Conclusions of a Systematic Review with Narrative Synthesis

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Conclusions of a Systematic Review with Narrative Synthesis

APPENDIX C

Appraisal Guide:

Conclusions of a Systematic Review  with Narrative Synthesis

Citation: Conclusions of a Systematic Review with Narrative Synthesis

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____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Synopsis

What organization or persons produced the systematic review (SR)?

How many persons were involved in conducting the review?

What topic or question did the SR address?

How were potential research reports identified?

What determined if a study was included in the analysis?

How many studies were included in the review?

What research designs were used in the studies?

What were the consistent and important across-studies conclusions?

Credibility

Was the topic clearly defined?                                                   Yes   No   Not clear

Was the search for studies and other
evidence comprehensive and unbiased?                                     Yes   No   Not clear

Was the screening of citations for
inclusion based on explicit criteria?                                            Yes   No   Not clear

*Were the included studies assessed
for quality?                                                                                  Yes   No   Not clear

Were the design characteristics and
findings of the included studies displayed
or discussed in sufficient detail?                                                Yes   No   Not clear

*Was there a true integration (i.e., synthesis) of the findings—not
merely reporting of findings from
each study individually?                                                             Yes   No   Not clear

*Did the reviewers explore why differences
in findings might have occurred?                                               Yes   No   Not clear

Did the reviewers distinguish between
conclusions based on consistent findings
from several good studies and those
based on inferior evidence (number  or quality)?                       Yes   No   Not clear

Which conclusions were supported by
consistent findings from two or more
good or high-quality studies?                                                    List

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Are the conclusions
credible?                                                                             Yes All   Yes Some   No

Clinical Significance

*Across studies, is the size of the
treatment or the strength of the
association found or the
meaningfulness of qualitative findings
strong enough to make a difference
in patient outcomes or experiences  of care?                              Yes   No   Not clear

Are the conclusions relevant to the
care the nurse gives?                                                                   Yes   No   Not clear

Are the conclusions
clinically significant?                                            Yes All   Yes Some   No

Applicability

Does the SR address a problem,
situation, or decision we are addressing  in our setting?            Yes   No   Not clear

Are the patients in the studies or a
subgroup of patients in the studies
similar to those we see?                                                              Yes   No   Not clear

What changes, additions, training, or
purchases would be needed to implement
and sustain a clinical protocol based
on these conclusions?                                                                 Specify and list

____________________________________________________________________________

____________________________________________________________________________

Is what we will have to do to implement
the new protocol realistically achievable
by us (resources, capability, commitment)?                                Yes   No   Not clear

How will we know if our patients are
benefiting from our new protocol?                                            Specify

____________________________________________________________________________

____________________________________________________________________________

Are these conclusions
applicable to our setting?                                    Yes All   Yes Some   No

Should we proceed to design
a protocol incorporating
these conclusions?                                                      Yes All   Yes Some   No

* = Important criteria

Comments

____________________________________________________________________________

____________________________________________________________________________

Social Media and its Effects On Children’s Psychology

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Social Media and its Effects On Children’s Psychology

  

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Paper Outline

Paper Topic: Social Media and its Effects On Children’s Psychology

Introduction Possible ideas for the introduction

There has been an increase in penetration of technology within the current society which has laid an effective platform for an increase in social media use within the modern societies, including among children. According to Statista, some of the most widely used social media platforms used by children include Instagram, snapchat, Facebook, and Twitter (Statista, 2022). However, the increase in social media use is associated with several adverse impacts on children including development of psychiatric disorders which are carried on to adolescence (Cataldo et al., 2021). This paper analyzes some of the psychiatric disorders associated with use of social media among children.

Thesis Statement: Social media has adverse impacts with on the psychology of children which can affect their mental wellbeing and cognitive development.

Main Point: Social media use is associated with depressive symptoms and mood disorders

Examples/Details/Explanations:

  1. Passive use of social media where by one browses through comments and news is associated with aggravated depressive symptoms since it makes children experience a reduced sense of belonging (Cataldo et al., 2021).
  2. Among younger people, social media use is commonly associated with increased feeling of emotional loneliness (Bonkaksen et al., 2021).
  3. Loneliness is associated with an increased risk of depression (Wang et al., 2021).

Main Point: Social media use among children is also associated with increased risks of anxiety.

Examples/Details/Explanations:

  1. Cyberbullying is commonly associated with an increased risk of developing anxiety and psychological distress.
  2. Time spent on social media was directly correlated with the likelihood of developing anxiety and other psychological challenges (Keles et al., 2019).
  3. Increased use of social media among children is associated with an increase in anxiety as a result of negative experiences such as an increased propensity for comparison among children.

Main Point:  Too much screen time causes sleep issues like insomnia.

