1. Compare your scores from Week 2 to Week 8.
2. Describe how far have you come and how much further do you wish to go in improving your competencies during the next two years of practice.
3. Review the article, “Nursing Leadership and the Future of Nursing” at 

What will you do differently in your future nursing career?

300 words response with reference and in text citation

 

Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

• Describe what a fluid and electrolyte imbalance is and how this is important to the function of the body?
• Pick a fluid or electrolyte imbalance and describe how the patient would present, in addition to the treatment (nursing and expected medical)?

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

Respond by providing an additional scholarly resource that supports or challenges their position along with a brief explanation of the resource

NOTE: I need a positive comment about the post bellow

 

                                                          Main Post

According to Marken and Carey (2015), psychotherapy also defined as talk therapy is means of supporting individuals suffering from an extensive range of mental health disorders and emotional complications. An exponentially increasing interest in incorporating psychotherapy with the neuroscience has developed influentially during the past 10 years (Marken & Carey, 2015). The understanding of biological foundations of complicated behaviors and human brain along with their maladaptive reactions and the way psychotherapy support psychopathologies declared psychotherapy as a biological treatment (Plakun, 2015). Psychotherapy is regarded as brain therapy that allows individuals to re-elaborate their sense of self through new experiences that entails cognitive, emotional, and internal regulation processing (Marken & Carey, 2015). Similar to all other forms of learning and experience processing, psychotherapy can cause long-term detectable physical modifications in the brain (Marken & Carey, 2015). According to Straub, et al., (2015), psychotherapy has been identified to change activity levels in the prefrontal cortex. The individuals suffering from depression tend to have a high levels of activity in the prefrontal cortex and the individuals who attended interpersonal therapy were identified to have a decline in their prefrontal cortex activity (Straub, et al., 2015).

Influences of Culture, Religion, and Socioeconomics on Personal Perspectives of Psychotherapy Treatments

Psychological suffering implies a culturally situated understanding of a complicated and multidimensional procedure of biopsychosocial variables (Moleiro, 2018). Culture has also been identified to form the models of psychotherapy and psychiatric care and tend to have an impact on each moment and procedure in individuals descriptions of their suffering (Chu, Leino, Pflum, & Sue, 2016). Moreover, culture also tend to establish the credibility or acceptance of types of psychotherapy treatments in the perception of the clients, their families and eventually on adherence to the psychotherapy treatments (Moleiro, 2018).

Religious belief has been identified as significant aspect of principles and values used by individuals to process information and make judgements (Schwarz, 2018). A psychotherapist can boost the capability to determine or understand agonizing, frenzied, or unanticipated incidents by confirming the beliefs and perspective learnings of their clients (Schwarz, 2018). Knowing and validating clients belief system improves adherence to psychotherapy and supports to accomplish better results (Captari, et al., 2018). However, incorporating religious dimensions of clients lives in psychotherapy demands competence in terms of high standard of awareness, ethics, and abilities for aligning knowledge obtained regarding religious values and beliefs for the benefit of therapeutic procedure (Chu, Leino, Pflum, & Sue, 2016).

Socioeconomics is considered an important aspect of the identity of and individual and it influence the way personal success is perceive (Finegan, Firth, Wojnarowski, & Delgadillo, 2018). Socioeconomic also interrelates with other personality characteristics and tend to have an impact on individuals overall quality of life (Finegan, et al., 2018). It has been identified that individuals from a lower socioeconomic background have a higher tendency of dropping out of the therapy and poor individual perceive psychotherapy as less effective (Levi, Laslo-Roth, & Rosenstreich, 2018). Self/emotion regulation, sensitivity, and mental flexibility are the three main cognitive domains that play crucial role in success of psychotherapy and are impaired because of low socioeconomic status (Levi, et al., 2018).

                                                               References

Captari, L. E., Hook, J. N., Hoyt, W., Davis, D. E., McElroyHeltzel, S. E., & Worthington Jr, E. L. (2018). Integrating clients religion and spirituality within psychotherapy: A comprehensive metaanalysis. Journal of Clinical Psychology, 74(11), 1938-1951. doi:10.1002/jclp.22681

Chu, J., Leino, A., Pflum, S., & Sue, S. (2016). A model for the theoretical basis of cultural competency to guide psychotherapy. Professional Psychology: Research and Practice, 47(1), 18. Retrieved from https://psycnet.apa.org/journals/pro/47/1/18.html?uid=2016-05588-002

Finegan, M., Firth, N., Wojnarowski, C., & Delgadillo, J. (2018). Associations between socioeconomic status and psychological therapy outcomes: A systematic review and metaanalysis. Depression and Anxiety, 35(6), 560-573. doi:10.1002/da.22765

Levi, U., Laslo-Roth, R., & Rosenstreich, E. (2018). Socioeconomic Status and Psychotherapy: A Cognitive-Affective View. Journal of Psychiatry and Behavioral Health Forecast, 1(2), 1008. Retrieved from https://www.researchgate.net/publication/328238564_Socioeconomic_Status_and_Psychotherapy_A_Cognitive-Affective_View

Marken, R. S., & Carey, T. A. (2015). Understanding the change process involved in solving psychological problems: A modelbased approach to understanding how psychotherapy works. Clinical Psychology & Psychotherapy, 22(6), 580-590. doi:10.1002/cpp.1919

Moleiro, C. (2018). Culture and psychopathology: New perspectives on research, practice, and clinical training in a globalized world. Frontiers in Psychiatry, 9, 366. doi:10.3389/fpsyt.2018.00366

Plakun, E. M. (2015). Psychotherapy and psychosocial treatment: Recent advances and future directions. Psychiatric Clinics, 38(3), 405-418.

