Treating Childhood Abuse
In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.
In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.
Learning Objectives
Students will:
Recommend strategies for assessing for abuse
Analyze influences of media and social media on mental health
Evaluate the need for mandatory reporting of abuse
To Prepare for this Discussion:
Read the Learning Resources concerning treating childhood abuse.
Read the Child Abuse Case Study in the Learning Resources.
POST
What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.
How might exposure to the media and/or social media affect the patient?
What type of mandatory reporting (if any) is required in this case? Why?
Healthcare Fraud
Healthcare fraud is rampant in our society on a national and a local scale. Please locate one of the following: 1. a newspaper article discussing a case of healthcare fraud in your local community; 2. a news report discussing the impact of healthcare fraud on the cost of healthcare
Write a two-paragraph summary of the article/news report. The summary should be written so that your fellow students understand the main points of the article or news report. The summary should be written in your own words. Finally, the summary should contain a link to your article or news report to allow us to review your source
The translation model that provides a framework for practice change
The most concern and unmet challenges towards the prevention and control of the epidemic obesity at the national and state level (Florida) are on how to ensure that the socially deprived individuals are benefiting from the interventions proposed by public health. There is a disproportionately increased level of obesity amongst ethnic minority, individuals with lower income, and other population who are marginalized. The present policies, systems, and the interventions aimed at addressing the environmental issues are targeted at promoting the physical, economic, social, and information environment, but are not considering the inquiries into the environmental context thus increasing the level of disparities when it comes to dealing with obesity (Willows et al., 2016).
Therefore, the effective method that can be adopted to help in dealing with the issue of obesity among the population is the adoption of the analysis grid for environment linked to obesity (ANGELO) model. This model is helping in dissecting obesity-promoting environments (intervention settings) on both macro or micro level and the kind of food or the exercise activity influences. This model is pointing out the importance of the policy, system, and environment (PSE) towards changing the determinants of the type of food being offered and availability in the places of employment, learning institutions, public places, and restaurants among other places (Kumanyika, 2019). ANGELO model is considered to be a participatory way of developing community-driven health programs. The model gives an opportunity of involving the community members in the implementation program by actively taking part in planning, implementing, and leading to short and long-term benefits in the healthcare outcomes.
The value of the interprofessional team in addressing the practice problem
Obesity is considered to be a complex systems issue whereby personal actions associated with nutrition and physical activity interacting with the genetical features, socioeconomic aspects like the availability of healthy foods, knowledge about the healthy diet, and the types of the physical exercise. This challenge is also witnessed in the treatment process by the healthcare providers due to the barriers related to the deficiency in knowledge and training on aspects of the present evaluation process and counseling approaches as well as the behavioral management methods on obesity (Sanchez-Ramirez et al., 2018).
The complexities being experienced as well as the multifactorial nature of the obesity disease makes healthcare providers overwhelmed. The consequences is that most of the healthcare providers avoid these problems altogether since they do not feel comfortable about conversing issues related to overweight and obesity with the clients (Sanchez-Ramirez et al., 2018). Other healthcare providers do consider obesity as a public health issue and that there is a lack of enough resources to help in dealing with it.
The process of dealing with these challenges requires joint effort and interprofessional collaboration. Obesity is a greater threat to health and it requires a consistent approach towards addressing the issue. Evidence has confirmed that the interprofessional team are important in the improvement of the obesity outcomes. Therefore, the process of motivating healthcare professionals to work collaboratively with individuals from other fields and disciplines in providing all-inclusive healthcare services is important in the successful management of obesity conditions. The World Health Organization (WHO) is reporting that the implementation of the interprofessional collaboration, learning to work as a team, respecting the perspective of another person in the healthcare, and multiple disciplines help work effectively towards the improvement of the patient outcomes (Sanchez-Ramirez et al., 2018).