Examples/Details/Explanations:

  1. According to Pirdehghan et al. (2021), social media use is linked with sleep disturbance among adolescents.
  2. Sleep disturbance is a precursor of most psychological disorders including depression and anxiety disorders (Franceschini et al., 2020).
  3. Thus, sleep disturbance is closely associated with an increased risk of poor mental health among children and adolescents by acting as a gateway for other psychological disorders.

Conclusion Reworded Thesis

  1. Social media use is associated with adverse psychological impacts on children
  2. Common psychological impacts include depression, anxiety, and loneliness.
  • Psychological issues perpetrated by adverse online experiences including bullying.

 

 

 

 

 

 

 

References

Bonsaksen, T., Ruffolo, M., Leung, J., Price, D., Thygesen, H., Schoultz, M., & Geirdal, A. Ø. (2021). Loneliness and its association with social media use during the COVID-19 outbreak. Social Media + Society, 7(3), 205630512110338. https://doi.org/10.1177/20563051211033821

Franceschini, C., Musetti, A., Zenesini, C., Palagini, L., Pelosi, A., Quattropani, M. C., Lenzo, V., Freda, M. F., Lemmo, D., Vegni, E., Borghi, L., Saita, E., Cattivelli, R., De Gennaro, L., Plazzi, G., Riemann, D., & Castelnuovo, G. (2020). Poor quality of sleep and its consequences on mental health during COVID-19 lockdown in Italy. https://doi.org/10.31234/osf.io/ah6j3

Keles, B., McCrae, N., & Grealish, A. (2019). A systematic review: The influence of social media on depression, anxiety and psychological distress in adolescents. International Journal of Adolescence and Youth, 25(1), 79-93. https://doi.org/10.1080/02673843.2019.1590851

Pirdehghan, A., Khezmeh, E., & Panahi, S. (2021). Social media use and sleep disturbance among adolescents: A cross-sectional study. Iranian Journal of Psychiatry. https://doi.org/10.18502/ijps.v16i2.5814

Statista Research Deaprtment. (2021). Social media usage among children UK 2019. Statista. https://www.statista.com/statistics/415138/social-media-usage-among-children-uk/

Wang, P., Wang, J., Yan, Y., Si, Y., Zhan, X., & Tian, Y. (2021). Relationship between loneliness and depression among Chinese junior high school students: The serial mediating roles of internet gaming disorder, social network use, and generalized pathological internet use. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.529665

 

Nursing homework help

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Nursing homework help

 

 

Food Desert

The U.S. Department of Agriculture (USDA) (2012) defines “food deserts” where people have limited access to a variety of healthy and affordable food, are commonly households with low incomes, inadequate access to transportation, and a limited number of food retailers providing fresh produce and healthy groceries for affordable prices tracts tend to have smaller populations, higher rates of abandoned or vacant homes, and residents who have lower levels of education, lower incomes, and higher unemployment.

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History of Waianae

The U. S Census (2021) demonstrates a correlation between higher poverty rates and food deserts, like in Waianae Hawaii. Here on Oahu, it is known as the “forgotten coast.” The history of Waianae was that it was a Native Hawaiian fishing village. Soon after Westernization started it was used for sugar cane plantations. Once WWII started, the plantations were closed, the Federal government took over much of the land and no industry was ever reestablished in this community (REAL, 2021).

Pros and Cons

The pros is that it is a tight knit community filled with local families that support one another and carry on with many Native Hawaiian traditions. The land is undeveloped and there are no large tourist hotels.

The cons is that the people are disadvantaged due to transportation, access to food, healthcare and have to travel longer distances into other communities to work.

Notes about the pictures:

There are not any Dollar Stores in Hawaii. Locals in this community use Longs Drugs as a “dollar store”

Restaurants are all focused on cheap, unhealthy food options.

References

REAL. (2021). Living in Waianae, Hawaii. Realhawaii.Co. Retrieved May 9, 2022, from https://realhawaii.co/living-in-hawaii/oahu/waianae

U.S. Department of Agriculture. (2012, August). Characteristics and Influential Factors of Food Deserts. Ers.Usda.Gov. Retrieved May 9, 2022, from https://www.ers.usda.gov/webdocs/publications/45014/30940_err140.pdf

U.S. Census Bureau. (2021). U.S. Census Bureau QuickFacts: Waianae CDP, Hawaii. Census Bureau QuickFacts. Retrieved March 31, 2022, from https://www.census.gov/quickfacts/waianaecdphawaii

 

Sharla Kurtz 

Epidemiology and Public Health Discussion

The Food Sections in the Dollar Stores

The stores are beautiful, and I have realized that the price tags of items are cheap. Every item costs less than a dollar and others one dollar. The stores have several supplies, and the food section has chunky foods. The other store has food supplies that are imported from overseas. In the first store I visited, I learned that it has some benefits and demerits in the community. The food was cheap, and most of them contained sugars thus, the families with lower incomes dominated the store because it had a lot of people, especially women. This store feels the requirement because it provides the American Dream to low-income customers for a dollar a day. The store also establishes a sense of profusion by filling its store with several products set on the shelves with cheap price tags (Chenarides et al., 2021). Consumers also make more intelligent decisions by shopping in the store. I also found out that the customers find shopping in the store rewarding.