Schwarz, S. (2018). Religious aspects in psychiatry and psychotherapy. International Journal of Human Rights in Healthcare, 11(2), 109-115. doi:10.1108/IJHRH-07-2017-0031

Straub, J., Plener, P. L., Sproeber, N., Sprenger, L., Koelch, M. G., Groen, G., & Abler, B. (2015). Neural correlates of successful psychotherapy of depression in adolescents. Journal of Affective Disorders, 183, 239-246. Retrieved from https://www.sciencedirect.com/science/article/pii/S0165032715003201

 

 

March 21, 2010, was not EBPs date of birth, but it may be the date the approach grew up and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

• Review the Resources and reflect on the definition and goal of EBP.
• Choose a professional healthcare organizations website (e.g., a reimbursing body, an accredited body, or a national initiative).
• Explore the website to determine where and to what extent EBP is evident.

Question

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organizations work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organizations website has changed your perception of the healthcare organization. Be specific and provide examples.

Respond by providing an additional scholarly resource that supports or challenges their position along with a brief explanation of the resource

                                                             Main Post

According to neuroscience, psychotherapy is purely biological treatment. Psychotherapy addresses the way the brain develops, matures and functions. It bases its operations on the principles of both genetics and evolutionary adaptation of the brain. In its applications, psychotherapy aims at deactivating maladaptive mappings of the brain and instils positive and constructive pathways (Javanbakht and Alberini, 2019). It doesn’t act or involve one receptor or molecules and few modulators rather it interacts with all biological phenomena involving complex, interconnected responses of the brain. The profession deals with aligning the whole organism in the constructive pathways and thus must understand the biological principles playing on the organism. For instance, understanding g the functions of the brain are biological. (Fournier and Price, 2014). As the trillions of neurons connect, they map human experiences and memories. Neuronal connections form a large network of circuits in cortex, which collects and define human experiences in consciousness. The conscience forms symbolic forms in the brain. Psychotherapy is coherent with the genetics of individuals. It deals with the troublesome adjustments of the brain in a sequence of their evolution. Psychotherapy shuts down the mismanaged brain mappings and helps the brain to develop new constructive pathways. Our brain keeps track of our memories through a complex neuronal network that has billions and trillions of nervous connections. Interconnected loops of neurons make huge circuits that track and map in the structure of the cortex. As the environments change, all experiences are mapped in the brain as memories (Wheeler, 2014).

 Explain HOW Culture, Religion, and Socioeconomics might influence ones perspective of the value of Psychotherapy Treatments.

 Culture has a strong impact on our interactions. Culture has a role in our understanding of health and the phenomenon of healing. Culture has a constructive role in framing assumptions within the psychotherapy experience. Different cultures perceive psychotherapy in different ways. In conventional psychotherapy experience, people have a social behavior of discussing their matters with a skilled professional. It involves mutual understanding, confidence, vulnerability, and the probability of change. The basics of psychotherapy in western culture emphasizes independence and self-development.

 Clients to process information and shape judgments use religions and spiritual beliefs. Religion has a major moral impact on behavior, emotions, thought processes, feelings, and experiences that are interconnected with the psychotherapy Knowledge into religion beliefs of the client is therefore important in driving therapeutic. A good therapeutic practice should promote good religious values, which will in turn promote positive belief system, mobilize hope and boost coping abilities of the client. This increase recovery progress and thus success (Holttum, 2014).

 Various aspects of socio-economic status (SES) affect psychotherapeutic success. Clinical reaction based on the socio-economic condition of individuals was not much explained in past but recent studies have proven the impact. The socioeconomic status of the patient has a role to change the perception of both patients himself and psychotherapist. The class or economic condition can affect of the patient’s active issues, main concerns, symptoms of condition and prognosis of ongoing psychotherapy. Clients treatment expectancy; offer social support which are key in overall predicting the clients positive changes psychotherapeutic sessions.

                                                              References

Javanbakht, A., & Alberini, C. M. (2019). Neurobiological models of psychotherapy. Frontiers in behavioral neuroscience, 13, 144.

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author. Standard 1 Assessment (pages 44 & 45).

Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290298. Retrieved from  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360/  

Cot, M. (2015, February 7). The Role of Culture in Psychotherapy. Retrieved February 22, 2020, from https://www.drmalakaicote.com/blog/2015/2/7/the-role-of-culture-in-psychotherapy

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Chapter 1, The Nurse Psychotherapist and a Framework for Practice (pp. 352).

