.d.). American Society for Health Care Risk Management. Retrieved from http://www.ashrm.org/

·

· Assessment Instructions

Note: You should complete this assessment last.

Preparation

The goal of this assessment is to generate recommendations, in the form of a proposal for process improvement and organizational fitness. Make your recommendations for the organization you selected in Assessment 4 for the balanced scorecard presentation. Apply the concepts of balanced scorecards to create your recommendations.

Instructions

In your proposal, use specific language and include evidence-based concepts from peer-reviewed literature, including a minimum of four outside peer-reviewed sources. Communicate information and ideas clearly, accurately, and concisely, including reference citations and using correct grammar. Include the following in your proposal:

· Describe the selected organization, including its vision and mission.

· Analyze the company using any adaptation of the Kaplan and Norton balanced scorecard framework that fits your selected organization. Refer to the materials in the Resources.

· Communicate vision, strategy, objectives, measures, targets, and initiatives for each of the following four elements through a macro-level discussion:

· Financial performance measures.

· Internal business processes.

· Learning and growth.

· Customer satisfaction.

· Convey the organization’s values through an ethical, organizational, and directional strategy.

· Recommend evidence-based and best practices for monitoring and improving discussions.

· Generate one recommendation for each of the following:

· Process improvements.

· Quality improvements.

· Organizational efficiency.

· Learning implementation.

· Implementation and evaluation.

Additional Requirements

· Written communication: Written communication should be free from errors that detract from the overall message.

· APA formatting: Resources and citations should be formatted according to APA style and formatting guidelines. Use APA format for all of the following:

· Cover page.

· Abstract.

· Table of contents, including a list of figures and tables.

· Headings and subheadings.

· Reference list.

· Number of resources: A minimum of 6 resources. The following Norton and Kaplan articles will serve as two resources.

· The Balanced Scorecard: Measures that Drive Performance.

· Linking the Balanced Scorecard to Strategy.

· Length of paper: 6–8 typed double-spaced pages.

· Font and font size: Arial, 10-point.·OverviewGenerate recommendations for process improvement and organizational fitness for aselected organization in the form of a 6–8-page proposal that is targeted for itsmanagement team.Note: The assessments in this course build upon each other, so you are stronglyencouraged to complete them in a sequence.Health care leaders function within a complex, high-risk environment where errors canlead to injury and death. The goal of any health care leader is to assess and manage risk,while concurrently promoting a culture of patient safety.Bysuccessfully completing this assessment, you will demonstrate your proficiency in thefollowing course competencies and assessment criteria:oCompetency 1:Conduct an environmental assessment to identify quality-and risk-management priorities for a healthcare organization.§Analyze existing organizational structures, mission, and vision.oCompetency 3:Analyze the process and outcomes ofa care quality-or risk-management issue.§Provide macro-level discussion on finances, internal processes, learningand growth, and also customer satisfaction.oCompetency 4:Analyze applicable legal and ethical institution-based values asthey relate to quality assessment.§Convey the organization’s values through an ethical, organizational, anddirectional strategy to impact the needed changes for quality improvement.§Recommend evidence-based and best practices for monitoring andimproving discussion.oCompetency 5:Communicate in a manner that is scholarly, professional, andconsistent with expectations for professionals inhealth care administration.§Communicate information and ideas accurately, including referencecitations and correct grammar.ContextPatient safety is the cornerstone of high-quality care.Youngberg (2011) addresses the need for leaders to create a systemic mindfulness ofpatient safety within the high-risk health care delivery environment. Further, the authordiscusses high-reliability organizations, which attain next to zero error rates, despite agreat propensity for error or catastrophic events.Read further in theAssessment 5 Context[PDF](Attached)document, which containsimportant information on the following topics related to change leadership, riskmanagement, and patient safety: OverviewGenerate recommendations for process improvement and organizational fitness for aselected organization in the form of a 6– 8-page proposal that is targeted for itsmanagement team.Note: The assessments in this course build upon each other, so you are stronglyencouraged to complete them in a sequence.Health care leaders function within a complex, high-risk environment where errors canlead to injury and death. The goal of any health care leader is to assess and manage risk,while concurrently promoting a culture of patient safety.By successfully completing this assessment, you will demonstrate your proficiency in thefollowing course competencies and assessment criteria:o Competency 1: Conduct an environmental assessment to identify quality- and risk-management priorities for a health care organization. Analyze existing organizational structures, mission, and vision.o Competency 3: Analyze the process and outcomes of a care quality- or risk-management issue. Provide macro-level discussion on finances, internal processes, learningand growth, and also customer satisfaction.o Competency 4: Analyze applicable legal and ethical institution-based values asthey relate to quality assessment. Convey the organization’s values through an ethical, organizational, anddirectional strategy to impact the needed changes for quality improvement. Recommend evidence-based and best practices for monitoring andimproving discussion.o Competency 5: Communicate in a manner that is scholarly, professional, andconsistent with expectations for professionals in health care administration. Communicate information and ideas accurately, including referencecitations and correct grammar.ContextPatient safety is the cornerstone of high-quality care.Youngberg (2011) addresses the need for leaders to create a systemic mindfulness ofpatient safety within the high-risk health care delivery environment. Further, the authordiscusses high-reliability organizations, which attain next to zero error rates, despite agreat propensity for error or catastrophic events.Read further in the Assessment 5 Context [PDF] (Attached) document, which containsimportant information on the following topics related to change leadership, riskmanagement, and patient safety:

Discussion: Mediation and Moderation

Discussion: Mediation and Moderation

Mediator and moderator are important in research because most research focuses on the relationship between two variables which are independent variables (IV) and dependent variables (DV). With these variables there are many possible outcomes. According to Baron, R.M, & Kenny, D.A. (1986), states that a mediator variable is one that explains the relationship between the two other variables and the moderator variable is one that influences the strength of a relationship between two other variables. Mediator and moderator are the names that are given to the third variable effects Discussion: Mediation and Moderation.

ORDER A PLAGIARISM – FREE PAPER NOW

Taking into consideration the following examples of research findings, high satisfaction with one’s direct supervisor leads to lower levels of employee turnover. In other words, employees who are highly satisfied with their direct supervisor are less likely to leave an organization than employees who are dissatisfied with their direct supervisor (DeConinck, 2009), the moderator variable predicts that the employees who are satisfied highly with their direct supervisor will be less likely to leave the organization. The mediator variable is explaining that the employees who are less satisfied with their direct supervisor are likely to leave the organization than those that are highly satisfied.

In high levels of parental reading are associated with faster cognitive development in young children. In other words, children who are read to more by their parents show faster cognitive development than children who are read to less often (National Scientific Council on the Developing Child, 2007)Discussion: Mediation and Moderation, the moderator variable predicts that children whose parents read less to them will not develop cognitively in comparison to those whose parents do read more to them.

The experience of being socially excluded leads to increases in aggressive behavior. Research has found that when people are excluded by others, they are more likely to behave aggressively, even to people who did not initially exclude them (Twenge, Baumeister, Tice, & Stucke, 2001)Discussion: Mediation and Moderation.

The moderator variable predicts that those with aggressive behaviors are excluded. The mediator variable explains that have been excluded have aggressive behavior towards the ones that did not initially get excluded.

Defendants who wear glasses are less likely to be convicted by juries as being guilty of committing violent crimes (Brown, Henriquez, & Groscup, 2008), there is no apparent moderator as far as the mediator is concerned it is the committing of the violent crimes which tries to explain that the changing the type of crime would have an effect but that violent crimes are important to the independent variable Discussion: Mediation and Moderation.

Discussion: Drug Policies and Ethics

Discussion: Drug Policies and Ethics

The NASW Code of Ethics provides social workers with guidelines and standards for interacting with clients, colleagues, communities, and society, as a whole. These standards govern interactions and professional behavior of social work practitioners. The NASW has also developed specific standards, which are published in the NASW Standards for Social Work Practice With Clients With Substance Use Disorders. These standards emphasize the importance of the competence of social workers. The standards indicate that social workers should be knowledgeable of evidence-based interventions for substance disorders. The confidentiality standard becomes essential as social workers must be informed and comply with federal, state, and local laws about substance use, as well as third-party payee regulations. Discussion: Drug Policies and Ethics

For this Discussion, review this week’s resources, including the case Working with Clients with Dual Diagnosis: The Case of Joe,and consider how social policies affect Joe’s circumstances as described in the case study. Then, think about any gaps in service you found in Joe’s case. Finally, reflect on how you might address these gaps or make changes to the policies that affect Joe.