However, the store has a disadvantage to the community because it complicates it. The price tags on the shelves are low, meaning that it targets the neighborhoods with the low-income community, especially the society of Black individuals, thus discouraging the healthy eating options, especially the groceries. This also contributes to the economic anguish because it eliminates the local jobs. The location of these stores is not in the city but the rural town. In my view, the stores develop faster because it has a lot of consumers, and their unchecked development harms the community. The groceries and the local retail in the area did not have the buyers meaning that the store is the most significant competitor to these groceries even though it does not offer any.

The other store had other items apart from household items, toys, and fast-food products. In the food section, it provided frozen meat and fresh produces. It had several choices. The store had a lesser quantity of food desert, and several individuals from the local community were employed in the store. I also observed that the consumers were free to bargain from the store. This offered the store a higher rating. I learned that the store engages positively with the local community, and it has a community support concept that caters to charitable contributions.

Despite the great offers in the store, it has some disadvantages. I learned that the store was not good for the society it was located in. Society was already struggling to inspire the development of grocery store which offers healthy and fresh produce. Accessing fresh items leads to better outcomes for societies (Laska et al., 2018). Even though the store had fewer items of chips and Twinkies, it was a competitor of the grocery. It sells the fresh produce offered in the groceries; thus, the groceries lack a market for the products thus having a minor incentive to develop in the community.

Other products on the store shelves were expired, and other merchandises were defective. The store also increases segregation, and the products offered are of low quality. The store employs individuals in the local community, and it does not pay them well. In my view, the store’s growth is due to poor economic circumstances. The store has an unjust advantage over the local groceries, thus eliminating going to the grocery store. This initiates the competition in the community. The community also becomes less appealing because property values drop because the people with greater incomes leave the society.

References

Chenarides, L., Cho, C., Nayga Jr, R. M., & Thomsen, M. R. (2021). Dollar stores and food deserts. Applied Geography, 134, 102497. https://doi.org/10.1016/j.apgeog.2021.102497

Laska, M. N., Sindberg, L. S., Ayala, G. X., D’Angelo, H., Horton, L. A., Ribisl, K. M., … & Gittelsohn, J. (2018). Agreements between small food store retailers and their suppliers: Incentivizing unhealthy foods and beverages in four urban settings. Food Policy, 79, 324-330. http://dx.doi.org/10.1016/j.foodpol.2018.03.001

Euridice Nobre 

Family Dollar vs. Walmart

At the Family Dollar store I visited, shoppers can find almost everything they need, from household products to everyday groceries in small sizes. For instance, in the food section, various foods were displayed, including but not limited to cereal, produce, cookies, ice creams, and soups. I noticed that the selection of brands was limited. Still, items were more affordable to the community than at the Walmart store located about one mile away within the same neighborhood.

Although Family Dollar had a fewer variety of products, there were less expensive than the Walmart store. As far as sizes, Family Dollar offers smaller sizes, which are more convenient for people shopping for smaller families or single-use, e.g., Campbell soup for single-use, amongst many other products. Family Dollar store’s brand was also cheaper than Walmart’s brand. Overall, small stores such as Family Dollar not only benefit families with low-income but are also convenient for small families. The family Dollar store I visited is strategically located to increase access to low-income communities.

On the other hand, the Walmart store has more healthy choices, i.e., fruits, vegetables, and other nutritious groceries. The main disadvantages of Family Dollar stores are that they offer low-quality, unhealthy foods (Schwartz, 2020). According to Caspi et al. (2017), purchases at small/non-traditional food stores tend to have poor nutritional quality and have been associated with poor health outcomes, including increased risk of obesity, cardiovascular diseases, and many other health conditions.

Family Dollar:

 

Walmart:

References

Caspi, C. E., Lenk, K., Pelletier, J. E., Barnes, T. L., Harnack, L., Erickson, D. J., & Laska, M. N. (2017). Association between store food environment and customer purchases in small grocery stores, gas-marts, pharmacies, and dollar stores. The International Journal of Behavioral Nutrition and Physical Activity, 14(1), 76-76. https://doi.org/10.1186/s12966-017-0531-x

Schwartz, R. (2020, July 7). The real reason dollar stores can be harmful to communities. https://www.mashed.com/224303/the-real-reason-dollar-stores-can-be-harmful-to-communities/

 

Adult Health Hypertension Case study Paper

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Adult Health Hypertension Case study Paper

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Category Points Percentage Description
Pathology:

 

 

  

15 pts

 

 

   ·         Define the patient’s disease process

 

·         Explain the etiology of the disease process.

·         Thoroughly explain signs and symptoms of disease process.

·         State and explain any diagnostic measures utilized with this disease process.

·         Cite sources
Assessment Data 10pt   ·         Clearly explain the difference between subjective and objection data.

·         Identify Subjection and objection data that would be important to understand.

·         Explain the information that would be information to understand from the chart.

·         Identify the information from the chart that would be most helpful

·         Identify what labs would be important to your assessment and why.
Medications

 

 

 

 10pt   ·         Understand & explain first line treatment for the disease.

·         Understand & explain second line treatment and why you would use second line treatment.

·         Explain the patient’s medication: minimum of 3-5 medications.

·         Explain the class of medication.

·         Explain alternative therapies.

·         Explain any Black Box warnings, contraindications, and nursing considerations for the medications.

·         Identify 3-5 common side effects.

·         Identify any medication interactions

·         State the common indication for the prescribed medication.

·         Explain 2 challenges that might prevent them from taking medication as prescribed.

·         Cite sources
Diagnosis

 

 

 

 

 10pt   ·         Provide 3 nursing diagnosis for the patients (primary physical, psychosocial and education) pertinent to this client’s medical diagnosis.

·         List health assessment priorities for the nursing diagnosis.

·         State 5 or more appropriate interventions with evidence-based practiced rationale for each action stated for each of the 3 primary nursing diagnosis (cite sources).

·         Explain relevant lab work that is required with this medical diagnosis.

·         Cite sources
Plan of care

 

 

 15pt   ·         Explain what the patient is at risk for.

·         Articulate safety concerns or issues at home.

·         Explain 2 challenges that might prevent the patient from seeking medical care.

·         Articulate all patient education for the patient and treatment plan.

·         Explain an understanding of the diagnosis and treatment.

·         Identify 2 short-term goals & 2 long-term goals.

·         Identify 2 outcomes for the patients.

·         Cite sources.
Discharge Instructions

 

 

 10pt   ·         Articulate appropriate discharge instructions for these patients.

·         Articulate appropriate follow-up care.

·         Cite sources.
SOAPIE Note

 

 

 

 

 10pt   The required elements include the following:

·         Clear statement of subjective findings.

·         Clear statement of objective findings.

·         Clear statement of assessment findings.

·         Clear statement of plan.

·         Clear statement of interventions

·         Clear statement of Evaluation

 
APA 20pts   All information taken from another source must be included on a reference listing using the 7th edition APA as per the Stratford University policy as of October 5th, 2020.

 

You are NOT allowed to use your book as a source Reference:  You must use Peer Reviewed Sources/Articles.
Total 100 100  

 

Nursing homework help

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Nursing homework help

Instructions

  • There will be 5 case studies posted this semester. Please answer all questions associated with the case study as thoroughly as you can.
  • Please use at least 2 reference when responding to the Case Study unless otherwise noted.
  • There is no particular length requirement as long as you answer the questions thoroughly and use a reference(s) to support your responses.
  • Use the most current APA edition when writing and referencing.
  • Please proofread your papers.

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Negotiation
Susie Smith, a nurse manager of a 77-bed orthopedic unit, is trying to get the pharmacy to deliver medications earlier in the morning. The clinical nurses are unable to schedule procedures in a timely manner, complete all required treatments, and medicate clients on time because of the late pharmacy delivery. Nurse Smith has scheduled meetings with the pharmacy manager. She has determined the exact time required for timely delivery to the unit and for proper client medication delivery. After brainstorming to identify options, she has decided that she will not back down on her demand that the medications be delivered earlier. When Nurse Smith meets with the pharmacy manager, she clearly states the problem and asks for input from his perspective. The pharmacy manager tells Nurse Smith that he cannot change the time schedule because he will upset his workers and their organization. Nurse Smith empathizes with him but reiterates that for quality care, it is essential to administer medications in a timely fashion. Nurse Smith offers to work with him in analyzing delivery times to help develop a different schedule that meets everyone’s needs. The pharmacy manager declines and tells her that it is her problem, not his. What should Nurse Smith do?