The obesity care team can include the obesity care providers such as the physician, nurse-practitioner, physician assistant, obesity educator, registered nurse, registered dietitian, the registered pharmacist, and the mental healthcare providers. These teams work together to provide an insight into the success, concerns, and struggles. They help in prescribing medication, recommending the goals for the body mass index (BMI), order the laboratory tests, provide the physical examination, make recommendations that are based on the individual needs, guiding on a healthy diet, and offering the psychological support to the patients especially when the mental status of the patient is affected by the condition (Sanchez-Ramirez et al., 2018).
The strategies to be implemented to inspire others towards embracing the change
The successful strategy that can be adopted is one that is aimed at changing the lifestyle of the population. The lifestyle choices, in this case, are those which exposes a patient to the risk of developing obesity disease. Therefore, it is important to ensure that there is the availability of information about healthy food and beverages. This is important in ensuring that the population are eating food and attaining the dietary guidelines for the fruits, vegetables, whole grains, and the non-fat or low-fat dairy products (Academy of Nutrition and Dietetics, 2016). For the school going children, it would be important to create a local school wellness policy to help in the promotion of health and the reduction of childhood obesity.
Another strategy is to encourage physical activity and limiting the sedentary activity among youths and children. This is important in creating safe communities that are supporting physical activity and discouraging or limiting the number of hours that children are spending while watching the television (Academy of Nutrition and Dietetics, 2016).
References
Academy of Nutrition and Dietetics. (2016). Position of the Academy of Nutrition and. Journal of the Academy of Nutrition and Dietetics, 116(1), 129-147. http://dx.doi.org/10.1016/j.jand.2015.10.031
Kumanyika, S. K. (2019). A framework for increasing equity impact on obesity prevention. American Journal of Public Health, 109(10), 1350-1357.
Sanchez-Ramirez, D., Long, H., & Hein, C. (2018). Obesity education for front-line healthcare providers. BMC Medical Education, 18, 278. https://doi.org/10.1186/s12909-018-1380-2
Willows, N., Fehderau, D. D., & Raine, K. D. (2016). Analysis Grid for Environments Linked to Obesity (ANGELO) framework to develop community-driven health programmes in an Indigenous community in Canada. Health Soc Care Community, 24(5), 567-575. https://doi:10.1111/hsc.12229
Discussion Post
discuss how the efficient, effective use of resources (human, physical, financial, and technological) affects the continuity of care within and across healthcare settings in the community
The Role of the DNP Scholar in Leading Change
Which translation model provides a framework for practical change?
The translation model that provides a framework for practice change is the normalization process model. This is a model that aids in explaining processes by which interventions that exhibit to be complex are routinely embedded in the practice of health care. Its main focus is on factors that hinder or promote the embedded routine of interventions which are complex in a health care practice. A formal theory structure defines the model; it also defines its internal causal mechanism and relation (Johnson & Carragher, 2018). In this case, the use of the normalization process model on patients suffering from diabetes mellitus will be effective and promote their overall health conditions.
What is the value of an interprofessional team address this practice problem?
For this article, the selected problem is diabetes mellitus, the condition affects people of all ages. It is a condition that has specific treatment geared towards patient's healing. The best one can normalize the condition to ensure the body functions normally. An interprofessional team has some value contributed to the practice. All these are directed towards ensuring the patients can perform their daily duties normally.
An interprofessional team can be defined as the working together of multiple health workers, all from different professional backgrounds, and they incorporate a third party such as; members of the communities, families, and the patient. Some interprofessional team members include; doctors or technicians whose main task is aiding in diagnosing diabetes mellitus, nurses, pharmacists, emotional and social support providers, patient navigators and community health workers (Health, 2017).
The team has some values on patients suffering from diabetes mellitus, such as improvement & enhancement in the outcome and care of a patients. When a diabetic patient seeks treatment in a healthcare facility, their health condition is so different from before they received treatment. This is by administering medicine and the general treatment they offer to patients improving their longevity and immunity.