ORDER A PLAGIARISM – FREE PAPER NOW

 

·      Post an explanation of how drug policies affect Joe’s circumstances, as described in the case study.
 
·      Then, explain any gaps in service you found in Joe’s case as a result of the drug policies described in the case study.

 ·      Finally, describe a strategy you might use to address these gaps or make changes to the policies that affect Joe.

 

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

 

References

 

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

“Working with Clients with Dual Diagnosis: The Case of Joe” (pp. 77–78)

 

Popple, P. R., & Leighninger, L. (2015). The policy-based profession: An introduction to social welfare policy analysis for social workers. (6th ed.). Upper Saddle River, NJ: Pearson Education.

 

Humphreys, K., & McLellan, A. T. (2011). A policy-oriented review of strategies for improving the outcomes of services for substance use disorder patients. Addiction, 106(12), 2058–2066. Discussion: Drug Policies and Ethics

Working With Clients With Dual Diagnosis: The Case of Joe

Joe is a 34-year-old, Caucasian male who came to the County Division of Social Services to apply for General Assistance (GA) benefits. The GA program provides cash assistance, Medicaid coverage, and housing for homeless single adults. Joe is in need of Medicaid benefits in order to remain active in his treatment program. Joe is receiving treatment at the Mentally Ill Chemical Abuser (MICA) partial hospitalization program at the local community mental health center for clients who are dually diagnosed. Joe has a dependence on marijuana, although he has stopped using it for approximately six months, and has been diagnosed with major depressive disorder. He is being prescribed medication.

Joe reports that he is unable to work due to mental illness, and without an income or health insurance, he is unable to obtain his medication. Joe reports that while he was enrolled as a student at the state university, he would sell marijuana to other college students. Eventually, he was arrested and convicted of possession with intent to distribute a controlled dangerous substance (CDS) and served 3 years in prison. Joe has had no further arrests; however, he has not been able to secure permanent housing or employment since his release.

Joe reports that this event has ruined his life. His lack of employment results from an inability to pass most background checks. If he discloses that he was arrested, Joe reports that he is never called for interviews. But when he once failed to disclose the information to the prospective employer, Joe was terminated for lying on his application. Joe believes that he has little hope for future employment. Discussion: Drug Policies and Ethics

ORDER A PLAGIARISM – FREE PAPER NOW

Joe has few natural supports in his life. He reports that following the incarceration, his family distanced itself from him and his girlfriend at the time broke up with him. He reports that his only supports are his local Narcotics Anonymous (NA) sponsor and his mental health counselor. Joe reports that his housing situation has been unstable and sporadic for the past 10 years.

Joe’s mental health counselor from the MICA program has contacted me to advocate for Joe’s approval for benefits. I explained that under the current state regulations, Joe is ineligible for benefits due to his CDS distribution conviction. The only program options that I can offer him are food stamps and access to a homeless shelter outside of the county. The counselor explained that relocation would cause a disruption to Joe’s mental health treatment and would cause him to lose contact with his local NA sponsor.

In response to the counselor’s concerns, I suggested that Joe contact the local faith-based organization for assistance. Although they do not house single males, they have an extensive network of volunteers, mentors, and donors who may financially support people in need. I referred Joe to a program that offers bonding to people seeking employment who have been previously incarcerated. Finally, I suggested that the counselor research Joe’s ability to remain in treatment at the hospital despite his lack of Medicaid coverage. The counselor agreed to assist Joe with these suggestions Discussion: Drug Policies and Ethics.

 

DISCUSSION: Theories of Life-Span Development

DISCUSSION: Theories of Life-Span Development

Zastrow and Kirst-Ashman (2016) stated, “We need theories to guide our thinking and our work so that we may undertake research-informed practice” (p. 127-128). At the same time, the authors asserted, “No theory will be perfectly applicable. Perhaps you will decide that only one or two concepts make any sense to you in terms of working with clients” (p. 128). Though you may be able to apply only a few concepts in a particular theory to your work with clients, as a social worker, you should be applying evidence-based research to your work. Empirically-based developmental theories may guide you as you assess clients and their presenting problems. You may also apply developmental theories to your treatment decisions.