  1. What are the three forms of communication often used when two sides seek to reach an agreement? Which of those is being used here?
  2. A patient in the orthopedic unit suffers a significant setback in his recovery when he cannot function properly during physical therapy because his pain medications were not available at the right time to enable him to participate pain-free. The physicians on the orthopedic unit speak out in support of the patients’ needs to receive medications in a timely fashion. As a result, a small task group is made up of Nurse Smith, the pharmacy manager, and two staff members from both departments. Because she was the one who tried to spearhead this change, Nurse Smith is made the group leader. Not wanting to alienate the already defensive pharmacy team members, she decides she will only use an empowering style of leadership. Do you agree with her?

Assignment File(s)

Case Study Rubric  Download Case Study Rubric[Word Document]

Rubric

NM480 Unit 1 Assignment – Case Study #1 Rubric

NM480 Unit 1 Assignment – Case Study #1 Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeOrganization
20 pts

16-20 points

All questions were answered with information organized in a logical sequence.

 15 pts

12-15 points

All questions answered with information generally organized in a logical sequence.

 11 pts

8-11 points

All questions answered and information intermittently organized.

 7 pts

4-7 points

All questions answered but information disorganized.

 3 pts

0-3 points

All questions not addressed.
20 pts
This criterion is linked to a Learning OutcomeAnalysis and Evaluation
20 pts

16-20 points

Presents an insightful and thorough analysis of issue; Supports analysis with at least one scholarly source.

 15 pts

12-15 points

Presents a thorough analysis of issue; Support analysis with at least one scholarly source

 11 pts

8-11 points

Presents an incomplete analysis of issue by failure to address one aspect: No scholarly support of analysis.

 7 pts

4-7 points

Presents an incomplete analysis of issue by failure to address multiple aspects; No scholarly support of analysis.

 3 pts

0-3 points

Presents a superficial analysis of issue; No scholarly support of analysis.
20 pts
This criterion is linked to a Learning OutcomeConclusion and Recommendation
20 pts

16-20 points

Effective recommendation or solution aligned with the analysis.

 15 pts

12-15 points

Recommendation or solution loosely aligned with the analysis.

 11 pts

8-11 points

Recommendation or solution does not align with the analysis.

 7 pts

4-7 points

Recommendation or solution does not align with the analysis and is unrealistic.

 3 pts

0-3 points

No recommendation or solution offered.
20 pts
This criterion is linked to a Learning OutcomeWriting Mechanics and Formatting
20 pts

16-20 points

Demonstrates clarity, conciseness, and correctness. Current APA formatting used and free of grammar and spelling errors.

 15 pts

12-15 points

Majority of information is clear with some questions left to reader interpretation. APA with 1-3 grammar and spelling errors.

 11 pts

8-11 points

Sentence structure is proper but paragraph is disorganized. APA with 4-5 grammar and spelling errors.

 7 pts

4-7 points

Poorly organized and does not follow proper sentence structure. APA with greater than 5 grammar and spelling errors.

 3 pts

0-3 points

Unfocused and rambling. Not in current APA format.
20 pts

 

Connection Between Our Culture and the News Media

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Connection Between Our Culture and the News Media

Week 2 Discussion: Connection Between Our Culture and the News Media

44 unread replies.44 replies.

Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 5, 6
  • Lesson: Read this Week’s Lesson which is located in the Modules tab
  • Initial Post: minimum of 2 scholarly sources (must include your textbook for one of the sources). Follow-Up Post: minimum of 1 scholarly source for your Follow-Up Post.

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Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

Option 1: The framers of the Constitution were concerned that everyday citizens would not be able to understand or comprehend the makings of our government. They felt that everyday citizens were uninformed and did not care what was going on in our government. Even today we see where citizens are interested in government affairs seemingly only if our country is in turmoil such as unemployment, recessions, civil unrest, etc. Do you agree with this assessment? Are we uninformed? Do we wait till a crisis happens to voice our opinions?

Option 2: Many experts see the media as biased and more like infotainment. In fact, many people have turned to social networks as an outlet for news instead of CBS, NBC, FOX, CNN and other news stations. Do you see this as an issue? Do you see the news as biased or unbiased? Should there be more restrictions on the news stations?

Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.

 

 

 

 

 

 

 

 

 