Another value is that they reduce medical errors prone to occur; by multiple doctors prescribing medications and several nurses providing the medications to the patients, it is easier to identify how errors occur (Murphy, 2018). An interprofessional team also aids in initializing treatment fast and timely; the team bridges the gap created by patients and physicians, which provides room for worsening the condition. Every member of the team is alert and prepared to execute their duty without delay or fail. Another value is the reduction of costs and inefficiencies associated with healthcare. The collaboration of interprofessional prevents medical errors, delivers better patient outcomes, and improved patient experience; all this reduces healthcare costs. It also aids a hospital in saving more cash through the reduction of operational inefficiencies and workflow redundancies. Finally, there is improved relationships and job satisfaction among the staff; the interprofessional team's collaboration acknowledges that every member plays a vital role (Murphy, 2018). By this, the retention and recruitment of staff are boosted.
In influencing improvement outcomes to address this problem, what strategies can you implement to inspire others to embrace change?
There are several strategies one can implement to inspire others in embracing change such as leading by example. This is the initial step of ensuring people embrace change and ensure that whatever you feel they should change is what you practice. By this, they will follow more of what you do rather than what you instruct them to do. Always give the right feedback; giving positive feedback on performance and progress influences the targeted group's mindset. They feel a greater sense of commitment towards the achievement of the desired goal.
Another strategy supports good habits; by regular recommendations and awards of people with good habits, it will encourage other medical staff to improve their habits.
Finally, another strategy that one can implement to encourage others to embrace change is suggesting goals (Markman, 2016). A goal ensures there is a provisional focus for one's motivational energy; the set goal should be short term since it encourages one to be more active and focused than long-term goals.
I need a comment for this Discussion Board at least 2 paragraphs with 2 sources no later than 5 years
Clinical Supervision
Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client whom you do not think is adequately progressing according to expected clinical outcomes.
Learning Objectives
Students will:
Analyze clients presenting for treatment of anxiety disorders
Evaluate effectiveness of therapeutic approaches for clients diagnosed with an anxiety disorder
To Prepare:
Review this week’s Learning Resources concerning treating patients with anxiety disorders.
Reflect on a child or adolescent client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with an anxiety disorder.
Post a 3- to 5-minute Kaltura video in which you do the following:
Describe the client. Note: Do not use the client’s actual name.
Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
Identify any additional information about this client that may potentially impact expected outcomes
Reply to post
Reply with a comment to post 1, post 2, post 3 and post 4 with two reference below each post.","POST 1
L. Thorpe
The doctoral prepared nurses are uniquely positioned for responsible leadership as essential members of the health care system. The professional responsibility contributes to research and clinical inquiry initiatives that advance health care delivery outcomes. Because of the rapidly changing environment of doctoral education, collaborative relationships between the Doctor of Nursing Practice and the Doctor of Philosophy-prepared nurses continue to evolve (Pencak-Murphy et al., 2015). The DNP nurse and Ph.D. nurse work in close collaboration. Both work with all the disciplines in achieving optimal patient outcomes. The doctorly prepared nurses assist others with their advanced skill and expertise in leading other health care professionals. Whether a nurse is an independent DNP practice nurse or a Ph.D. researcher, both collaborate to obtain data relevant in providing patient-centered care (Cowan, 2019). Inter-professional communication is essential for all disciplines, especially those with terminal degrees, in achieving the most from other interdisciplinary professionals. The strength and focus of both the DNP and the Ph.D. nurses serve as important unified components in quality improvement, evidence-based practice, and research (Hooshmand et al., 2019).
Communication at every level is essential. Healthcare professionals collaborate to optimize patient care from all different healthcare backgrounds. For example, the informatics professional. The work of the DNP and Ph.D. professionals optimizes new system developments. This results in collaborating with nurses, physicians, social workers, healthcare lawyers, administration specialists, physical therapists, and other disciplines in transforming patient care. The nursing point of view is relevant as having an understanding of all care professional’s opinion is crucial (Falkenberg-Olson, 2019). The DNP nurse understands these particulars and works across-the-board in acknowledging all intricacies. Understanding other healthcare professionals’ perspectives are critical as one may not always grasp the big picture from an advanced approach. Often many disciplines do not understand current terms and definitions, which often leads to a lack of comprehension. This can often be corrected with education sections and explanations.