ORDER A PLAGIARISM – FREE PAPER NOW

For this Assignment, you discuss theories of life-span development by evaluating a theory that seems especially relevant to you and your role as a social worker. Select a theory of life-span development to address in this Discussion. This may be a theory described in the resources of this course, or you may select a theory based on personal research. Locate at least one scholarly resource (not included in the course resources) that addresses the theory you selected. DISCUSSION: Theories of Life-Span Development

·      Post a Discussion in which you analyze the theory of life-span development that you selected.
 
·      Summarize the theory; then, identify the strengths and weaknesses of this theory, especially as it relates to social work practice.

 ·      Explain one way you might apply the theory to your social work practice.

 

Be sure to support your posts with specific references to the resources. If you are using additional articles, be sure to provide full APA-formatted citations for your references.

References

 

Dybicz, P. (2012). The hero(ine) on a journey: A postmodern conceptual framework for social work practice. Journal of Social Work Education, 48(2), 267–283.

 

Villadsen, K. (2008). ‘Polyphonic’ welfare: Luhmann’s systems theory applied to modern social work. International Journal of Social Welfare,17(1), 65–73.

Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment (10th ed.)Boston, MA:  Cengage Learning DISCUSSION: Theories of Life-Span Development

 

Psychology homework help

Psychology homework help

1. Responded to message below. Should be at least 250 words. Responses should be informative and contribute to advancing knowledge of the topic. Include at least 2 APA-cited references.

Frank, Greitzer & Holimer (2011) makes powerful augments about the difficulties surrounding the trail before the fact. I agree with them. It really is difficult to determine if threats are bogus and if they should be taken seriously. However, once a threat is made it must be taken seriously and that it is highly possible for the individual to carry out their plan. It is also difficult to know the individual’s state of mind or if the individual has psychological issues. Frank, Greitzer & Holimer (2011) states, “there are several factors that should taken into consideration regarding picking up the trail before the fact, (a) the lack of sufficient real-world data that has “ground truth” adequate scientific verification and validate of proposed solutions; (b) the difficulty in distinguishing between malicious insider behavior and what can be described as normal or legitimate behavior (c) the potential quantity of data, and the resultant number of “associations” or relationships that may emerge produce enormous scalability challenges; and (d) despite ample evidence suggesting that in a preponderance of cases, the perpetrator exhibited observable ‘concerning behaviors’. All threats should be taken into account and noted as warning signals and reported to the proper authorities. Psychology homework help

ORDER A PLAGIARISM – FREE PAPER NOW

Sometimes the most damage is done by individuals who had a personal insight into the company or one who became disgruntled. They know the outs an ins of the organization and how to cause the most damage. I also agree that the methods and skills of the perpetrators have changed in recent years. With all of the new technology, the generations have become wiser and smarter. Therefore, all threats should be observed.

2. Responded to message below. Should be at least 250 words. Responses should be informative and contribute to advancing knowledge of the topic. Include at least 2 APA-cited references.

What Frank, Greitzer & Hohimer (2011) argue about difficulties of picking up the trail before the fact, in order to provide time to intervene and prevent an insider cyber attack?
I agree with Greitzer and Hohimer that insider threat is a serious concern for cyber security that has to be addressed successfully. Unfortunately this is much easier said than done. The nature of insider threat makes it very difficult to detect and as Grietzer and Hohimer (2011) point out, there is a lack of real world data, it is difficult to differentiate between normal and abnormal behavior, there would be scalability challenges in data collected and no one has really decided to tackle this issue with technology yet (p.27). This means that devising a way to identify an insider threat prior to that insider launching an attack is a task that will not be easy to complete. That doesn’t mean that this is not a goal that we should be working towards, quite the opposite actually. This is something that should be given attention and professionals should be working on methods that can help catch insider threats before the damage is done.  Psychology homework help
Do you agree with them? Why? Why not?
I do agree with Greitzer and Hohimer that insider threat is a big problem. I also agree that there is a lack of data that can be used to help identify patterns and help develop methods and technology that can catch insider threat early. I have to admit that much of what they discussed in the article was a bit over my head. I don’t fully understand how the technology they discussed would work and I also can’t say that I believe that a technological solution would the perfect solution for this issue. Humans can be very unpredictable. This means that any technology developed to be an early identifier of insider threat will not work every time. I do think that more often than not there will be indicators prior to an insider attack occurring but there is always that chance that someone just snaps. With that being said I do think that there should still be research and work done to mitigate the risk of insider attacks. Psychology homework help

Quantification: 2 Pages

Major categories of probability interpretations, whose adherents possess conflicting views about the fundamental nature of probability

Module 3 Case Study

Required Reading and Resources

Cook, A., Netuveli, G., & Sheikh, A. (2004). Chapter 4: Statistical inference. In Basic skills in statistics: A guide for healthcare professionals (pp. 40-52). London, GBR: Class Publishing. eISBN: 9781859591291.

Davis, R., & Mukamal, K. (2006). Statistical primer for cardiovascular research: Hypothesis testing. Circulation, 114(10), 1078-1082. Retrieved from http://circ.ahajournals.org/content/114/10/1078.full

Norman, G. R., & Streiner, D. L. (2014). Section the first: The nature of data and statistics: Chapter 6: Elements of statistical inference. In Biostatistics: The bare essentials [4th ed., e-Book]. Shelton, Connecticut: PMPH-USA, Ltd. eISBN-13: 978-1-60795-279-4. Available in the Trident Online Library EBSCO eBook Collection.

Additional Reading and Resources (Optional)

McDonald, J. H. (2009). Basic concepts of hypothesis testing. Retrieved from http://www.biostathandbook.com/hypothesistesting.html

Johnson, L. (2008). Principles of hypothesis testing for public health. National Center for Complementary and Alternative Medicine. Retrieved from https://ippcr.nihtraining.com/handouts/2011/Hypothesis_2011.pdf

Statistics Learning Centre. (2011, December 5). Hypothesis tests, p-value – Statistics help . Retrieved from http://www.youtube.com/watch?v=0zZYBALbZgg

Statistics Learning Centre. (2011, October 31). Understanding the p-value – Statistics help . Retrieved from http://www.youtube.com/watch?v=eyknGvncKLw

Stensson, E. (2012, Apr.) Basic statistics tutorial 45 hypothesis testing (one-sided), sample and population mean (z) . Retrieved from http://www.youtube.com/watch?v=IKxyXs6kRTo

Homework Assignment

Assignment Overview

Suppose that a 2012 National Health Interview Survey gives the number of adults in the United States which gives the number of adults in the United States (reported in thousands) classified by their age group, and whether or not respondents have ever been tested for HIV. Here are the data:

Age GroupTestedNever Tested
18–44 years50,08056,405
45–64 years23,76848,537
65–74 years2,69415,162
75 years and older1,24714,663
Total77,789134,767

Discuss probability. What is its history? What is the theory of probability? How is it calculated? What are the advantages and disadvantages of using this technique?

1. Identify and discuss the two major categories of probability interpretations, whose adherents possess conflicting views about the fundamental nature of probability.

2. Based on this survey, what is the probability that a randomly selected American adult has never been tested? Show your work. Hint: using the data in the two total rows, this would be calculated as p (NT) /( p (NT) + p (T)), where p is probability.

3. What proportion of 18- to 44-year-old Americans have never been tested for HIV? Hint: using the values in the 18–44 cells, this would be calculated as p (NT) / ( p (NT) + p (T)), where p is probability. Show your work.

Submit your (2-3 pages) paper by the end of this module.

Major categories of probability interpretations, whose adherents possess conflicting views about the fundamental nature of probability

Module 3 Case Study

Required Reading and Resources

Cook, A., Netuveli, G., & Sheikh, A. (2004). Chapter 4: Statistical inference. In Basic skills in statistics: A guide for healthcare professionals (pp. 40-52). London, GBR: Class Publishing. eISBN: 9781859591291.

Davis, R., & Mukamal, K. (2006). Statistical primer for cardiovascular research: Hypothesis testing. Circulation, 114(10), 1078-1082. Retrieved from http://circ.ahajournals.org/content/114/10/1078.full

Norman, G. R., & Streiner, D. L. (2014). Section the first: The nature of data and statistics: Chapter 6: Elements of statistical inference. In Biostatistics: The bare essentials [4th ed., e-Book]. Shelton, Connecticut: PMPH-USA, Ltd. eISBN-13: 978-1-60795-279-4. Available in the Trident Online Library EBSCO eBook Collection.

Additional Reading and Resources (Optional)

McDonald, J. H. (2009). Basic concepts of hypothesis testing. Retrieved from http://www.biostathandbook.com/hypothesistesting.html

Johnson, L. (2008). Principles of hypothesis testing for public health. National Center for Complementary and Alternative Medicine. Retrieved from https://ippcr.nihtraining.com/handouts/2011/Hypothesis_2011.pdf

Statistics Learning Centre. (2011, December 5). Hypothesis tests, p-value – Statistics help . Retrieved from http://www.youtube.com/watch?v=0zZYBALbZgg

Statistics Learning Centre. (2011, October 31). Understanding the p-value – Statistics help . Retrieved from http://www.youtube.com/watch?v=eyknGvncKLw

Stensson, E. (2012, Apr.) Basic statistics tutorial 45 hypothesis testing (one-sided), sample and population mean (z) . Retrieved from http://www.youtube.com/watch?v=IKxyXs6kRTo

Homework Assignment

Assignment Overview

Suppose that a 2012 National Health Interview Survey gives the number of adults in the United States which gives the number of adults in the United States (reported in thousands) classified by their age group, and whether or not respondents have ever been tested for HIV. Here are the data:

Age GroupTestedNever Tested
18–44 years50,08056,405
45–64 years23,76848,537
65–74 years2,69415,162
75 years and older1,24714,663
Total77,789134,767

Discuss probability. What is its history? What is the theory of probability? How is it calculated? What are the advantages and disadvantages of using this technique?

1. Identify and discuss the two major categories of probability interpretations, whose adherents possess conflicting views about the fundamental nature of probability.

2. Based on this survey, what is the probability that a randomly selected American adult has never been tested? Show your work. Hint: using the data in the two total rows, this would be calculated as p (NT) /( p (NT) + p (T)), where p is probability.

3. What proportion of 18- to 44-year-old Americans have never been tested for HIV? Hint: using the values in the 18–44 cells, this would be calculated as p (NT) / ( p (NT) + p (T)), where p is probability. Show your work.

Submit your (2-3 pages) paper by the end of this module.

Case Study the treatment plan

Case Study the treatment plan

Carefully read over the following case and then, using your DSM-5, complete the

form that follows, all the way through the treatment plan. Take the time and

explore differential diagnosis, cultural factors, life experience, and

circumstances. There may not be enough information provided within the case to

substantially fill in all of the area of the form, but try to be thorough. Case Study the treatment plan

ORDER A PLAGIARISM – FREE PAPER NOW

Nancy Ingram, a 33-year old stock analyst and married mother of two children,

was brought to the emergency room (ER) after 10 days of what her husband

described as “another cycle of dark days.” His wife was tearful, then explosive,

and she had almost no sleep.

Ms. Ingram’s husband said he had decided to bring her to the ER after he

discovered that she had recently created a blog entitled Nancy Ingram’s Best Stock

Picks. Such an activity not only was out of character but, given her job as a stock

analyst for a large investment bank, was strictly against company policy.

Mr. Ingram said his wife was working on the stock picks around the clock,

forgoing her own meals as well as her responsibilities at work and with her

children. Ms. Ingram argued with her husband at this time and said, her blog

“would make them rich.” Case Study the treatment plan

The patient had first been diagnosed with depression in college, after the death of

her father from suicide. On examination, the patient was pacing angrily in the

exam room. Her eyes appeared glazed and unfocused. She responded to the

examiner’s entrance by sitting down and explaining that this was all a

miscommunication, that she was fine and needed to get home immediately to tend

to her business. She was speaking so rapidly, it was difficult for the examiner to

interrupt. Case Study the treatment plan

She denied hallucinations, but admitted with a smile, to a unique ability to predict

the stock market. She refused to be cognitively tested and she said, “I will not be a

trained seal, a guinea pig, or a barking dog, thank you very much, and may I leave

now?”

Case Formulation • Presenting problem – What is the client’s problem list? –

What are DSM diagnoses?

• Predisposing factors – Over the person’s lifetime, what factors contributed to the

development of the problem? – Think biopsychosocial

•Precipitants – Why now? – What are triggers or events that exacerbated the

problem?

• Perpetuating factors – What factors are likely to maintain the problem? – Are

there issues that the problem will worsen, if not addressed

• Protective/positive factors – What are client strengths that can be drawn upon? –

Are there any social supports or community resources ? Case Study the treatment plan