 Student Example

Option 2

As we learned in week two’s lesson, news media has a “huge impact of public opinion and political behavior” (Chamberlain, 2022). I do agree with the experts and feel that the news can be biased. This is an issue because the people deserve to get the story without things being left out or without options. When the news does this it is called sharing politics. They leave out parts or explain something in a way that leans towards their political side.  Everyone had their own options and working at a certain station could have their own politics involved as to what view they want to have on a piece of news. Mastrine gives a great example, “Our team noted that NPR does not give lots of coverage to current hot-button issues frequently seen in coverage on the Right — such as free speech, abortion, or the Second Amendment — and in that same vein, does not give lots of coverage to hot-button issues often covered by the Left — economic inequality, climate change, or social justice initiatives” (year page). This example is what I feel we all already know. Different media outlets have different approaches and views on how they feel about things. I think the news should be given with as many facts as possible leaving out opinions or have two opposing views review the same story. A lot of times when I am interested in a story, I go to different news outlets to hear different views on the same topic. I do not know about the restrictions that can be enforced with news, but I think people generally know which station has what political view, so they listen or watch the stations they agree with more. To have a well-rounded knowledge base when something interests me, I look at the story from as many different sources that I can find to help get a rounded view. I am then able to decipher through the opinions and facts to have my own view. It would be nice to have a news station that reports the same story with different views back-to-back so you do not have to rewatch the same news story just to try and figure out fact verse opinion and make sure nothing was left out of one news story compared to the other.

References

Chamberlain University (2022). POLI330 Political Science: Week 2 lesson. Downers Grove, IL: Online Publication.

Mastrine, J. (2019). Taking a Closer Look at the NPR News Media Bias Rating. AllSides Perspectives Blog. https://chamberlainuniversity.idm.oclc.org/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fblogs-podcasts-websites%2Ftaking-closer-look-at-npr-news-media-bias-rating%2Fdocview%2F2260147142%2Fse-2%3Faccountid%3D147674

 

 

The Affordable Care Act and Beyond

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The Affordable Care Act and Beyond

The Affordable Care Act and Beyond

Template Instructions (delete this page after reading)

  • Review the assessment scoring guide before you complete this template so that you understand the difference between “Distinguished,” “Proficient,” “Basic,” and “Non-Performance” grading levels.
  • The headings in the template below are designed to correspond to the scoring criteria. Please maintain these headings.
  • For this assessment, you will analyze the impacts of the Affordable Care Act on the healthcare ecosystem we inhabit today. As part of this analysis, you will also discuss the related significance of one other health care initiative enacted since 2010 selected from the following:
    • The Hospital Quality Initiative (2012)
    • The Medicare Access and CHIP Reauthorization Act (MACRA) (2015)
    • The Merit-Based Incentive Payment System (MIPS) (2015)
    • The American Rescue Plan Act (2021)
  • Please delete these instructions and all other instructions [contained in brackets] throughout the template prior to submitting this document for grading.

 

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Introduction

[Provide a brief introduction to the main themes of your paper here.]

Sources Addressing the Affordable Care Act

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000

            Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.

Author’s last name, First name initial. Middle initial. (Year of publication). Title of the book in italics. Publishing company. DOI or URL if available

            Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.

Author’s last name, First name initial. Middle initial. (Year of publication). Title of the article.  Title of the Journal in Italics, volume number(Issue number), pages used. DOI number

Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.      

Sources Addressing [enter here the health care initiative after the ACA that you selected]

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000

            Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.

Author’s last name, First name initial. Middle initial. (Year of publication). Title of the book in italics. Publishing company. DOI or URL if available

            Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.

Author’s last name, First name initial. Middle initial. (Year of publication). Title of the article.  Title of the Journal in Italics, volume number(Issue number), pages used. DOI number

Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.      

Impacts of the ACA and [enter here initiative you chose]
on the U.S. Health Care Ecosystem

Affordable Care Act Overview

            [Explain the history, structure, and purpose of the Affordable Care Act.]

[Enter here the initiative you chose] Overview

            [Explain the history, structure, and purpose of the (enter your selected initiative here).]

Impact on the U.S. Health Care Ecosystem

  • [Explain the relationship between the ACA and your chosen initiative.]
    • [What groundwork did the ACA create to make your chosen initiative possible?]
  • [Explain the present and future impacts of the ACA and your chosen initiative on the U.S. health care system.]
    • [What groundwork does your chosen initiative create that could be expanded or extrapolated in future initiatives?]
    • [Cite at least one scholarly/professional source to support your prediction(s).]

Conclusion

[Based the sources and analysis you included in this paper, answer the following question in one paragraph: “Does the future of U.S. health care appear to improve or decline?”]

References

[Lastname, C. (2018). Title of the source without caps except Proper Nouns or: First word after colon. The Journal or Publication Italicized and Capped, Vol#(Issue#), Page numbers.]

[Lastname, O. (2019).  Online journal using DOI or digital object identifier. Main Online Journal Name, Vol#(Issue#), 159–192. doi: 10.1000/182]

[Lastname, W. (2021). If there is no DOI use the URL of the main website referenced. Article Without DOI Reference, Vol#(Issue#), 166–212. http://www.mainwebsite.org]

 

[NOTE: The above references are SAMPLES ONLY. For more information and example related to references, visit Capella’s Writing Center. You are responsible for submitting appropriate in-text and reference page citations.] 

Leadership Journal Template

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Leadership Journal Template

Leadership Journal Template

Name:

Weeks Covering:

Preceptor/Mentor:

Clinical/Practicum Site:

Hours Worked (past 2 weeks):___

Total Hours: ____/150 total of all hours worked up to this point

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Practicum Activities Reflection:

Discuss some of your activities with your preceptor/mentor, what projects you are working on, and what observations about leadership you have made during the past two weeks. This does not need to be a step by step diary.  Instead, this is a place to reflect on how your observations and activities have compared to what you have learned in your courses thus far.

 

 

 

Application of Leadership:

 Each Leadership Journal assignment will include specific questions for you to answer.

 

 

 

 

Practicum Project Preparation:

Each Leadership Journal assignment will include specific questions for you to answer.

 

 

Leadership Video Reflection:

Each Leadership Journal assignment will include specific questions for you to answer.

 

 

References

(Please make sure all references are in APA format.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Workplace Environment Assessment

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Workplace Environment Assessment

 

The safety of the work environment remains a crucial central area that the management is required to focus on to ensure that both clients and the employees are safe and healthy. Safety measures and reporting are some of the criteria used for evaluating the organization and scoring the organization’s performance in terms of quality services and safety to employees (Badri et al., 2018). The purpose of this summary goals is to provide a summary of the outcomes of the work environment assessment earlier complete, a literature review by giving a brief explanation of the theory of concept presented in the articles selected, and evidence-based strategies that can be used to create high-performance interprofessional teams.

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Work Environment Assessment

 

Based on the outcomes from the work environment assessment that was completed on the workplace, the overall civility score was 55, indicating that the workplace was unhealthy. The two and most surprising things about the results were that the workplace does not have a positive environment as it was previously thought. There is a considerable gap between the leadership and the rest of the workers concerning the decision-making processes. The single idea that I believed before the performance of the assessment and was confirmed is the workload of the employees, which is unfairly distributed and the majority of the workers being overworked (Clark, 2015). Therefore, based on the health and the civility of the workplace, the outcomes of the workplace assessment indicate that the workplace is unhealthy and has a lower level of civility.

Reviewing the Literature

 

The model or theory presented by the selected article is the DESC model. This model is essential in structuring the civility conversation. T is based on the Team-STEPPs, which is an evidence-based teamwork system used to improve the communication and the skills of the team (Griffin & Clark, 2014). This, in turn, leads to improved safety and healthcare quality. The model works effectively with the cognitive rehearsal to address particular incivility cases.

The selected theory is related to the results of the work environment assessment. The results from the work environment assessment show that the overall civility score was 55. This reveals the unhealthy status of the workplace, hence needs further improvement. The model plays an essential role in addressing the incivility evident in this organization. This can be achieved when the staff and the management work as a team, as supported by this model. Working as a team is an essential intervention in ensuring that both parties understand one another and share the success and the challenges encountered in dealing with organizational safety (Clark, 2015). Since the model is based on the Team-STEPPS, it makes it easier for the management and the staff to improve their skills and communication, which leads to the overall enhancement of the safety and quality of care in the organization. With effective implementation of the model, there will be an improvement in the overall civility score hence an improvement in the health and safety status of the workplace.

The DESC model can improve organizational health and stronger work teams successfully. The use of the model makes it possible to address the uncivil encounter within the organization. It promotes critical conversation with the uncivil colleague hence allowing the staff and management to move forward as a team (Clark, 2015). The model or theory is vital since it makes it possible to have a perfectly prepared team for the conversation whereby each member speaks with confidence and uses respectful expressions. This critical approach ensures an end to the silence that is considered the essential characteristic of incivility.

The encounter with incivility is made more effective by using the model. Ensuring that the staff and the management perfectly understand the tools in the DESC model makes it possible to encounter incivility as a team. The model makes it possible for each member to speak confidently and use respectful expressions (Clark, 2015). This gives the members an opportunity of describing and expresses their concerns to the management and propose alternative approaches that can be adopted to improve the safety and health of the workplace.

Evidence-Based Strategies to create High-Performance Interprofessional Teams

It is essential to ensure that the issues that affect the score of the work environment are addressed ideally. To achieve this process, it is necessary to have excellent strategies that assist both staff and management in dealing with the issue of incivility in the work environment. One of the approaches is to ensure an effective communication process within the organization (Andriani et al., 2018). This intervention is essential in providing that both parties are involved in addressing conflict in the negotiation process to ensure that the shortcomings in the work environment are dealt with accordingly (Clark, 2015). Effective communication is also helping in providing that there is an effective problem-solving process since members consult each other and arrive at an effective solution.

The other strategy is to ensure that there is a culture of collaboration amongst the members. The collaboration process is essential since it allows the members to synthesize their unique strengths brought by each member to the workplace. This approach makes it possible to create a workplace a civil one (Clark, 2015). Therefore, the staff and the management will always focus on the higher purposes, i.e., providing safe, effective patient care and engaging in respectful communication.

It is also essential to improve the successful practices revealed in the workplace environment. Based on the assessment, there was a gap between the leadership and the employees, especially in terms of decision-making. The other issue is the staff’s workload that is unfairly distributed and some of the workers being overworked. Therefore, it is essential to ensure that all the team in the organization is involved in the decision-making process (Clark, 2015). It is also necessary to ensure that the staff is provided with feedback on the successes and the areas that need improvement in terms of the safety and health of the work environment. The other approach is for the organization to ensure an increase in the number of staff since it appears the few available employees are overworked.

Summary or Conclusion

            The personal assessment of the workplace indicates incivility based on a civility score of 55. This is a clear indication that the workplace has an unhealthy working environment characterized by the more significant gap between the leadership and the employees in decision-making processes and the workload that the workers experience. Dealing with these issues requires adopting the DESC model that supports effective communication processes that support the civility conversation between the team members (Clark & Ritter, 2018). It also supports a collaborative approach that leads to the exploitation of the unique strengths brought by the members and supports a respectful expression by the members. The model is also essential in helping conflict negotiation, and problem-solving promote the safety and health of both patients and providers.

 

 

 

 

References

Andriani, S., Kesumawati, N., & Kristiawan, M. (2018). The influence of the transformational leadership and work motivation on teachers performance. International Journal of Scientific & Technology Research, 7(7), 19-29.

Badri, A., Boudreau-Trudel, B., & Souissi, A. S. (2018). Occupational health and safety in the industry 4.0 era: A cause for major concern? Safety science, 109, 403-411.

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18-23. https://doi.org/10.3928/01484834-20180522-02

Clark, C. M., & Ritter, K. (2018). Policy to foster civility and support a healthy academic work environment. Journal of Nursing Education, 57(6), 325-331.

Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. The Journal of Continuing Education in Nursing, 45(12), 535-542. Doi:10.3928/00220124-20141122-02

 

CAS 321 Advanced Study of Infant and Toddler Development Research

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CAS 321 Advanced Study of Infant and Toddler Development Research

CAS 321 Advanced Study of Infant and Toddler Development Research Paper Guideline and Scoring Rubric (70 points possible)

 

The purpose of this research paper assignment is to summarize and synthesize findings from at least six scholarly resources. For this assignment, there are three steps involved: 1) write a proposal (10 points), 2) submit a Reference Page (10 points), and 3) complete your final paper (50 points). You will write a 7-page APA style research paper on a topic related to child development from conception through age three, worth a maximum of 50 points. A minimum of six scholarly references (4 peer–review journal articles) is required for your resources. Course lecture notes may not be cited. You may not use popular sources such as Wikipedia and your book are not to be the sole source of your information. The sources of all information should be documented using APA style citations (7th edition). CAS 321 Advanced Study of Infant and Toddler Development Research

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The lengths of the research paper will be seven pages (doubled-spaced). Your paper should include three major sections: The Title Page, Main Body (5 pages), and References (one page). No Direct Quotes are allowed for your paper. See below for the scoring rubric. The project must be submitted in Microsoft Word format.

 

You need to submit your paper to Turnitin.com via course website. All papers must have an originality score of 25% or less (meaning that 75% or more of the content is original to the author). This score includes references and quotes. You must review your originality report after submitting your paper to ensure that your score is appropriate. I recommend submitting a draft in advance to confirm that your score will be acceptable.

 

If your score is too high, you will need to revise and resubmit the paper. Please contact me immediately if your paper has a score above 25%. Papers with a score above 25% will not be graded (will receive a zero) unless they are revised and resubmitted.

 

Scoring Rubric (50 points possible)

Content (40 points)

Introductory paragraph (5 points)

Introduce general idea

Explains why this topic is important

Define the age range that you will focus on

Explains what the paper will cover

Specific developmental characteristics/trends related to topic

and age/life phase are discussed (7 points)

Content is accurate, comprehensive, relevant to developmental

phase overall (7 points)

Major points are stated clearly, supported by specific details,

examples, and analysis (7 points)

Integration and synthesizing of research findings, background reading is

appropriate, supports rationale (information from at least 6 high

quality sources is included) (7 points)

Recommendations/implications for developmentally appropriate

practice are logical, follow from discussion (7 points)

 

Organization (10 points)

        Meets minimum page requirement (1 point)                                                                                                          Clarity of expression (1 point)

Grammar (3 points)

Conciseness (2 points)

APA-style (3 points)