Building collaborative partnerships between DNP and Ph.D. nurses benefits the health care system and patients. Leadership can help foster partnerships that are sustainable through successful collaborative projects (Falkenberg-Olson, 2019). There is a growing emphasis on intra and interprofessional efforts within the health care arena that provides opportunities for shared resources between the DNP and the Ph.D. nurse collaboration (Hooshmand et al., 2019). The advanced practice role offered doctoral prepared nurses to work tirelessly in implementing policies and create advocacy initiatives to transform health care systems. The doctoral-prepared nurses must understand each other’s background and focus on what each can contribute to translating research into practice (Cowan, 2019).
References
Cowan, L. P. (2019). A model of successful DNP and PhD collaboration. Journal of the American Association of Nurse Practitioners, 31(2), 116-123. https://doi.org/10.109 7/JXX.0000000000000105
Falkenberg-Olson, A. C. (2019). Research translation and the evolving PhD and DNP practice roles: A collaborative call for nurse practitioners. Journal of the American Association of Nurse Practitioners, 31, 447-453. https://doi.org/10.1097/JXX.0 000000000000266
Hooshmand, M., Foronda, C., Snowden, K., de Tantillo, L., & Williams, J. R. (2019). Transforming health care through meaningful Doctor of Nursing practice community partnerships. Nurse Educator, 44(3), 132-136. https://doi.org/10.1097/NNE.000000000 000057
Pencak-Murphy, M., Staffileno, B. A., & Carlson, E. (2015). Collaboration among DNP and PhD prepared nurses: Opportunity to drive positive change. Journal of Professional Nursing, 31, 388-394. https://doi.org/10.1016/j.profnurs.2015.03.001
POST 2
P. Medeiros
Value of Intra- and Interprofessional Collaborative Practice as a DNP
The doctoral prepared nurse has been described to hold a degree that ""builds upon the advanced nursing practice specialization and provides additional preparation in the formulation, interpretation, and utilization of evidence-based practices, health policy, information technology, and leadership” (Waxman & Maxworthy, 2010). Essentially, the DNP graduate would be able to accommodate the colossal voids in both the academia and practice settings. A nurse with a doctorate, would have the ability to serve at the same level as other professions, collaborate effectively with other professions, and have their opinions and skills better recognized (Laurette Education, 2011d).
Intrapersonal communication is the principal base of interpersonal communication. Primarily since it is our experience on which our perception ultimately relies on, and subsequently our perception that influences our integration with other individuals. In other words, intrapersonal communication is categorized as being individual; for example, as in always kept within a person’s mind. (Zaccagnini & White, 2017). Whereas, interpersonal is classified as relational, such as information flows from one person to another (Zaccagnini & White, 2017). Furthermore, intrapersonal communication is relied heavily on the purpose of self-expression of one’s thoughts and opinions. On the contrary, interpersonal communication requires either verbal or non-verbal means to communicate their thoughts.
Examples of Intra- and Interpersonal Collaborative Practice
The best way to describe the impacts of intra- and interprofessional collaborative practice on my present role as an advanced practitioner would be during multidisciplinary rounds. Each morning in the intensive care unit, the physician, advanced practice practitioner, bedside nurse, dietary, case management, pharmacy, and therapy services round on each patient. We utilize a collaborative approach by expressing our opinions and thoughts on ways to improve the patient’s overall outcome with implementing evidenced-base practices. It is a great opportunity to address the needs of the patient and come together as a group to make decisions that ultimately would serve in the patient’s best interest. I find that multidisciplinary rounds essentially allow for the opportunity to tie up all loose ends, resulting in the delivery of optimal patient care.
Subsequent, communication at every level is thought as being essential. In 2001, the Institute of Medicine Committee on Quality of Healthcare in America suggested that healthcare professionals to work in interprofessional teams, to allow for optimized communication and address widely complex health care needs and challenges (Bridges, Davidson & Odegard & et al., 2011). Finally, attending organizational conferences to further advance knowledge on the latest up to date practice guidelines would also be a form of interprofessional communication.
References
Bridges, D., Davidson, R. & Odegard, P. et. al. (2011). Interprofessional Collaboration: Three
Best Practice Models of Interprofessional Education. Medical Education Online.
