Creating a Welcoming Workplace for the Older Worker

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Creating a Welcoming Workplace for the Older Worker

Creating a Welcoming Workplace for the Older Worker

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The nursing workforce is aging rapidly. In fact, Baby Boomers constitute the largest group of nurses currently practicing. This aging workforce poses two significant ramifications for nurse managers. First, due to the volatility and uncertainty in the world and national economy, many Baby Boomers have shifted their retirement plans and are staying in the workforce. This is requiring creative responses on the part of employers. Conversely, as these highly experienced and knowledgeable nurses do begin to exit the active workforce, experts anticipate a “brain drain” that will affect all levels of health care environments.

In this week’s Assignment, you critically assess your current organization or one with which you are familiar to determine why older workers may stay in or leave their positions. In addition, you suggest strategies that could help to retain and further engage this specific population of nurses.

To prepare

Review the article, “From Veterans to Nexters: Managing the Multi-Generational Nursing Workforce.” Reflect upon the key ideas: the challenges and implications of managing a multi-generational workforce, common generational differences, interventions for increasing generational motivation, and strategies for retaining the older nurse.
Reflect on your current organization or one with which you are familiar and determine the demographic breakdown of employees based on age. Then, consider how this specific work environment might present difficulties for older workers and think about factors that might cause these employees to leave your setting.
Use this week’s Learning Resources, as well as your own scholarly research, to identify strategies that could engage and retain this population of nurses.
To complete

BY DAY 7 OF WEEK 10
Submit a 3- to 5-page paper in which you do the following:

Identify the demographic breakdown of employees in the organization. If you are unable to access exact demographical data, provide your best estimate for each of the following age ranges: 20–30, 30–40, 40–50, 50–60, and 60–70, and 70+.
Describe at least two ways the work environment is conducive to older workers and at least two difficulties it might present. Support your response by citing authentic examples from the workplace and this week’s Learning Resources as applicable.
Propose at least four specific strategies you could implement to engage and retain older workers.

Screening Guidelines

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Screening Guidelines

Unit 3: Educating Age Appropriate Screening Gui Introductory 0-1.9 Emergent 2-2.9 Practiced 3-3.9 Guideline and

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population selecton Did not select a population and age appropriate screening n/a n/a Screening introduction Did not introduce screening guideline Satisfactorily introduced screening guideline and why it was chosen. Adequately introduced screening guideline and why it was chosen. Outline relevant group statistics related to the population Did not outline relevant statistics related to the population and screening Briefly outlinedrelevant statistics related to the population and screening, Adequately outlined relevant statistics related to the population and screening Discussion of issues impacting screening Did not discuss the issues impacting screening. Briefly discussed the issues impacting screening. Adequately discussed the issues impacting screening. 6 Panel trifold or 10slide powerpoint Trifold was not 6 panel or powerpoint was not 10 slides. n/a n/a References/ APA Did not provide evidence-based references, grammar, and APA issues. n/a n/a 4 Total available points = 100 Rubric Score Low 3.5 2.5 1.7 1.0 0.0 Grade points High 4.0 3.49 2.49 1.69 1.00 Low 90 80 70 60 0 High 100 90 80 70 60 Screening Guidelines Proficient/Mastered 4 Score Weight Final Score Selected age appropriate screening and population 0 5% 0.00 Thoroughly introduced screening guideline and why it was chosen. 0 20% 0.00 Thoroughly outlined relevant statistics related to the population and screening 0 25% 0.00 Thoroughly discussed the issues impacting screening. 0 25% 0.00 Creative trifold brochure or 10 slide powerpoint 0 20% 0.00 Provided evidence based references and correct APA and grammar. 0 5% 0.00 100% 0.00 0 0.00% Final Score Percentage Percentage Low 90% 80% 70% 60% 0 High 100% 89.99% 79.99% 69.99% 59.99%
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Paper on Qualitative Nursing Research

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Paper on Qualitative Nursing Research

For this Assignment, be sure to view this week’s Qualitative Research Design PowerPoint webinar and pay close

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attention to its content on the basic elements of qualitative research methods (e.g., sample selection, data collection, plans for interpretive analysis). Then, review the two research studies presented in this week’s resources for this assignment.

Note: While not a required resource, you might find the definitions in the Encyclopedia of Nursing Research helpful for this assignment.
This assignment involves identifying and describing different elements of the research method used in the Walsh et al. (2015) article.

Focus on the research design, sample selection, data collection methods, and plan for data analysis as discussed in the Walsh et al. (2015) article.
Identify at least two strengths and two weaknesses of the article’s research method based on trustworthiness. You must provide support for your explanation with citations from additional sources.
Use the Journal Club Template for Qualitative Research located in this week’s resources.
The template includes an area for each element discussed in the study.
Be brief, paraphrase and summarize each of the elements clearly on the form
RESEARCH DESIGN–
Levels of Achievement:
Excellent 14 (14%) – 15 (15%)

Student provided a fully developed explanation of the research design with insightful analysis of concepts and related issues.

