discussion 5 diversity

 

After studying Module 5: Lecture Materials & Resources, discuss the following:

Jay and Sue Kim, ages 29 and 26 years and married for 2 years, immigrated from South Korea and settled in Los Angeles. They have lived in a small one-bedroom apartment since their arrival. Both graduated from the same Korean university with baccalaureate degrees in English literature. They have one child, Joseph, age 1 year. When they arrived in the United States, Jay was unable to find a job because of his poor proficiency in English, despite his major in English literature. He eventually obtained a job with a moving company through a church friend. Sue is not working because of their son. Although the Kim’s did not attend a church before immigration, they are now regularly attending a Korean Protestant church in their neighborhood.

Sue is pregnant again, determined by a home pregnancy kit, with their second child and concerned about the medical costs. They did not use any contraceptives because she was breastfeeding. Because of financial limitations, Sue did not initially have prenatal care with her first pregnancy. However, she did keep up with the Korean traditional prenatal practice, tae-kyo. Eventually, she received help from her church and delivered a healthy son. She is not sure whether she can get financial help from her church again but is confident that her second child will be healthy if she follows the Korean traditional prenatal practices.

Jay is concerned about job security because he recently heard from colleagues that the moving company might soon go bankrupt. Although Jay has not been satisfied with his current job (he thinks that he is overqualified), this news is still a cause for concern. Moreover, Sue’s recent pregnancy has made Jay more stressed, and he has started drinking alcohol. Joseph cannot stand up by himself and still wants to be breastfed. Although Sue has tried to give foods such as oranges, apples, steamed rice, and milk (because she is now pregnant), Joseph refuses to eat them and cries for breastfeeding. Joseph’s weight is low-normal for same-age babies.

  1. Describe the Korean cultural practice tae-kyo. Is this practice congruent with allopathic recommendations for prenatal care?
  2. How do food choices among Koreans differ with pregnancy and postpartum?
  3. Describe cultural attitudes toward drinking among Koreans.
  4. Identify two or three culturally congruent strategies a healthcare provider might use to address Jay’s drinking.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

Wk 4 Video part 3

Provide a response 3 discussions prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.

Responses exhibit synthesis, critical thinking, and application to practice settings…. Responses provide clear, concise opinions and ideas that are supported by at least two scholarly sources…. Responses demonstrate synthesis and understanding of Learning Objectives…. Communication is professional and respectful to colleagues…. Presenters’ prompts/questions posed in the case presentations are thoroughly addressed…. Responses are effectively written in standard, edited English.

Questions:

1.  What role can patients themselves play in their treatment?

2.  In cases of comorbid bipolar disorder and PTSD, how can a trauma-informed care approach enhance treatment outcomes?

3.  What other diagnosis can you apply to the patient in this case?

Nursing I have an assignment thats due now, but if someone can have it done by 3AM, or 5AM, I would really appreciate it ! I thought I would have time to get to it,

Assignment that is medical related, or nursing. Have to do a SOAP note, so you would have to know what a SOAP note is in regards to the medical field and there are questions you have to answer about CPT codes, billing codes for patient visits, Dx. codes, etc. But Ican add the diagosis codes.

Thanks Julie 

551 uni 7

Darlene, age 32 years, has been having back pain for a number of years, ever since suffering a compressed L2 disc as the result of a motor vehicle accident that led to surgery and extensive physiotherapy. Now she is missing time from work as a secretary because of constant pain. Darlene has been referred to you for chronic pain.

  1. As the nurse practitioner working with Darlene, what aspects of disorders of pain are important to understand?
  2. How would you effectively manage Darlene’s pain at this time?

Instructions: discussion post, 1 page is long enough. APA format. Has to have 3 references. 

Reflection 1

 

One  of the key points of learning from experience is to reflect on what you  did. