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Discussion: Cognitive Behavioral Therapy

February 2, 2022/in Nursing Homework Help /by Alex

Discussion: Cognitive Behavioral Therapy

Individual vs. Family CBT

Cognitive behavioral therapy is short-term psychotherapy that emphasizes the need for attitude change in order to maintain and promote behavior modification (Nichols, 2014). Cognitive behavior therapy (CBT) has been found to be effective in a broad range of disorders. CBT can be done as an individual treatment or in a family setting. Individual CBT has a broadly defined framework with an emphasis on harm-reduction, especially with clients that have anxiety and substance abuse (Wheeler, 2014).

Cognitive-behavioral therapy for families is also brief and is solution-focused. Family CBT is focused on supporting members to act and think in a more adaptive manner, along with learning to make better decisions to create a friendlier, calmer family environment (Nichols, 2014). An example from practicum is a male (T.M) that participates in individual CBT once a week and family CBT once a week. T.M is struggling with alcoholism Discussion: Cognitive Behavioral Therapy.

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He originally presented for individual CBT because he had been “told by his wife” that he had a problem with alcohol. He reported that he drank “a few vodka drinks” three times a week but none for six weeks. Individual CBT therapy is a collaborative process between the therapist and client that takes schemas and physiology into consideration when deciding the plan of care (Wheeler, 2014). We worked with him using open-ended questions to assist with obtaining cognitive and situational information. He would become angry easily and it was a felt that he was not being truthful about his alcohol use. Each time he was questioned about it, the story would change. He attended two individual sessions and it was then recommended he begin family CBT with his significant other (S.M) because “things were not going well at home.”

With family CBT, cognitions, emotions, and behaviors are seen as having a mutual influence on one another (Nichols, 2014). The first session was stressful, to say the least. T.M began talking about his alcohol use. S.M interrupted and said, “what about that one-time last month at the hotel. You were seeing things.” He became defensive, raised his voice, and said, “I was drugged. It had nothing to do with drinking.” She then looked down and was tearful. When he left the room to use the bathroom, S.M questioned if he could be tested for alcohol. This led the therapist to believe that T.M’s last use was not six weeks ago Discussion: Cognitive Behavioral Therapy.

T.M’s automatic thoughts were that his alcoholism was not a problem in the marriage or in life. One of the core principles in using CBT for SUDs is that the substance of abuse serves as a reinforcement of behavior (McHugh et al., 2010). Over time, the positive and negative reinforcing agents become associated with daily activities. CBT tries to decrease these effects by improving the events associated with abstinence or by developing skills to assist with reduction (McHugh et al., 2010).

It was noticed that when T.M was alone, his stories would change. But when his wife was in the room, he would look at her while he spoke to ensure what he was saying was accurate. The therapist informed the client that it would be appropriate to continue individual therapy and family CBT once a week with the recommendation of joining the ready for change group. The CBT model for substance use states that, when a person is trying to maintain sobriety or reduce substance use, they are likely to have a relapse (Morin et al., 2017)Discussion: Cognitive Behavioral Therapy.

Ready for change meetings was recommended because like this week’s media showed, clients may relate to others that are going through similar situations. Getting T.M to realize that his alcohol use is a problem, is the primary goal currently. This example was shared because it shows the difficulties that may be encountered with psychotherapy and that both individual and family may be needed to ensure that goals are met. Some challenges that counselors face when using CBT in the family setting are wondering if the structure of the session and if the proper techniques were effective (Ringle et al., 2015). Evaluating and consulting with peers may also assist with meeting client and family goals Discussion: Cognitive Behavioral Therapy

References

McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010). Cognitive behavioral therapy for substance use disorders. The Psychiatric clinics of North America, 33(3), 511-25. doi:10.1016/j.psc.2010.04.012

Morin, J., Harris, M., & Conrod, P. (2017, October 05). A Review of CBT Treatments for Substance Use Disorders. Oxford Handbooks Online. Ed. Retrieved fromhttp://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780199935291.001.0001/oxfordhb-9780199935291-e-57.

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

Patterson, T. (2014). A Cognitive-Behavioral Systems Approach to Family Therapy. Journal of Family Psychotherapy, 25(2), 132–144. https://doi-org.ezp.waldenulibrary.org/10.1080/08975353.2014.910023

Ringle, V. A., Read, K. L., Edmunds, J. M., Brodman, D. M., Kendall, P. C., Barg, F., & Beidas, R. S. (2015). Barriers to and Facilitators in the Implementation of Cognitive-Behavioral Therapy for Youth Anxiety in the Community. Psychiatric services (Washington, D.C.), 66(9), 938-45. doi:10.1176/appi.ps.201400134

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to

guide for evidence-based practice. New York, NY: Springer.

POST 2

Cognitive Behavioral Therapy is one of the most effective psychotherapy approaches, whether it be used in group, family, or individual treatment. It is important to understand the purpose of it what its process consists off. It can be used to treat different mental health conditions, ranging from addiction to more severe illnesses. Its approach is to work with the patient into strategizing ways to change unhealthy thoughts and behaviors. Throughout the process, the patient not only learns solving skills, but also to re-evaluate and learn how to understand other’s perspectives, skill that helps build their confidence.

Some believe group therapy is more effective than individual therapy, as established by Kellett, Clarke, and Matthews (2007, p. 211). It has been established that CBT in general can be effective, but based on the Johnson Family Session video, it leads me to believe that either group/family or individual would be effective depending on the condition that is being treated. It is clear from the video that the girl who had been sexually assaulted at the fraternity does not believe talking or sharing her experience, even if it is with other girls who went through the same experience, will help in any way. She still has some internal issues that need to be addressed individually in order to make progress and get her to a place where she can participate in group/family therapy with an awareness that it will help her and purpose to it. Another important aspect of having a client be committed to the treatment is that research has showed “Poor compliance can adversely affect the remaining group members who may become worried or insecure” (Söchting, Lau, Ogrodniczuk, 2018, p. 185)Discussion: Cognitive Behavioral Therapy.

An example during practicum that supports my belief is the case of a terminally ill patient who had been recommended comfort care through hospice. She was ready to do so, understood and accepted her prognosis, but her daughters and husband were in denial. Every time they participated in a family session the patient held back on her wishes and verbalized whatever their wishes were as if they were her own. When treated as an individual client, she would express her concerns of not being able to “disappoint and abandon my family”. She had suffered all her life from anxiety, insecurities, severe depression, and low self-esteem. Those were issues that should have been addressed individually before she could fully engage in a family session in a healthy and productive way, if she would’ve had the time. CBT would have still been the choice of treatment for individual therapy for this client, as evidenced by Driessen et al. who stated it “is the psychotherapy method with the best evidence-base in the treatment of depression” (2017, p. 654). Not being fully engaged in the program, or believing the treatment will not help, or having other issues that need to be addressed on an individual basis, are all challenges presented in a family setting when relying on CBT.

References

Kellett, S., Clarke, S., & Matthews, L. (2007). Delivering Group Psychoeducational CBT in

Primary Care: Comparing Outcomes with Individual CBT and Individual

Psychodynamic-Interpersonal Psychotherapy. British Journal of Clinical Psychology,

46(2).

Söchting, I., Lau, M., & Ogrodniczuk, J. (2018). Predicting Compliance in Group CBT Using the

Group Therapy Questionnaire. International Journal of Group Psychotherapy, 68(2).

Driessen,E., Van, H. L., Peen, J., Don, F. J., Twisk, J. W. R., Cuijpers, P., & Dekker, J. J. M.

(2017). Cognitive-Behavioral Versus Psychodynamic Therapy for Major Depression:

Secondary Outcomes of a Randomized Clinical Trial. Journal of Consulting Clinical

Psychology, 85)7)Discussion: Cognitive Behavioral Therapy.

Assignment: The Nurse Leader As Knowledge Worker

February 2, 2022/in Nursing Homework Help /by Alex

Assignment: The Nurse Leader As Knowledge Worker

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

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Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

Review the concepts of informatics as presented in the Resources.
Reflect on the role of a nurse leader as a knowledge worker.
Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
Develop a simple infographic to help explain these concepts.
NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.
Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses. Assignment: The Nurse Leader As Knowledge Worker

hypothetical scenario originally shared in the discussion forum is:

Nursing, as with all other professional fields, has seen an amazing speed in which technological changes in the last 25 years. Information systems provide limitless possibilities for learning and exploring, connecting and bringing the world to within reach. For nursing, the widening range of available technology enables the opportunities for research and reform unproven clinical practices to evidence-based practices. Nursing informatics is synthesis of nursing science, information science, computer science, and cognitive science for the purpose of managing, disseminating, and enhancing healthcare data, information, knowledge, and wisdom to improve collaboration and decision making provide high quality patient care; and advance the profession of nursing.( McGonigle & Mastrian, 2017). Assignment: The Nurse Leader As Knowledge Worker

Nursing Informatics also needs to stay updated on policies and processes, so they know how to correctly build them in the systems. Technology in hospitals are ever growing, which means that nursing informatics is just scratching the surface and will continue to grow over the year.

Sweeny, 2017 define informatics as “the integration of healthcare sciences, computer science, information science and cognitive science to assist in the management of healthcare information” (p. 223). The future development of nursing capabilities in data science will essentially lead to an entirely new cadre of nursing informatics specialists whose work will focus on deriving new nursing knowledge from not only electronic health record data, but also the data from sensor and remote monitoring technologies, patient portals and mobile apps described above. The implications of omics data such as genomics, metabolomics, and proteomics, being included as part of the electronic health record in the near future, should be taken into account. Nurse informatics specialists will be pivotal in assisting to identify potential ethical and practice implications in the use of these data. The future development of nursing capabilities in data science will essentially lead to an entirely new cadre of nursing informatics specialists whose work will focus on deriving new nursing knowledge from not only electronic health record data, but also the data from sensor and remote monitoring technologies, patient portals and mobile apps described above. The implications of omics data such as genomics, metabolomics, and proteomics, being included as part of the electronic health record in the near future, should be taken into account. Assignment: The Nurse Leader As Knowledge Worker

According to Nagle et al,(2017) Nurse informatics specialists will be pivotal in assisting to identify potential ethical and practice implications in the use of these data. Using The future development of nursing capabilities in data science will essentially lead to an entirely new cadre of nursing informatics specialists whose work will focus on deriving new nursing knowledge from not only electronic health record data, but also the data from sensor and remote monitoring technologies, patient portals and mobile apps described above. The implications of omics data such as genomics, metabolomics, and proteomics, being included as part of the electronic health record in the near future, should be taken into account. Nurse informatics specialists will be pivotal in assisting to identify potential ethical and practice implications in the use of these data. Assignment: The Nurse Leader As Knowledge Worker

A clarified scenario is patient admission to the hospital, patients with a medical or surgical condition may not be identified as having a substance abuse problem. Nurses need to be able to recognize alcohol withdrawal syndrome and start appropriate interventions within the first 24 hours. Otherwise, such complications as seizures and substance withdrawal delirium may arise. Most hospitals have implemented this practice by including it in initial nursing assessments by checking the vital signs every three hours. But because not all patients are identified on admission as having the potential for alcohol withdrawal, you must stay alert for signs and symptoms. These may arise 4 to 12 hours after the patient’s last drink and may emerge while the patient’s still intoxicated. Many patients with long-term alcohol dependence don’t allow their blood alcohol level (BAL) to drop below a comfortable level, so withdrawal may begin when BAL is still in the intoxication range.autonomic hyperactivity (such as sweating or a pulse faster than 100 beats/minute), increased hand tremor, insomnia, nausea or vomiting transient visual, tactile, or auditory hallucinations or illusions, psychomotor agitation, anxiety, grand mal seizures. Consider the rapid action on the patient, nurses relied on the immediate data and information that the patient as shown during the initial rapid assessment to deliver appropriate care to the patient. Message send to on call- doctors via telehealth. Using the technology like the pulse oximeter and blood pressure machine and breathalyzer with assist with the support of the delivery care. Assignment: The Nurse Leader As Knowledge Worker

References:

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

National Institute on Alcohol Abuse and Alcoholism; National Institutes of Health. Helping Patients Who Drink Too Much: A Clinician’s Guide and Related Professional Support Resources. www.niaaa.nih.gov/Publications/EducationTrainingMaterials/Pages/guide.aspx. Accessed May 15, 2012.

Nagle, L. M., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist. Studies In Health Technology And Informatics, 232, 212–221. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=28106600&site=eds-live&scope=site

Sweeney, J. (2017). Healthcare informatics.(1)Online Journal of Nursing Informatics, 21 Assignment: The Nurse Leader As Knowledge Worker

Resources:

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 1, “Nursing Science and the Foundation of Knowledge” (pp. 7–19)
Chapter 2, “Introduction to Information, Information Science, and Information Systems” (pp. 21–33)
Chapter 3, “Computer Science and the Foundation of Knowledge Model” (pp. 35–62)

Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21(1).

Note: You will access this article from the Walden Library databases.

Rubric:

Develop a 5- to 6-slide PowerPoint presentation that addresses the following:

· Explain the concept of a knowledge worker.
· Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.–

Levels of Achievement:Excellent 32 (32%) – 35 (35%) The presentation clearly and accurately explains the concept of a knowledge worker.

The presentation clearly and accurately defines and explains nursing informatics with a detailed explanation of the role of the nurse leader as a knowledge worker.

Includes: 3 or more peer-reviewed sources and 2 or more course resources.Good 28 (28%) – 31 (31%) The presentation explains the concept of a knowledge worker.

The presentation defines and explains nursing informatics with an explanation of the role of the nurse leader as a knowledge worker.

Includes: 2 peer-reviewed sources and 2 course resources.Fair 25 (25%) – 27 (27%) The presentation inaccurately or vaguely explains the concept of a knowledge worker.

The presentation inaccurately or vaguely defines and explains nursing informatics with an inaccurate or vague explanation of the role of the nurse leader as a knowledge worker.

Includes: 1 peer-reviewed sources and 1 course resources.Poor 0 (0%) – 24 (24%) The presentation inaccurately and vaguely explains the concept of a knowledge worker or is missing. Assignment: The Nurse Leader As Knowledge Worker

The presentation inaccurately and vaguely defines and explains nursing informatics with an inaccurate and vague explanation of the role of the nurse leader as a knowledge worker or is missing.

Includes: 1 or fewer resources.Feedback:

· Develop a simple infographic to help explain these concepts.–

Levels of Achievement:Excellent 14 (14%) – 15 (15%) The presentation provides an accurate and detailed infographic that helps explain the concepts related to the presentation.Good 12 (12%) – 13 (13%) The presentation provides an infographic that helps explain the concepts related to the presentation.Fair 11 (11%) – 11 (11%) The presentation provides an infographic related to the concepts of the presentation that is inaccurate or vague.Poor 0 (0%) – 10 (10%) The infographic provided in the presentation related to the concepts of the presentation is inaccurate and vague, or is missing.Feedback: Assignment: The Nurse Leader As Knowledge Worker

· Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data. Be sure to incorporate feedback received from your colleagues’ replies.–

Levels of Achievement:Excellent 32 (32%) – 35 (35%) The presentation clearly and thoroughly includes the hypothetical scenario originally shared in the Discussion Forum, including a detailed and accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.Good 28 (28%) – 31 (31%) The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.Fair 25 (25%) – 27 (27%) The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague or inaccurate.Poor 0 (0%) – 24 (24%) The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague and inaccurate, or is missing.Feedback: Assignment: The Nurse Leader As Knowledge Worker

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.Good 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Fair 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.Poor 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.Feedback:

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct APA format with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.Poor 0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors.Feedback: Total Points: 100 Assignment: The Nurse Leader As Knowledge Worker

Health Issues Facing the Elderly Assignment

February 2, 2022/in Nursing Homework Help /by Alex

Health Issues Facing the Elderly Assignment

Paula, Lynette

St. Thomas University

Health Issues Facing the Elderly

Pathological Factors Affecting Response to Sex among the Elderly

Various diseases, medicines, injuries, and surgeries affect the sexual responses of the elderly (Gewirtz-Meydan et al.,2018). For instance, diabetes causes erectile dysfunction in elderly males and regular vaginal yeast infections in women. These instances make sex undesirable and uncomfortable for the elderly. Heart disease affects the ability to experience orgasms, be aroused, or maintain an erection. Older persons dread engaging in sexual intercourse for fear of another heart attack. Arthritis is another disease that makes sex unbearable. Pain in the joints prevents the elderly from engaging or enjoying intimacy. Chronic pain due to injuries, surgery, and specific diseases interferes with the desire for sexual intimacy among older people (Srinivasan et al.,2019). Medications meant to manage the pain have side effects which affect sex drive. mastectomy and hysterectomy make older women unsure about sex (Mernone et al.,2019). They feel unattractive to their spouses.

Dementia has a huge effect on sexual life. Elderly patients with this condition may be interested in having sex, but they are unable to distinguish between good and bad sexual behaviors. For instance, dementia patients may not recognize their partner, and end up making advances to other people (Pinho & Pereira, 2019). Menopause also affects women’s sexual response. A dry vagina and disinterest in sex are the symptoms of this stage due to hormonal changes. Menopausal and post-menopausal women experience pain, irritation, and burning alongside bleeding during sex (Scavello et al.,2019). These experiences decrease their interest in intercourse. Medications meant to treat various diseases also cause sexual problems. Drugs to treat high blood pressure, depression, allergies, ulcers, anxiety, cancer, Parkinson’s disease, and appetite affect the sex drive of elderly patients. These medications cause erectile dysfunction in men. They also make the men experience difficulties in ejaculation. STDs like gonorrhea, HIV/AIDS, and syphilis prevent the elderly from sexual activity. The fear of infection and medication causes a negative response to sex in the elderly. Nurses should support the elderly to encourage them to engage in sex. Health Issues Facing the Elderly Assignment

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Factors Decreasing Immunity in the Elderly

Aging decreases the performance of organ systems including the immune system. Immune cells cannot fight diseases like before, making the elderly more vulnerable (Fuentes et al.,2017). Nutritional and psychological factors, complementary, and alternative medications, and drugs affect the immune system of the elderly. Psychological factors like stress, life experiences, emotion, and anxiety alter the functionality of the body’s immunity. The elderly experience psychological problems due to changes that alter their normal functioning. Stress and life events influence the susceptibility to disease development in the elderly. For instance, stress reduces the antibody responses causing poor immunity.

Nutritional practices affect the elderly’s immune system. Malnutrition is a common effect of poor nutrition among the elderly. Fried foods result in inflammation thus dampening the immune response. Meat carries toxic chemicals and viruses that interfere with immunity and increase inflammation. Processed foods drain nutrients and hinder proper immune functioning (Houghton,2020). These foods affect gut health, increasing the risk of disease development in the elderly due to poor immunity.

Some medications are taken daily to treat diseases like diabetes, HIV, and others that affect appetite. Most are associated with weight loss and loss of appetite. Alternative and complementary medications also have the same effect. Constant interaction between the medication and food nutrients affects absorption, metabolism, digestion, and excretion. Drug abuse further causes dehydration, sleep problems, poor nutrition, and stress. These alter the immune system increasing the risk of infections and disease.

References

Fuentes, E., Fuentes, M., Alarcón, M., & Palomo, I. (2017). Immune system dysfunction in the elderly. Anais da Academia Brasileira de Ciências, 89(1), 285-299. doi:10.1590/0001-3765201720160487

Gewirtz-Meydan, A., Hafford-Letchfield, T., Benyamini, Y., Phelan, A., Jackson, J., & Ayalon, L. (2018). Ageism and sexuality. In Contemporary perspectives on ageism (pp. 149-162). Springer, Cham.

Houghton, T. S. (2020, March 20). How does nutrition affect the immune system? [Web log post]. Retrieved from https://nutritionstudies.org/how-does-nutrition-affect-the-immune-system/

Mernone, L., Fiacco, S., & Ehlert, U. (2019). Psychobiological factors of sexual functioning in aging women–findings from the women 40+ healthy aging study. Frontiers in psychology, 10, 546.

Pinho, S., & Pereira, H. (2019). Sexuality and intimacy behaviors in the elderly with dementia: the perspective of healthcare professionals and caregivers. Sexuality and Disability, 37(4), 489-509.

Scavello, I., Maseroli, E., Di Stasi, V., & Vignozzi, L. (2019). Sexual health in menopause. Medicina, 55(9), 559.

Sexuality in later life. (n.d.). PsycEXTRA Dataset. doi:10.1037/e321712004-001

Srinivasan, S., Glover, J., Tampi, R. R., Tampi, D. J., & Sewell, D. D. (2019). Sexuality and the older adult. Current psychiatry reports, 21(10), 1-9. Health Issues Facing the Elderly Assignment

World Health Organization. (2021, April 13). Diabetes. Retrieved from https://www.who.int/news-room/fact-sheets/detail/diabetes

Pathological Conditions in Older Adults

Crego Leon, Leticia

St. Thomas University

Pathological Conditions in Older Adults

Pathological Conditions that might affect the Sexual Responses in Older Adults

Many physical and/or medical issues can impair sexual function. Diabetes, heart and vascular (blood vessel) illness, neurological problems, hormonal imbalances, chronic diseases such as kidney or liver failure, alcoholism, and drug misuse are examples of these ailments. Furthermore, the adverse effects of various medicines, especially antidepressants, might impair sexual performance. Again, psychological factors such as work-related stress and anxiety, concerns about sexual performance, marital or relationship problems, depression, feelings of guilt, body image concerns, and the effects of past sexual trauma can all impact sexual responses, particularly in older adults.

Intimacy between elderly individuals might be hampered by pain. Chronic pain does not have to be a part of becoming older and is frequently treatable. However, certain pain relievers can impair sexual function. Furthermore, some persons with dementia may have an increased interest in sex and physical intimacy, but they may not recognize what appropriate sexual activity is. Those with severe dementia may not recognize their spouse or lover, but they still need sexual interaction and may seek it elsewhere (Ferretti, Iulita, Cavedo, Chiesa, & Dimech, 2018). It might be perplexing and tough to know what to do in this case.

In cases of heart attack, blood vessels can become narrowed and hardened due to artery narrowing and hardening, causing blood to flow more slowly. As a result, both men and women may have a hard time with orgasms. It may take more time for both men and women to become excited, and it may be difficult for some men to establish or sustain an erection. People who have had a heart attack, or their partners, might be terrified of having sex because it will trigger another attack.

How Nutritional Factors, Psychological Factors, Drugs, and Complementary and Alternative Medications affect the Immune System in Older Adults

The relationship between aging and nutrition is complicated since determining what influences what is challenging. Although natural aging can be reversed, it can be postponed with dietary treatments. The complex interaction between nutrition and aging has a bidirectional relationship, which means aging influences nutrition and vice versa. Individuals’ pathological, physiological, social, and psychological states change as they age. Nutrition is a crucial aspect of health in the elderly, and it impacts the entire aging process. Changes in glucose homeostasis, for example, in old age, may lead to altered appetite and satiety. Malnutrition is a cumulative problem in this group, and it is linked to deteriorating functional status, decreased muscular function, decreased bone density, immunological dysfunction, and so on. Health Issues Facing the Elderly Assignment

Interactions between nutrition and medications can impact drug metabolism, absorption, digestion, and excretion. The use of complementary and alternative medicine (CAM) is quickly expanding, reaching the prevalence of more than 60% among those aged 50 and over. The senior population is more vulnerable to chronic health issues due to natural aging processes. As a result, CAM has piqued the interest of many older persons and their carers, as it frequently provides softer and safer alternatives to addressing common health concerns experienced by the elderly (Siddiqui, Min, Verma, & Jamshed, 2017). Older adults who have musculoskeletal disorders such as joint pain and osteoarthritis, hypertension, and stroke seek CAM treatments to help them feel better.

References

Ferretti, M. T., Iulita, M. F., Cavedo, E., Chiesa, A. P., & Dimech, A. S. (2018, July 09). Sex differences in Alzheimer’s disease — the gateway to precision medicine. Nature Reviews Neurology volume, 14(1), 457-469. Retrieved from https://www.nature.com/articles/s41582-018-0032-9?channel_id=1378-global-health

Siddiqui, J. M., Min, C. S., Verma, K. R., & Jamshed, S. Q. (2017, December). Role of complementary and alternative medicine in geriatric care: A mini-review. Pharmacognosy Review, 8(16), 81–87. doi:10.4103/0973-7847.134230

Health Issues Facing the Elderly Assignment

Nursing turnover rates discussion essay

February 2, 2022/in Nursing Homework Help /by Alex

Nursing turnover rates discussion essay

Summarize

Research today on nursing turnover rates are focused on the causes and prevention, but not many studies are geared towards hospitals dealing with the results of nursing turnover rates and shortages. (Havens et al., 2013, 928) Researchers Havens et al argue that increasing work engagement (vigor, dedication, and absorption) can help improve the quality of patient care which can be greatly impacted by nursing shortages. In addition, nurses in the workforce today can be categorized by generation which can help administrations design strategy for enhancement of work engagement. (Havens et al., 2013, 928-929)

Researchers Havens et al. conducted a descriptive, correlational quantitative study. Non-experimental, cross-sectional surveys were distributed to 747 nurses from 5 rural hospitals in Pennsylvania. Each participant was grouped according to their generational cohort (e.g. Veterans, Baby Boomers, Generation X, and Generation Y). (Havens et al., 2013, 929-930) The results showed that work engagement differed throughout cohorts with Veterans as the most engaged and Generation X as the least engaged. (Havens et al., 2013, 935-936)

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Assess

Little research is done on nurse work engagement and how it may vary across generations, and this study adds knowledge to the existing literature on turnover rates and how to manage with it. In addition, more knowledge on dealing with work engagement in different generations provides a strategy to improve the practice environments at an administrative level. (Havens et al., 2013, 928) The tools that were used in this study included Utrecht Work Engagement Scale (UWES-9), Decisional Involvement Scale (DIS), Relational Coordination Scale (RCS), and Practice Environment Scale of the Nursing Work Index were used, and the Cronbach’s alpha showed they were valid; these tools were also used in previous studies by other researchers. (Havens et al., 2013, 930-931) The researchers all had PhDs which meant they knew how to conduct research. In addition, it included the common elements of a research article such as an introduction, methods, design, results, discussion and conclusion. Nursing turnover rates discussion essay

Unfortunately, research was conducted on only one state, which makes generalizing the evidence difficult; this is a limitation of the study. And, the level of education of the participants were not tested as well, which can be considered an extraneous variable. (Havens et al., 2013, 936) Overall, the researchers described and compared work engagement at a generational level, provided predictors of work engagement (e.g. tenure, practice environment, relational coordination), and advised on approaches to improve practice environment which is the main predictor across all generations.

Reflect

More perspective was gained by reading this article. Turnover rates seemed like an impossible issue, but with more engaged nurses the issue doesn’t seem as grave and this study helped me to understand that……. Also, I was planning on discussing the different causes of turnover rates, but with more evidence I will be able to share the effect and possible interventions to high turnover rates; my project will be altogether better-rounded. Overall, the direction of my project is slightly changed but nonetheless the same…………

Reference

Sullivan Havens, D., Warshawsky, N. E., & Vasey, J. (2013). RN work engagement in generational cohorts: the view from rural US hospitals. Journal of Nursing Management, 927-939.

Nursing turnover rates discussion essay

Grading Criteria	Possible Points	Student’s Score
I. Format	10
A. Title page that includes name, topic, course title, date, instructor.	1
B. Structure 1. Neatly typewritten 2. Spelling and grammar 3. Logical topic development	5
C. Length (1 – 2 page[s] not counting title page)	2
D. APA general formatting rules and citations throughout paper	2
II. Content
A. Summarize: 1. What are the main arguments? 2. What type of research & design? 3. What is the point of this article? What topics are covered? If someone asked what this article is about, what would you say?	30
B. Assess: 1. How is this a useful source? 2. How does it compare with other sources in your bibliography (only for 2^nd and 3^rd annotated Bibliography)? 3. Is the information reliable? p. 323 – 324 4. What are possible extraneous variables and limitations? p. 37-38, 154 5. What is the goal (objective statement) of this source? How do the findings describe meeting (or not meeting) this goal?	25
C. Reflect: 1. How it fits into your research. 2. How this source is helpful to your Research Utilization project. § Specific contributions in helping shape your argument. 3. Ways this article has changed how you think about your topic.	25
III. References	10
1. APA style 2. Article criteria: <5 years, nurse authored, 3. USA published Only obligatory: an empirical research reference is the article itself – reference at top of bibliography per example on OWL website. Please use headings as reflected in A, B, & C.
Total Points	100

APA format reference that you may use for free: https://owl.english.purdue.edu/owl/resource/560/01/

It is recommended that you upload your paper into Turnitin on D2L to check for plagiarism prior to submission to your professor. Also, to check for correct grammar, use the Grammar Tutor on D2L.

Professor’s comments: ________________________________________________________________

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Nursing turnover rates discussion essay

Assignment 1: Assessing The Genitalia And Rectum

February 2, 2022/in Nursing Homework Help /by Naomi Nas

Assignment 1: Assessing The Genitalia And Rectum

IT IS A SOAP NOTE, PROFESSOR ONLY ACCEPTED CLASS RESOURCES.

Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

GENITALIA ASSESSMENT

Subjective:

CC: “I have bumps on my bottom that I want to have checked out.”
HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
PMH: Asthma
Medications: Symbicort 160/4.5mcg
Allergies: NKDA
FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Assignment 1: Assessing The Genitalia And Rectum

Objective:

VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
Heart: RRR, no murmurs
Lungs: CTA, chest wall symmetrical
Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
Diagnostics: HSV specimen obtained

Assessment:

Chancre
PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

Review this week’s Learning Resources, and consider the insights they provide about the case study.
Consider what history would be necessary to collect from the patient in the case study.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
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To complete:

Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study. Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.

Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or Why not?
Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

CALSS RESOURCES

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 16, “Breasts and Axillae” (pp. 350-369) Assignment 1: Assessing The Genitalia And Rectum
This chapter focuses on examining the breasts and axillae. The authors describe the examination procedures and the anatomy and physiology of breasts.

Chapter 18, “Female Genitalia” (pp. 416-465)
In this chapter, the authors explain how to conduct an examination of female genitalia. The chapter also describes the form and function of female genitalia.

Chapter 19, “Male Genitalia” (pp. 466-484)
The authors explain the biology of the penis, testicles, epididymides, scrotum, prostate gland, and seminal vesicles. Additionally, the chapter explains how to perform an exam of these areas.

Chapter 20, “Anus, Rectum, and Prostate” (pp. 485-500)
This chapter focuses on performing an exam of the anus, rectum, and prostate. The authors also explain the anatomy and physiology of the anus, rectum, and prostate.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 5, “Amenorrhea” (pp. 47-60)
Amenorrhea, or the absence of menstruation, is the focus of this chapter. The authors include key questions to ask patients when taking histories and explain what to look for in the physical exam.

Chapter 6, “Breast Lumps and Nipple Discharge” (pp. 61-72)
This chapter focuses on the important topic of breast lumps and nipple discharge. Because breast cancer is the most common type of cancer in women, it is important to get an accurate diagnosis. Information in the chapter includes key questions to ask and what to look for in the physical exam.

Chapter 7, “Breast Pain” (pp. 73-80)
Determining the cause of breast pain can be difficult. This chapter examines how to determine the likely cause of the pain through diagnostic tests, physical examination, and careful analysis of a patient’s health history.

Chapter 27, “Penile Discharge” (pp. 318-324)
The focus of this chapter is on how to diagnose the causes of penile discharge. The authors include specific questions to ask when gathering a patient’s history to narrow down the likely diagnosis. They also give advice on performing a focused physical exam.

Chapter 36, “Vaginal Bleeding” (pp. 419-433)
In this chapter, the causes of vaginal bleeding are explored. The authors focus on symptoms outside the regular menstrual cycle. The authors discuss key questions to ask the patient, as well as specific physical examination procedures and laboratory studies that may be useful in reaching a diagnosis.

Chapter 37, “Vaginal Discharge and Itching” (pp. 434-445)
This chapter examines the process of identifying causes of vaginal discharge and itching. The authors include questions on the characteristics of the discharge, the possibility of the issues being the result of a sexually transmitted infection, and how often the discharge occurs. A chart highlights potential diagnoses based on patient history, physical findings, and diagnostic studies.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.
Chapter 3, “Adult Preventative Care Visits” (“Gender Specific Screenings”; pp. 48–49)Note: Download the Physical Examination Objective Data Checklist to use as you complete the Head-to-Toe Physical Assessment Video assignment.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical examination objective data checklist. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.

This Physical Examination Objective Data Checklist was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Cucci, E. Santoro, A., DiGesu, C., DiCerce, R., & Sallustio, G. (2015). Sclerosing adenosis of the breast: Report of two cases and review of the literature. Polish Journal of Radiology, 80, 122–127. doi:10.12659/PJR.892706. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356184/

Sabbagh, C., Mauvis, F., Vecten, A., Ainseba, N., Cosse, C., Diouf, M., & Regimbeau, J. M. (2014). What is the best position for analyzing the lower and middle rectum and sphincter function in a digital rectal examination? A randomized, controlled study in men. Digestive and Liver Disease, 46(12), 1082–1085. doi:10.1016/j.dld.2014.08.045
Retrieved from the Walden Library Databases.

Westhoff, C. L., Jones, H. E., & Guiahi, M. (2011). Do new guidelines and technology make the routine pelvic examination obsolete? Journal of Women’s Health, 20(1), 5–10.
Retrieved from the Walden Library databases.
This article describes the benefits of new technology and guidelines for pelvic exams. The authors also detail which guidelines and technology may become obsolete.

Centers for Disease Control and Prevention. (2012). Sexually transmitted diseases (STDs). Retrieved from http://www.cdc.gov/std/#

This section of the CDC website provides a range of information on sexually transmitted diseases (STDs). The website includes reports on STDs, related projects and initiatives, treatment information, and program tools.

University of Virginia. (n.d.). Introduction to radiology: An online interactive tutorial. Retrieved from http://www.med-ed.virginia.edu/courses/rad/index.html

This website provides an introduction to radiology and imaging. For this week, focus on genitourinary radiology, as well as the cross-sectional female pelvis and the cross-sectional male pelvis in abdominal radiology.

Required Media

Online media for Seidel’s Guide to Physical Examination

It is highly recommended that you access and view the resources included with the course text, Seidel’s Guide to Physical Examination. Focus on the videos and animations in Chapters 16 and 18–20 that relate to special examinations, including breast, genital, prostate, and rectal. Refer to the Week 4 Learning Resources area for access instructions on https://evolve.elsevier.com/.

Optional Resources

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.
Chapter 8, “The Chest: Chest Wall, Pulmonary, and Cardiovascular Systems; The Breasts” (Section 2, “The Breasts,” pp. 434–444)
Section 2 of this chapter focuses on the anatomy and physiology of breasts. The section provides descriptions of breast examinations and common breast conditions.

Chapter 11, “The Female Genitalia and Reproductive System” (pp. 541–562)
In this chapter, the authors provide an overview of the female reproductive system. The authors also describe symptoms of disorders in the reproductive system.

Chapter 12, “The Male Genitalia and Reproductive System” (pp. 563–584)
The authors of this chapter detail the anatomy of the male reproductive system. Additionally, the authors describe how to conduct an exam of the male reproductive system.

Review of Chapter 9, “The Abdomen, Perineum, Anus, and Rectosigmoid” (pp. 445–527) Assignment 1: Assessing The Genitalia And Rectum

The Role Of The RN/APRN In Policy-Making

February 2, 2022/in Nursing Homework Help /by Nancy Mwongeli

The Role Of The RN/APRN In Policy-Making

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

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To Prepare:

Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.
Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

Response should be 1 Page with at Least 3 references

The Role Of The RN/APRN In Policy-Making

Benchmark – Capstone Project Change Proposal

February 2, 2022/in Nursing Homework Help /by Alex

Benchmark – Capstone Project Change Proposal

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Benchmark – Capstone Project Change Proposal

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Background
Problem statement
Purpose of the change proposal
PICOT
Literature search strategy employed
Evaluation of the literature
Applicable change or nursing theory utilized
Proposed implementation plan with outcome measures
Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
Appendix section, if tables, graphs, surveys, educational materials, etc. are created Benchmark – Capstone Project Change Proposal

Review the feedback on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide.

NO PLAGIARISM PLEASE, MINIMUM OF SIX REFERENCES. Benchmark – Capstone Project Change Proposal

Building Effective Teams Assignment

February 2, 2022/in Nursing Homework Help /by Alex

Building Effective Teams Assignment

Remaining competitive in a global economy frequently means moving from a national to a transnational organization. Developing teams that cross national boundaries is becoming a strategic business need.

Address the issues associated with having a transnational team with members who reside in multiple countries.

Respond to the following questions in 800 words

How would you determine team composition in a multinational team?
How will you address the diversity of cultures within the team?
Because the team will operate in a virtual existence, what structure and support will this team need to foster productivity?
How will you measure the success of the team?
What are the characteristics you will look for in a leader of this team?

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Remaining competitive in a global economy frequently means moving from a national to a transnational organization. Developing teams that cross national boundaries is becoming a strategic business need.

Address the issues associated with having a transnational team with members who reside in multiple countries.

Respond to the following questions in 800 words Building Effective Teams Assignment
- How would you determine team composition in a multinational team?
- How will you address the diversity of cultures within the team?
- Because the team will operate in a virtual existence, what structure and support will this team need to foster productivity?
- How will you measure the success of the team?
- What are the characteristics you will look for in a leader of this team?

Address the issues associated with having a transnational team with members who reside in multiple countries.

Respond to the following questions in 800 words

How would you determine team composition in a multinational team?
How will you address the diversity of cultures within the team?
Because the team will operate in a virtual existence, what structure and support will this team need to foster productivity?
How will you measure the success of the team?
What are the characteristics you will look for in a leader of this team? Building Effective Teams Assignment

Discussion: The Systems Development Life Cycle and the Nurse Informaticist

February 2, 2022/in Nursing Homework Help /by Alex

Discussion: The Systems Development Life Cycle and the Nurse Informaticist

The systems development life cycle (SDLC) is a model for planning and implementing change within an organization. It is important for many individuals to be represented in the process, especially the end users of the system or the employees who must live with the change. As informatics become more and more widespread throughout the health care field, collaboration between information technology (IT) professionals and health care practitioners is becoming increasingly important. The nurse informaticist is able to combine the perspective of the information technology side with the clinical nursing perspective. Discussion: The Systems Development Life Cycle and the Nurse Informaticist

While the titles and specific responsibilities of nurse informaticists vary across organizations and practice settings, the fundamental purpose of the role remains the same. Nurse informaticists synthesize their knowledge of how technology can improve health care with an understanding of clinical practice and workflow. This is why nurse informaticists can be instrumental in facilitating the SDLC for informatics in health care. For this Discussion, you examine the relationship between the nurse informaticist and the use of the SDLC. Discussion: The Systems Development Life Cycle and the Nurse Informaticist

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To prepare:

Review the information in this week’s Learning Resources on the SDLC and the role of the nurse informaticist. Reflect on Chapter 1 of the Dennis, Wixom, and Roth course text and consider how the information about the systems analyst role translates into nursing and health care.
Consider a recent change in your organization related to the implementation of a new technology or system. How was this change handled? What was the general SDLC process? Who was involved, and what were the outcomes?
Identify whether your organization (or one with which you are familiar) has a formal title or position for the nurse informaticist. This position may be called by a different name, such as nurse informatics specialist or informatics analyst, so be sure to review the position description.
If your organization has a position for the nurse informaticist, what are the responsibilities of that position? If your organization does not have such a position, conduct research in the Walden Library and at credible online sources on the role of the nurse informaticist.
Reflect on the role of the nurse informaticist in the overall health care field. How is this position connected to the SDLC? Assess the benefits of having this specialized position within health care organizations and involving the nurse informaticist in the SDLC. Discussion: The Systems Development Life Cycle and the Nurse Informaticist
Post by tomorrow 8/30/16 550 words in APA format with a minimum of 3 references from the list provided under Required Readings. Apply the level 1 headings as numbered below:

1) A description of how the systems development life cycle is utilized in your organization (Hospital), or in one with which you are familiar, and assess its effectiveness.

2) Assess the role of the nurse informaticist in your organization. If the nurse informaticist is not a current position within your organization, provide a description of the generally accepted role of the nurse informaticist based on this week’s Learning Resources and your own research.

3) Explain why it is important for the nurse informaticist to be involved in the SDLC process and the overall organizational benefits of having such involvement.

Required Readings

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.
Chapter 1, “The Systems Analyst and Information Systems Development” (pp. 1–34)

In this chapter, the authors clarify the relationship between systems analysts and information systems development. The chapter also covers the basic business applications of information systems.

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Chapter 10, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making”

Chapter 11, “Administrative Information Systems”

Quality, organizational decision making is a requisite to successful advancements in technology. This chapter explores how workplaces respond to the necessity for improved information systems.

Anderson, C., & Sensmeier, J. (2011). Nursing informatics scope of practice expands, salaries increase. Computers, Informatics, Nursing, 29(5), 319–320.