 

 

Purpose

This week’s graded topics relate to the following Course Outcome (CO).

• CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
• CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Discussion

Improving patient care and outcomes is paramount to the practice of nursing. As we conclude our learning journey through our world of research and evidence-based practice, it is important to reflect upon your time spent in the course:

• Think about nursing practice and describe one barrier that you feel prohibits nurses from engaging in EBP; share one strategy you could use to facilitate the use of evidence to help improve nursing care for patients.
• Reflect back over your time in the course and describe how your thinking has changed about nursing research and evidence-based practice; describe one new learning during this course that you believe was the most helpful.

Topic 1 DQ 1

Population health promotion includes improvement of the personal satisfaction of the network through the arrangement of essential, auxiliary and tertiary medicinal services administrations. The people group wellbeing medical caretaker should, in this way, assume a supervisory job of the network part to control and direct their wellbeing conduct. The essential capacity of the attendant in the association with the network partners is to manage and prompt them on the solid practice that can advance a sound living of the network (Eldredge et al., 2015).

For example, the network wellbeing attendant can choose to urge the network partners to advocate the development of toilets by every family in the network. That way, the medical attendant will give essential consideration through the network partners who can forestall the advancement of ailment in the network. The medical attendant can likewise exploit the network partners to compose a network meeting whereby the medical caretaker can prompt and teach the network on wellbeing looking for conduct and wellbeing advancement exercises.

Evaluating people group assets like strict and not-for-profit making associations in the network is fundamental in improving network interest in wellbeing advancement. For example, strict foundations are against some social demonstrations that can energize the spread of malady like pre-marriage sex. Evaluating such qualities in such organizations help to improve the network comprehension and investment in illness avoidance and wellbeing advancement.

References: 

Eldredge, L. K. B., Markham, C. M., Ruiter, R. A., Kok, G., Fernandez, M. E., & Parcel, G. S. (2016). Planning health promotion programs: an intervention mapping approach. John Wiley & Sons.

Topic 1 DQ 1

is defined as the health outcomes of a group of individuals, including the distribution of such outcomes within the group (Kindig & Stoddart, 2003, p. 381). The American Public Health Association (APHA) defines as the practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences (American Public Health Association [APHA], 2013, p. 2). The nurse must first analysis and collect data before beginning a program for the population they will working with. The resources that are available and needed must be determined.

For example, my father-in-law was just diagnosed with prostate cancer which has spread to his spine, hips, and shoulders, after researching I discovered there are no hospice programs available in the area they live. Talking with the population in that area they dont feel they need hospice services. This is a small community that had once been a booming coal mining town. Since the coal mines have closed and the population is composed mainly of elderly people living on social security and the majority are related spiritual and moral beliefs are shared. When speaking with the community this is a generation who strongly believes in taking care of their own family members. This is a community that doesnt feel the need for outside help so, if programs were implemented the community would mostly likely not use the programs.

Stakeholders play an import role in establishing public health programs. Health promotion and education is often supported through partnerships with employers, faith-based organizations, schools, and health care providers for implementation of initiatives and reinforcement of health information (CDC, 2014). Working with soup kitchens can help provide people with a more balanced, health promoting diet. Many churches are willing to provide areas to hold meetings and educational programs. The public health nurse can visit soup kitchens to provide education on diabetes, heart disease, and high blood pressure while helping the community make healthy choices from the food available.      

American Public Health Association. (2013). The definition and practice of public health nursing. Retrieved from https://www.apha.org/~/media/files/pdf/membergroups/phn/nursingdefinition.ashx

Centers for Disease Control and Prevention. (2014). The 10 essential public health services: An overview. Retrieved from https://www.cdc.gov/stltpublichealth/publichealthservices/pdf/essential-phs.ppt

Kindig, D., & Stoddart, G. (2003). What is population health? American Journal of Public Health, 9, 380383. doi: 10.2105/ajph.93.3.380

Minimum of 250 words with at least 2 peer review reference in 6th edition apa style.

 Do you think that  building a robust clinical coach (preceptor) in order to better support the new to practice nurses and increase retention of the young nurses. 

WEEK 8

As an advanced practice nurse, one can engage in activism in order to achieve desired policy change at various levels including their own organization. Examine the following questions, should nurses be unionized and how does being unionized impact a workforce culture of safety? Be sure to include one MSN Essential in your discussion that relates to this topic.

 

**As a reminder, all questions must be answered to receive full credit for this discussion. please include your name in the title bar of the discussion. Also, make sure to use scholarly sources to support your discussion.**

3

CASE STUDY: 38-year-old Native American pregnant female living on a reservation.

 

Effective communication is vital to constructing an accurate and detailed patient history. A patients health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

Photo Credit: Getty Images/Caiaimage

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

• By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the Course Announcements section of the classroom for your new patient profile assignment.
• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patients social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
• Identify any potential health-related risks based upon the patients age, gender, ethnicity, or environmental setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

ZERO PLAGIARISM

FOUR REFERENCES