Proficient 12 (12%) – 13 (13%)

Student provided a developed discussion of the research design with reasonable analysis of concepts and related issues.

Basic 11 (11%) – 11 (11%)

Student provided a minimally-developed discussion of the research design with limited analysis of concepts and related issues.

Needs Improvement 0 (0%) – 10 (10%)

Student provided a under-developed discussion of the research design with little or no analysis of concepts and related issues.

Feedback:

SAMPLE SELECTION–
Levels of Achievement:
Excellent 14 (14%) – 15 (15%)

Student provided a fully developed explanation of the sample selection with insightful analysis of concepts and related issues.

Proficient 12 (12%) – 13 (13%)

Student provided a developed explanation of the sample selection with insightful analysis of concepts and related issues.

Basic 11 (11%) – 11 (11%)

Student provided a minimally developed explanation of the sample selection with insightful analysis of concepts and related issues.

Needs Improvement 0 (0%) – 10 (10%)

Student provided an under developed explanation of the sample selection with insightful analysis of concepts and related issues.

Feedback:

DATA COLLECTION METHODS–
Levels of Achievement:
Excellent 14 (14%) – 15 (15%)

Student provided a fully developed explanation of the data collection methods with insightful analysis of concepts and related issues.

Proficient 12 (12%) – 13 (13%)

Student provided a developed explanation of the data collection methods with insightful analysis of concepts and related issues.

Basic 11 (11%) – 11 (11%)

Student provided a minimally developed explanation of the data collection methods with insightful analysis of concepts and related issues.

Needs Improvement 0 (0%) – 10 (10%)

Student provided an under developed explanation of the data collection methods with insightful analysis of concepts and related issues.

Feedback:

PLAN FOR DATA ANALYSIS–
Levels of Achievement:
Excellent 14 (14%) – 15 (15%)

Student provided a fully developed explanation of the plan for data analysis with insightful analysis of concepts and related issues.

Proficient 12 (12%) – 13 (13%)

Student provided a developed explanation of the plan for data analysis with insightful analysis of concepts and related issues.

Basic 11 (11%) – 11 (11%)

Student provided a minimally developed explanation of the plan for data analysis with insightful analysis of concepts and related issues.

Needs Improvement 0 (0%) – 10 (10%)

Student provided a under developed explanation of the plan for data analysis with insightful analysis of concepts and related issues.

Feedback:

IDENTIFIES AND DESCRIBES THE STRENGTHS AND WEAKNESSES OF THE RESEARCH METHOD USED BASED ON THE ELEMENTS OF TRUSTWORTHINESS.

(REVIEW AWE 3000 WRITING EXPECTATIONS, PARAPHRASING, SUMMARIZING AND SCHOLARLY WRITING LINK BELOW.)–
Levels of Achievement:
Excellent 23 (23%) – 25 (25%)

Student provided a fully developed discussion of at least two strengths and two weaknesses of the research methods based on the elements of trustworthiness.

Proficient 20 (20%) – 22 (22%)

Student provided a developed discussion of at least two strengths and two weaknesses of the research methods based on the elements of trustworthiness.

Basic 18 (18%) – 19 (19%)

Student provided a minimally developed discussion of at least two strengths and two weaknesses of the research methods based on the elements of trustworthiness.

Needs Improvement 0 (0%) – 17 (17%)

Student provided an under developed discussion of at least two strengths and two weaknesses of the research methods based on the elements of trustworthiness.

Feedback:

ACADEMIC WRITING EXPECTATIONS (AWE 2) 2000/3000 LEVEL–
Levels of Achievement:
Excellent 9 (9%) – 10 (10%)

Demonstrates fully developed sentence, paragraph, and essay level skills. Uses evidence from multiple sources to support content. Meets the 3000 AWE level with no writing issues and exceeds the minimum reference requirement.

Proficient 8 (8%) – 8 (8%)

Demonstrates developed sentence, paragraph, and essay level skills. Uses evidence from most sources to support content. Meets the 3000 AWE level with minimal writing issues and exceeds the minimum reference requirement.

Basic 7 (7%) – 7 (7%)

Demonstrates minimally developed sentence, paragraph, and essay level skills. Uses evidence from some sources to support content. Minimally meets the 3000 AWE level with several writing issues and meets the minimum reference requirement.

Needs Improvement 0 (0%) – 6 (6%)

Demonstrates limited sentence, paragraph, and essay level skills. Has limited use of evidence with few or no sources to support the content. Does not meet the 3000 AWE level of writing and does not meet the mimium reference requirement.

Psychiatric nursing

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Psychiatric nursing

PATIENT DIAGNOSIS: SCHIZOAFFECTIVE DISORDER, BIPOLAR TYPE

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I need a one meta-analysis paper.

Out of the two article please only choose one and Critical.

Instructions: i) one meta-analysis pertaining to either nursing or psychiatric diagnosis/treatment.

ii) State rational for one article, includinga statement of how it applies to patient’s diagnosis and / treatment

iii) Briefly summarize each article including a description of the purpose, sample, methods, findings, implications for practice, and conclusions of the authors

iv) Cite all references in APA format.

article #1: Global brain connectivity alterations in patients with schizophrenia and bipolar spectrum disorders

Article #2: Treatment adherence in bipolar I and schizoaffective disorder, bipolar type

Transcultural diversity and Health care

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Transcultural diversity and Health care

1. In your own words and using the proper evidence-based references define transcultural diversity and Health care

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and discuss how both terms interact and how they help in the delivery of health care to different heritages.

2. Mention and discuss at least 4 variant characteristics of culture.

Assignment must be presented in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “week 1 discussion questions”. A minimum of 2 evidence-based references no older than 5 years are required. A minimum of 500 words are required.

Due date: Saturday May 5, 2018 @ 11:59 PM.

disscusion

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disscusion

Transcultural Health Care: A Culturally Competent Approach, 4th Edition Theories, Models, and Approaches Larry

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Purnell, PhD, RN, FAAN Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Theories, Models, and Approaches ▪ Leininger: First nurse cultural theorist from early 1950s. She states it is for nursing only ▪ Campinha-Bacote: basic simple model without complex constructs but applicable to all healthcare providers. Also has a Biblical based model. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Theories, Models, and Approaches ▪ Giger and Davidhizar: Nursing only ▪ Purnell: For all health care providers and is an example of a complexity and holographic conceptual model with an organizing framework. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Theories, Models, and Approaches ▪ Papadopoulous, Tilki, and Taylor Model for Transcultural Nursing and Health ▪ Andrews and Boyle Nursing Assessment Guide ▪ Spector’s Health Traditions Model Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Theories, Models, and Approaches ▪ Ramsden’s Cultural Safety Model ▪ Jeffrey’s Teaching Cultural Competence in Nursing and Health Care: Inquiry, Action, and Innovation Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger’s Theory of Cultural Care Diversity and Universality www.madeleine-leininger.com ▪ Leininger described the phenomena of cultural care based on her experiences. ▪ Began in the 1950s with her doctoral dissertation conducted in New Guinea ▪ www.tcns.org and go to theories and then to the Sunrise Enabler and her model is displayed as well as publications. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Transcultural Nursing ▪ “Transcultural nursing has been defined as a formal area of study and practice focused on comparative human-care (caring) differences and similarities of the beliefs, values, and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people.“ Leininger and McFarland text, 3rd ed.,2002, pp5-6. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger: Purpose and Goal ▪ To discover, document, interpret, explain and predict multiple factors influencing care from a cultural holistic perspective. ▪ The goal of the theory was to provide culturally congruent care that would contribute to the health and well being of people, or to help them face disability, dying, or death using the three modes of action. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leninger: Theoretical Tenets ▪ Leininger’s tenets: Care diversities (differences) and universalities (commonalties) existed among cultures in the world which needed to be discovered, and analyzed for their meaning and uses to establish a body of transcultural nursing knowledge. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger: Assumptions ▪ Care is essence of nursing and a distinct, dominant, central, and unifying focus. Some would say that caring is not unique to nursing. ▪ Care is essential for well being, health, growth, survival, and to face handicaps or death. ▪ Culturally based care is the broadest means to know, explain, interpret, and predict nursing care phenomena to guide nursing care decisions and actions. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger Assumptions ▪ Nursing is a transcultural humanistic and scientific care to serve individuals, groups, communities, and institutions worldwide. ▪ Caring is essential to curing and healing for there can be no curing without caring. ▪ Cultural care concepts meanings and expression patterns of care vary transculturally with diversity and universality. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger Assumptions ▪ Every human culture has generic care knowledge and practices and some professional care knowledge that vary transculturally. ▪ Culture care values, beliefs, and practices are influenced by the (rays of the sun see the Model). ▪ Beneficial, healthy, and satisfying culturally based care influences the health and well-being of individuals, families, groups, and communities within the cultural context. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger Assumptions ▪ Culturally congruent care can only occur when individuals’, groups’, and communities’ patterns are known and used in meaningful ways. ▪ Culture care differences and similarities between professionals and clients exist in all human cultures worldwide. ▪ Culture conflicts, imposition practices, cultural stresses, and pain reflect the lack of professional care to provide culturally congruent care. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger’s Sunrise Enabler to Discover Culture Care To view the model go to: http://leiningertheory.blogspot.com/ Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger Orientational Theory Definitions ▪ Cultural Care Preservation or Maintenance: all is well with the patient so encourage to continue what has been done ▪ Cultural Care Accommodation or Negotiation: Needs some change. What is acceptable weight from the patient’s perspective ▪ Cultural Care Repatterning or Restructuring: Practices are deleterious to overall health and need restructured: sexually promiscuous and has not been practicing safe sex Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Competence in the Delivery of Healthcare Services: A culturally Competent Model of Care ▪ Dr. Josepha Campinha-Bacote but cannot display her model. Go to http://www.transculturalcare.net Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Process of Cultural Competence ▪ Cultural Competence is a process not an event. ▪ The process consist of five inter-related constructs: Cultural desire, cultural awareness, cultural knowledge, cultural skills, and cultural encounter. ▪ The key and pivotal construct is cultural desire. ▪ There is more variation within a cultural group than across cultural groups. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Process of Cultural Competence ▪ There is a direct relationship between healthcare professionals level of cultural competence and their ability to provide culturally responsive health care. ▪ Cultural competence is an essential component in delivering effective and culturally responsive care to culturally diverse clients. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Desire ▪ . . . Cultural desire is defined as the motivation of the healthcare professional to “want to” engage in the process of becoming culturally competent; not the “have to”. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Concepts ▪ Cultural awareness is the self-examination and in-depth exploration of one’s own cultural background. ▪ Cultural knowledge is the process of seeking and obtaining a sound educational base about culturally diverse groups. ▪ Cultural Skills is the ability to collect relevant cultural data regarding the client’s presenting problem as well as accurately perform a culturally based physical assessment. ▪ Cultural encounter is the process which encourages the healthcare professional to directly engage in face-to-face interactions with clients from culturally diverse backgrounds. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition The Giger and Davidhizar Transcultural Assessment Model Dr. Joyce Giger Dr. Ruth Davidhizar (deceased) Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Assumptions ▪ The Giger and Davidhizar Transcultural Model postulates that each individual is culturally unique and should be assessed according to the six cultural phenomena. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Communication ▪ Communication embraces the entire world of human interaction and behavior. Communication is the means by which culture is transmitted and preserved. Both verbal and non-verbal communication are learned in one’s culture. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Space ▪ Space refers to the distance between individuals when they interact. All communication occurs in the context of space. ▪ Zones of personal space: intimate, personal, social, and consultative and public. Rules concerning personal distance vary from culture to culture. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Social Organization ▪ Social organization refers to the manner in which a cultural group organizes itself around the family group. Family structure and organization, religious values and beliefs, and role assignments may all relate to ethnicity and culture. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Time ▪ Time is an important aspect of interpersonal communication. ▪ Cultural groups can be past, present, or future oriented. ▪ Preventive health requires some future time orientation because preventative actions are motivated by a future reward. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Environmental Control ▪ Environmental control refers to the ability of the person to control nature and to plan and direct factors in the environment that affect them. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Biological Variations ▪ Biological differences, especially genetic variations, exist between individuals in different racial groups. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Boyle and Andrews Culturological Assessment ▪ Biocultural variations and cultural aspects of the incidence of disease ▪ Communication ▪ Cultural affiliations ▪ Cultural sanctions and restrictions ▪ Developmental considerations ▪ Economics ▪ Educational background Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Boyle and Andrews Culturological Assessment ▪ ▪ ▪ ▪ ▪ Health related beliefs and practices Kinship and social networks Nutrition Religion and spirituality Values orientation Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Ramsden Cultural Safety ▪ “the effective nursing practice of a person or a family from another culture, as determined by that person or family”, while unsafe cultural practice is “any action which diminishes, demeans or disempowers the cultural identity and wellbeing of an individual” (Nursing Council of New Zealand (NCNZ). Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Ramsden Cultural Safety http://culturalsafety.massey.ac.nz/RAMSDEN%20THESIS.pdf ▪ Assumes that nurses and the culture of nursing is exotic to people ▪ Gives the power of definition to the person served ▪ Concerned with human diversity ▪ Focus internal on nurse or midwife, exchanges power, negotiated ▪ A key part of Cultural Safety is that it emphasises life chances rather than life styles Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Papadopoulos, Tilki, and Taylor Cultural Awareness Self awareness Cultural identity Heritage adherence Ethnocentricity Stereotyping Ethnohistory Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Papadopoulos, Tilki, and Taylor Cultural Knowledge Health beliefs and behaviours Anthropological, Sociological, Psychological and Biological understanding Similarities and differences Health Inequalities Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Papadopoulos, Tilki, and Taylor Cultural Sensitivity Empathy Interpersonal/communication skills Trust Acceptance Appropriateness Respect Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Papadopoulos, Tilki, and Taylor Cultural Competence Assessment skills Diagnostic skills Clinical Skills Challenging and addressing prejudice, discrimination, and inequalities Copyright © 2013 F.A. Davis Company
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Nursing Discussion Reply

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Nursing Discussion Reply

To implement a change there must be a need for that change to occur. Bedside nursing is not a new concept,

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however to implement it is going to take backing from strong unit managers along with strong nursing staff (Coleen Ferris, 2013). In the unit that this nurse the only cost will be the paper that the actual bedside handoff requires. The indirect cost for printing the handoff offsets the overtime that is paid to the nurses coming on duty and those going off duty. This will also help with the Press Gainey scores where the patient satisfaction along with nurse satisfaction scores to increase. Bedside reporting has been proven to increase nurse satisfaction along with the patients view of their hospitalization. The patients feel that they are more involved in their plan of care. Indirectly there are those that feel bedside handoff take too long and don’t want to talk about the patient’s condition in front of them. No one like change, however in todays healthcare and the money they receive and lose if the patient must come back to the hospital in 30 days. Quality of care directly affects the patient’s outcome. If a nurse is not informed at the time of handoff that there are still testing to be run, or other orders have not been carried out properly. At the unit this nurse works on the all nurses have been included in the making of the template which has given them a sense of autonomy. The plan has been presented to the nurse educators, unit managers, and charge nurses. The template was given to some of the nurses on the floor for a trial run and the satisfaction scores are starting to pick up. Feedback from the physicians after they have made their rounds have stated that the patients have told them that they feel more involved. References: Coleen Ferris, B. R. (2013). Implementing bedside shift report. American Nurse Today, 8(3). Retrieved April 29, 2018 It is important to know when suggesting evidence-based practice change what the implementation costs will be (Nelson, 2014). One financial aspect that needs to be considered for this nurse’s capstone project is that, the site where the project is taking place is a government facility. This nurse must ensure that the project can be financially supported and sustained (Nelson, 2014). How will my proposal directly impact the financial aspect of my facility? Initially it may increase cost for the facility by having to buy the supplies needed (e.g., lotions, oils, diffusers, etc.). I believe indirectly, it will be affected in the long term by decreasing the use of pharmacological analgesics such as opiates and methadone, currently my facility uses methadone to treat our opiate addicted patients, according to (NIH, 2018) “methadone treatment, including medication and integrated psychosocial and medical support services (assumes daily visits): $126.00 per week or $6,552.00 per year)”. I have not done a lot of research on cost for aromatherapy yet, however just browsing some websites I have found that a 12 oz bottle of massage lavender lotion is about $9.99, and I’m sure better deals can be found on larger orders. The institute of medicine describes quality of care as “the degree to which health care services for individuals and populations increases the likelihood of desired health outcomes and are consistent with current professional knowledge” (AHRQ, 2017). Quality of care will directly be impacted by giving our patients more options to treat their pain. I feel that if given the option, they will choose the aromatherapy as a form of treating their chronic pain if they are properly educated on all findings of different research found for the implementation of the project. Quality will be indirectly impacted in my opinion, by giving these patients a resource for when they are released from custody, they will learn new methods of pain control which can be very inexpensive and non-addictive. These methods can be done at home and self-administered without prescriptions. The clinical aspect is impacted by now giving nurses a new protocol that can be used to treat pain in their patient. Nurses, will be learning of this technique to treat pain and all the research behind it. Indirectly, the clinical aspect is impacted by all the technology that has to be used to implement the change, such as creating the form that will be used to use the therapy the nursing assessment protocol (NAP). This form will probably need some nurse input during the development stages but primarily is IT’s duty to create it for us to use. References AHRQ. (2017). Understanding Quality Measurement. Retrieved from Agency for Healthcare Research and Quality: https://www.ahrq.gov/professionals/quality-patient-safety/qualityresources/tools/chtoolbx/understand/index.html Nelson, A. M. (2014). Best practice in nursing: A concept analysis. International Journal of Nursing Studies, 1507-1516. NIH. (2018). How Much Does Opioid Treatment Cost? Retrieved from National Institute on Drug Abuse: https://www.drugabuse.gov/publications/research-reports/medications-to-treat-opioidaddiction/how-much-does-opioid-treatment-cost
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Culture in nursing characteristics

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Culture in nursing characteristics

Transcultural Health Care: A Culturally Competent Approach, 4th Edition Theories, Models, and Approaches Larry

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Purnell, PhD, RN, FAAN Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Theories, Models, and Approaches ▪ Leininger: First nurse cultural theorist from early 1950s. She states it is for nursing only ▪ Campinha-Bacote: basic simple model without complex constructs but applicable to all healthcare providers. Also has a Biblical based model. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Theories, Models, and Approaches ▪ Giger and Davidhizar: Nursing only ▪ Purnell: For all health care providers and is an example of a complexity and holographic conceptual model with an organizing framework. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Theories, Models, and Approaches ▪ Papadopoulous, Tilki, and Taylor Model for Transcultural Nursing and Health ▪ Andrews and Boyle Nursing Assessment Guide ▪ Spector’s Health Traditions Model Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Theories, Models, and Approaches ▪ Ramsden’s Cultural Safety Model ▪ Jeffrey’s Teaching Cultural Competence in Nursing and Health Care: Inquiry, Action, and Innovation Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger’s Theory of Cultural Care Diversity and Universality www.madeleine-leininger.com ▪ Leininger described the phenomena of cultural care based on her experiences. ▪ Began in the 1950s with her doctoral dissertation conducted in New Guinea ▪ www.tcns.org and go to theories and then to the Sunrise Enabler and her model is displayed as well as publications. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Transcultural Nursing ▪ “Transcultural nursing has been defined as a formal area of study and practice focused on comparative human-care (caring) differences and similarities of the beliefs, values, and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people.“ Leininger and McFarland text, 3rd ed.,2002, pp5-6. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger: Purpose and Goal ▪ To discover, document, interpret, explain and predict multiple factors influencing care from a cultural holistic perspective. ▪ The goal of the theory was to provide culturally congruent care that would contribute to the health and well being of people, or to help them face disability, dying, or death using the three modes of action. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leninger: Theoretical Tenets ▪ Leininger’s tenets: Care diversities (differences) and universalities (commonalties) existed among cultures in the world which needed to be discovered, and analyzed for their meaning and uses to establish a body of transcultural nursing knowledge. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger: Assumptions ▪ Care is essence of nursing and a distinct, dominant, central, and unifying focus. Some would say that caring is not unique to nursing. ▪ Care is essential for well being, health, growth, survival, and to face handicaps or death. ▪ Culturally based care is the broadest means to know, explain, interpret, and predict nursing care phenomena to guide nursing care decisions and actions. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger Assumptions ▪ Nursing is a transcultural humanistic and scientific care to serve individuals, groups, communities, and institutions worldwide. ▪ Caring is essential to curing and healing for there can be no curing without caring. ▪ Cultural care concepts meanings and expression patterns of care vary transculturally with diversity and universality. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger Assumptions ▪ Every human culture has generic care knowledge and practices and some professional care knowledge that vary transculturally. ▪ Culture care values, beliefs, and practices are influenced by the (rays of the sun see the Model). ▪ Beneficial, healthy, and satisfying culturally based care influences the health and well-being of individuals, families, groups, and communities within the cultural context. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger Assumptions ▪ Culturally congruent care can only occur when individuals’, groups’, and communities’ patterns are known and used in meaningful ways. ▪ Culture care differences and similarities between professionals and clients exist in all human cultures worldwide. ▪ Culture conflicts, imposition practices, cultural stresses, and pain reflect the lack of professional care to provide culturally congruent care. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger’s Sunrise Enabler to Discover Culture Care To view the model go to: http://leiningertheory.blogspot.com/ Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Leininger Orientational Theory Definitions ▪ Cultural Care Preservation or Maintenance: all is well with the patient so encourage to continue what has been done ▪ Cultural Care Accommodation or Negotiation: Needs some change. What is acceptable weight from the patient’s perspective ▪ Cultural Care Repatterning or Restructuring: Practices are deleterious to overall health and need restructured: sexually promiscuous and has not been practicing safe sex Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Competence in the Delivery of Healthcare Services: A culturally Competent Model of Care ▪ Dr. Josepha Campinha-Bacote but cannot display her model. Go to http://www.transculturalcare.net Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Process of Cultural Competence ▪ Cultural Competence is a process not an event. ▪ The process consist of five inter-related constructs: Cultural desire, cultural awareness, cultural knowledge, cultural skills, and cultural encounter. ▪ The key and pivotal construct is cultural desire. ▪ There is more variation within a cultural group than across cultural groups. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Process of Cultural Competence ▪ There is a direct relationship between healthcare professionals level of cultural competence and their ability to provide culturally responsive health care. ▪ Cultural competence is an essential component in delivering effective and culturally responsive care to culturally diverse clients. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Cultural Desire ▪ . . . Cultural desire is defined as the motivation of the healthcare professional to “want to” engage in the process of becoming culturally competent; not the “have to”. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Concepts ▪ Cultural awareness is the self-examination and in-depth exploration of one’s own cultural background. ▪ Cultural knowledge is the process of seeking and obtaining a sound educational base about culturally diverse groups. ▪ Cultural Skills is the ability to collect relevant cultural data regarding the client’s presenting problem as well as accurately perform a culturally based physical assessment. ▪ Cultural encounter is the process which encourages the healthcare professional to directly engage in face-to-face interactions with clients from culturally diverse backgrounds. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition The Giger and Davidhizar Transcultural Assessment Model Dr. Joyce Giger Dr. Ruth Davidhizar (deceased) Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Assumptions ▪ The Giger and Davidhizar Transcultural Model postulates that each individual is culturally unique and should be assessed according to the six cultural phenomena. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Communication ▪ Communication embraces the entire world of human interaction and behavior. Communication is the means by which culture is transmitted and preserved. Both verbal and non-verbal communication are learned in one’s culture. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Space ▪ Space refers to the distance between individuals when they interact. All communication occurs in the context of space. ▪ Zones of personal space: intimate, personal, social, and consultative and public. Rules concerning personal distance vary from culture to culture. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Social Organization ▪ Social organization refers to the manner in which a cultural group organizes itself around the family group. Family structure and organization, religious values and beliefs, and role assignments may all relate to ethnicity and culture. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Time ▪ Time is an important aspect of interpersonal communication. ▪ Cultural groups can be past, present, or future oriented. ▪ Preventive health requires some future time orientation because preventative actions are motivated by a future reward. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Environmental Control ▪ Environmental control refers to the ability of the person to control nature and to plan and direct factors in the environment that affect them. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Giger and Davidhizar Biological Variations ▪ Biological differences, especially genetic variations, exist between individuals in different racial groups. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Boyle and Andrews Culturological Assessment ▪ Biocultural variations and cultural aspects of the incidence of disease ▪ Communication ▪ Cultural affiliations ▪ Cultural sanctions and restrictions ▪ Developmental considerations ▪ Economics ▪ Educational background Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Boyle and Andrews Culturological Assessment ▪ ▪ ▪ ▪ ▪ Health related beliefs and practices Kinship and social networks Nutrition Religion and spirituality Values orientation Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Ramsden Cultural Safety ▪ “the effective nursing practice of a person or a family from another culture, as determined by that person or family”, while unsafe cultural practice is “any action which diminishes, demeans or disempowers the cultural identity and wellbeing of an individual” (Nursing Council of New Zealand (NCNZ). Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Ramsden Cultural Safety http://culturalsafety.massey.ac.nz/RAMSDEN%20THESIS.pdf ▪ Assumes that nurses and the culture of nursing is exotic to people ▪ Gives the power of definition to the person served ▪ Concerned with human diversity ▪ Focus internal on nurse or midwife, exchanges power, negotiated ▪ A key part of Cultural Safety is that it emphasises life chances rather than life styles Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Papadopoulos, Tilki, and Taylor Cultural Awareness Self awareness Cultural identity Heritage adherence Ethnocentricity Stereotyping Ethnohistory Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Papadopoulos, Tilki, and Taylor Cultural Knowledge Health beliefs and behaviours Anthropological, Sociological, Psychological and Biological understanding Similarities and differences Health Inequalities Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Papadopoulos, Tilki, and Taylor Cultural Sensitivity Empathy Interpersonal/communication skills Trust Acceptance Appropriateness Respect Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Papadopoulos, Tilki, and Taylor Cultural Competence Assessment skills Diagnostic skills Clinical Skills Challenging and addressing prejudice, discrimination, and inequalities Copyright © 2013 F.A. Davis Company
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Homework help

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Homework help

After completing your in-person mock interview, write a 1 to 2-page, single-spaced paper describing your

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experience. Be sure to include: • • • • • Description of your in-person mock interview experience. o Who interviewed you? Friend Mary o What was the setting of the interview? o What are some of the questions that were asked and answered? o Why was this experience beneficial to you? Reflect on the feedback provided on the mock interview assessment form. What did you learn from the feedback? How is practicing interviewing in person different from practicing online via Optimal Resume? Which method do you find most helpful and why? Why practicing answering and asking interview questions is important. Why proper professional communication is critical in the interview process. Interview Question About Nurse. Tell me about yourself? Why did you become a nurse? Give an example of a time in which you had to make a decision quickly? Can you tell me about a time when you went beyond your supervisor s expectations in order to get the job done? How do you handle stress? What do you know about our hospital? Tell me about a situation in which you had to deal with an upset patient or family member. What was the situation and how did you handle it? Why should I hire you? What was your most difficult decision in the last six months? What made it difficult? Think of a day when you had too many items on your plate. How did you prioritize your work? Mock interview assessment form: Mock Interview Critique Interview Information Student’s Name: Interviewer’s Name: Interviewer’s Company: Program Area: Title: Date of Interview: Interview Evaluation Place a check in the box to indicate the rating given to each skill area. Comments are very useful to students. Rating Scale: Skill Area 5-EXCELLENT 5 4-Very Good 4 3 2 1 3-Good 2-Average Comments 1- Poor First Impression Professional Appearance Eye Contact and Facial Expressions Resume Use of Relevant Examples in Answers Use of Educational Background in Answers Enthusiasm and Attitude Vocal Quality Correct Grammar Usage Portfolio Questions for the Interviewer and Closing Strengths, Weaknesses, and Optional hiring Decision Please list areas of strength exhibited during this interview. Please make any necessary recommendations to the student for future interviews.
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PICOT Statement Paper

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PICOT Statement Paper

Running head: MENTAL HEALTH FOR HEALTHY PEOPLE 2020 Mental Health for Healthy People 2020 1 MENTAL

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HEALTH FOR HEALTHY PEOPLE 2020 2 The issue that is the focus of this project is improving the coordination of care for the purpose of improving patient outcomes. Care coordination can be defined as the practice of organizing patient care activities between several participants engaged in caring for the patient for the purpose of facilitating the delivery of care. The issue of care coordination can be observed in a variety of healthcare settings involved in the delivery of care to the patients. Care coordination requires effective collaboration between the healthcare staff involved in caring for the patient and it is an important practice that conserves the resources of the health care provider and also the patient’s time. Care coordination also facilitates accurate diagnosis and treatment since all the participants in the provision of patient care receive the relevant information about diagnosis and treatment from all the providers involved in caring for the patient (Cohen and Adler-Milstein, 2015). The main objective of care coordination in any health care setting is meeting the needs and preferences of the patients in the delivery of high-value and high-quality health care. This implies that the health care providers know the needs and preferences of the patient and thus communicated to the right providers at the right time so that this information can be utilized in guiding the delivery of appropriate, safe, and effective care. Care coordination has a significant impact on the quality of care provided by healthcare staff, work environment, and also on the patient outcomes. Effective care coordination improves the work environment in the provision of care by facilitating efficient and appropriate delivery of health care services both across and within systems. Care coordination also has a significant impact on improving the quality of care provided by healthcare staff because the absence of coordinated care can result in unsafe practices and also increases the risk of poor patient outcomes.an improvement in patient outcome is a major impact of care coordination whereby various studies have indicated that the clinical outcomes and satisfaction of patients are reported MENTAL HEALTH FOR HEALTHY PEOPLE 2020 3 to increase when there is an effective coordination between all the providers involved caring for the patient (McAllister, et al 2018). Care coordination also facilitates addressing the potential gaps in realizing the patients’ interrelated developmental, medical, behavioral, social, and financial needs for the purpose of achieving the best health care outcomes according to the preferences of the patient. The significance of the issue of care coordination includes helping to address some challenges that health care facilities are facing today. This is because care coordination helps to reduce the high rates of readmission which are caused by the lack of education in patients regarding their treatment plan or medication. Care coordination also has significance in addressing the problems faced by referral staffs since the disjointed nature of today’s health care systems pose a challenge to the referral staff in terms of dealing with lost information which may result to a less efficient care (Daveson, et al., 2014). The healthcare problem whereby specialists are not provided with adequate information on the patient’s test performed before can also be addressed by effective care coordination. The practical implication of care coordination to nursing include that the role of nurses in the process of care coordination is not clear. Therefore, their role and goals of each clinician should be clarified in order to avoid role conflict and confusion in care coordination. The solution to effective care coordination that can improve the patients’ outcome is implementing electronic health record (EHR) systems. EHRs can reduce fragmentation in the provision of care by integrating and organizing the health information of the patient and facilitating its quick distribution to all the care providers participating in patient’s care (Wu, et al. 2017). Accurate EHRs can facilitate all the providers involved in patient’s care to have up-to- MENTAL HEALTH FOR HEALTHY PEOPLE 2020 4 date and accurate medical information about a patient and thus improving quality care and patient outcomes. MENTAL HEALTH FOR HEALTHY PEOPLE 2020 5 References Brown, N. M., Green, J. C., Desai, M. M., Weitzman, C. C., & Rosenthal, M. S. (2014). Need and unmet need for care coordination among children with mental health conditions. Pediatrics, 133(3), e530-e537. Cohen, G. R., & Adler-Milstein, J. (2015). Meaningful use care coordination criteria: Perceived barriers and benefits among primary care providers. Journal of the American Medical Informatics Association, 23(e1), e146-e151. Daveson, B. A., Harding, R., Shipman, C., Mason, B. L., Epiphaniou, E., Higginson, I. J., … Murray, S. (2014). The Real-World Problem of Care Coordination: A Longitudinal Qualitative Study with Patients Living with Advanced Progressive Illness and Their Unpaid Caregivers. PLoS ONE, 9(5), e95523. http://doi.org/10.1371/journal.pone.0095523 Foster, S. D., Hart, K., Lindsell, C. J., Miller, C. N., & Lyons, M. S. (2018). Impact of a low intensity and broadly inclusive ED care-coordination intervention on linkage to primary care and ED utilization. The American Journal of Emergency Medicine. Lemke, M., Kappel, R., McCarter, R., D’Angelo, L., & Tuchman, L. K. (2018). Perceptions of Health Care Transition Care Coordination in Patients with Chronic Illness. Pediatrics, e20173168. McAllister, J. W., McNally, R. K., Rodgers, R., Mpofu, P. B., Monahan, P. O., & Lock, T. M. (2018). Effects of a Care Coordination Intervention with Children with Neurodevelopmental Disabilities and Their Families. Journal of developmental and behavioral pediatrics: JDBP. MENTAL HEALTH FOR HEALTHY PEOPLE 2020 6 Morton, S., Shih, S. C., Winther, C. H., Tinoco, A., Kessler, R. S., & Scholle, S. H. (2015). Health IT-enabled care coordination: a national survey of patient-centered medical home clinicians. The Annals of Family Medicine, 13(3), 250-256. Wu, F. M., Shortell, S. M., Rundall, T. G., & Bloom, J. R. (2017). The role of health information technology in advancing care management and coordination in accountable care organizations. Health care management review, 42(4), 282-291. While your paper as to content is thorough, you have justified the right margin (made it even) throughout your paper which throws all the spacing in your paper off. As I deduct 0.1 points for each APA infraction, you would wind up with 0 points for this assignment, so I am only deducting 3 points for all of the errors with the spacing and please make sure in the future you do not use an even right margin as it is not APA. Additionally, the other errors in your paper are graded per the Clarification of the Week Two Assignment Post in main forum.
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