Laureate education (Producer). (2011d). The Professional Role of the DNP-Prepared Nurse
[video file]. Retrieved from https://class.waldenu.edu
Waxman, K.T., & Maxworthy, J. (2010). The Doctor of Nursing Practice Degree and the Nurse
Executive: The Perfect Combination. Nurse Leader (8)2, 31-33. Retrieved from
https://doi.org/10.1016/j.mnl.2010.01.011
Zaccagnini, M.E., & White, K.W. (2017). The Doctor of Nursing practice essentials: A new model for advanced practice nursing (3rd ed.). Sudbury, MA: Jones & Bartlett
POST 3
A. Laura
Identify the concept and the related practice problem
A concept is defined as a term that abstractly describes and names an object, phenomenon, or an idea thus providing it with a distinct identity or meaning (Gray, Grove, & Sutherland, 2017)). The concept that I have identified that is related to a problem in the nursing practice is incivility and bullying. Incivility and bullying has been shown an increase in medication errors, increase turnover rate, depression in staff, and suicide. The main premise of the concept is that most health care workers do not understand the concept of incivility and bullying.
A summary of your concept analysis (sharing your clarified concept) and the related research topic
According to Walker & Avant (2011), the steps in concept analysis includes selecting a concept, determining the aim of the analysis, identify all the uses of the concept, determine the defining attributes, identifying the model case, identifying borderline, related, contrary, invented, and illegitimate cases, identify antecedent and consequences, and defining empirical referents. The aforementioned concept is abstract in nature, the more abstract a concepts becomes, empirical indicators become less concrete and less directly measurable. The aim of the analysis would include identifying bullying and uncivil behaviors among health care workers. Incivility could be caused by low-self esteem from the aggressor, unanswered psychological issues, or antecedent events in their life such as abuse and or bullying directed towards the aggressor. Empirical referents could include fear of rejection and lack of emotional intelligence.
Describe the importance of this concept and research topic to nursing practice
This concept and research topic is more important now than ever. With the emotional toll that the crisis has taken on health care workers during this pandemic, further research would be beneficial in handling the day to day acts of incivility and bullying that may be enhanced by a heightened since anxiety, fear, and uncertainty that has been caused by the COVID 19 pandemic.
Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove's the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.) St. Louis, MO: Saunders Elsevier
McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Philadelphia, PA: Wolters Kluwer
Walker, L.O. & Avant, K.C. (2011). Strategies for theory construction in nursing (5th ed.).Upper Saddle River, NJ: Prentice-Hall
POST 4
S. Gambill
Concept analysis is an essential component of research processes and influences theory development. According to McEwin and Wills (2014), concepts are symbolic terms that signify a phenomena that ensues in nature or in thought (p. 50). More specifically, individuals can delineate concepts relative to their phenomena and outline a pattern of usage as a foundation of theory and knowledge development to enhance practice (Coughlan, Cronin, & Ryan, 2010, p. 64). With this being said, the correlation between research, theory, and clinical practice is enabled through concept analysis which impacts nursing care. While concept analysis is critical to disciplines, concept invention is also pivotal. Concept inventing consists of innovative conceptualization and interpretation of concepts that are distinctly different from other analysis and concepts that dominate a discipline (Parse, 2006, p. 289). Concepts not only guide disciplines, but individual decision-making and perceptions are impacted.
According to Penrod (2007), concept analysis is analytical method that is comprised of four philosophical and science-oriented principles: epistemological, pragmatical, linguistical, and logical (p. 659). With this being said, there is no shortage of concepts relevant to the nursing discipline, especially in the perioperative setting. A practice problem in the perioperative setting that I have opted to address is the lack of optimal psychosocial and spiritual care that is being rendered to patients, especially due to the implications that the COVID-19 pandemic has had on approaches to care. The concept that is applicable to this practice problem is the concept of comfort.
Concept analysis is complete by defining, differentiating, delineating antecedents, delineating consequences, modeling, analogizing, and synthesizing (McEwen & Wills, 2014, p. 65). The concept of comfort is defined as a “holistic experience, a stated of satisfying human needs for ease, relief, and transcendence in physical, psychological, social, and spiritual contexts” (Caldeira, Martins, Pinto, & Rodgers, 2017, p. 244). Especially in nursing, comfort is a term that varies based on scenario, context, and individual perception. In the perioperative setting, comfort commonly refers to environmental contentment, pain relief, and psychological or emotional well-being. Differentiating concepts and other similar concepts include caring, quality of life, holistic care, spirituality, or happiness (Caldeira, Martins, Pinto, & Rodgers, 2017, p. 244). More specifically, comfort has been characterized similarly to pain relief, palliative measures, supportive care, well-being, and cosiness (Caldeira, Martins, Pinto, & Rodgers, 2017, p. 244). Antecedents include discomfort, distress, and suffering (Caldeira, Martins, Pinto, & Rodgers, 2017, p. 244). As outlined, it is anticipated that comfort is perceived or occurs when implementing caring in nursing. This is proven true by facilitating pain relief, implementing palliative and supportive measures, and enabling well-being or wellness. Ultimately, comfort is associated with quality patient experiences and optimal well-being. In the perioperative setting, comfort is frequently impacted by environmental factors including ambient air temperature and lighting, high-traffic settings with overstimulating quantities of professionals from the multidisciplinary team, time restraints or procedure delays due to explicit factors, and anxiety relative to their condition or procedure, to name a few. Comfort is often facilitated by establishing rapport, diminishing excessive stimulation, providing measures to induce a peaceful and ambiently accommodating environment, acknowledging emotional concerns, and addressing patient needs.
Due to policy and practice changes that have transpired since the COVID-19 pandemic began to overwhelm community health, comfort in the perioperative setting has been hindered. Changes in visitor policies, COVID testing, environmental stimulation due to increase sanitization, diminished interpersonal communication due to personal protective equipment, and the alteration of the implementation of spiritual services has altered the achievement of comfort. While public health and preventing the communication of such a devastating virus is critical, the inability to achieve optimal comfort in patients impacts their care experience and outcomes. Are the policies and procedure that are implemented for public health purposes relevant to COVID-19 diminishing the deliverance of comfort care and patient comfort and negatively impacting patient outcomes in the perioperative setting? I have perceived diminished comfort in terms physical, psychological, social, and spiritual well-being in the perioperative setting. An appropriate research topic is “The Implications of COVID-19 Policies On Patient Comfort in the Perioperative Setting: A Review of Patient Satisfaction and Outcomes.” It is evident that this concept and research topic are important to nursing practice.
References
Caldeira, S., Martins, J. C., Pinto, S., & Rodgers, B. (2017). Evolutionary analysis of the concept of comfort. Holistic Nursing Practice, 31(4), 243-252. doi:10.1097/HNP.0000000000000217. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edo&AN=123918983&site=eds-live&scope=site
Coughlan, M., Cronin, P., & Ryan, F. (2010). Concept analysis in healthcare research. International Journal of Therapy & Rehabilitation, 17(2), 62-68. doi:10.12968/ijtr.2010.17.2.46331. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=t rue&db=rzh&AN=105306662&site=ehost-live&scope=site
McEwin, M., & Wills, E. M. (2014). Theoretical basis for nursing. (4th ed.) Philadelphia, PA: Wolters Kluwer Health.
Parse, R. R. (2006). Concept inventing: Continuing clarification. Nursing Science Quarterly,19(4), 289. doi:10.1177/0894318406292785. Retrieved from https://journals-sagepub-com.ezp.waldenulibrary.org/doi/pdf/
Penrod, J. (2007). Living with uncertainty: Concept advancement. Journal of Advanced Nursing, 57(6), 658-667. Retrieved from https://onlinelibrary-wiley- com.ezp.waldenulibrary.org/doi/epdf/10.1111/j.1365-2648.2006.04008.x
EXAMPLE OF HOW EACH REPLY COMMENTS NEEDS TO LOOK.
The relationship between the DNP and Ph.D. prepared nurses have evolved from competition to collaboration (Cygan & Reed, 2019). Collaboration between the doctorly-prepared nurses has led to enriched opportunities for nurses. The DNP and Ph.D. nurses are innovating research, education, and practice. Both roles require extensive education and training in critically evaluating literature that best contribute to nursing with the goal of continually improving nursing science and nursing practice (Cowan, 2019). The addition of the DNP and Ph.D. professionals in healthcare organizations offers an opportunity to raise healthcare leadership expectations. Effective intra and inter-professional collaborations can transcend the profession leading to the creation of need research and evidence. Falkenberg-Olson (2019) contended the DNP and Ph.D.
References
Cygan, H. R., & Reed, M. (2019). DNP and PhD scholarship: Making the case for collaboration. Journal of Professional Nursing, 35, 353-357. https://doi.org/10.1016/j.p rofnurs.2019.03.002
Cowan, L. P. (2019). A model of successful DNP and PhD collaboration. Journal of the American Association of Nurse Practitioners, 31(2), 116-123. https://doi.org/10.109 7/JXX.0000000000000105
Essay
What sort of problems would you expect Scott to have at school?
Scott is likely to develop the following problems at school:
associated with absent-mindedness
being unable to concentrate on tasks.
Excessive physical movement.
Excessive talking.
Unable to wait his turn.
He is acting without thinking.
Interrupting conversations
being unable to sit still, especially in calm or quiet surroundings.
He will continually fidget.
being unable to concentrate on tasks
He may have low grades at school due.
He will always be distracted by little things happening in the surrounding environment, making him lose concentration on what he was doing.
What are some teachings you might provide for this parent?
The teachings to parents that I might provide for this are as follows:
those children will keep information essential to them.
What is necessary for a parent might not be necessary for the child; for example, the child's task is forgetting, like wearing shoes and socks.
The parent should try making these impersonal tasks to become more personal.
Parents must be involved. Learn all you can about ADHD
Know how ADHD affects your child
Concentrate on teaching your child one thing at a time
Discipline with purpose and warmth
Parents must set clear expectations.
Parents must spend some particular time together every day.
Parents must understand that their relationship with their child matters most.
What interventions would give Scott the best chance of having positive outcomes?
The interventions that I will give to Scott for the best chance of positive outcomes are:
Parent education in behavior management: Parent coaching in behavior management gives parents the abilities and methods to assist their kids. Parent education in behavior management is known to work better than drugs for ADHD in young children. Young children have more side effects of ADHD medications than older children. The long-term effects of ADHD medications on young children haven't been well-studied.
Behavior therapy with children; Mental, emotional, and behavioral disorders in childhood can cause long-term problems that will affect the health and well-being of youngsters, families, and communities.
Behavioral interventions within the classroom: Effective teachers use several behavioral intervention techniques to assist students in finding out how to regulate their behavior
Reference
NHS Choices, NHS, www.nhs.uk/conditions/attention-deficit-hyperactivity-disorder-adhd/symptoms/.
“Symptoms and Diagnosis of ADHD.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 21 Sept. 2020, www.cdc.gov/ncbddd/adhd/diagnosis.html.
“Teaching Children with Attention Deficit Hyperactivity Disorder: Instructional Strategies and Practices-- Pg 4.” Home, 7 Oct. 2008, www2.ed.gov/rschstat/research/pubs/adhd/adhd-teaching_pg4.html.
Discussion
Explain the difference between internal and external evidence. How can each of these types of evidence be utilized for quality improvement in the clinical setting?
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook
Leading as a Pactice scholar (Nursing
Nursing Doctorate level writing, 2 pages, APA format absolutely zero plagiarism
Please see attached supplemental reading material
Due today 12/16/2020 in 8hrs (2:30PM -US Central time
Questions to address:
· How will you establish personal credibility as a leader? How will you model the way for others?
· What strategies will you use to inspire a shared vision for those you lead?
· How will you challenge the current process to lead change?
· What strategies will you use to enable others to act?
· How will you recognize the contributions of others?
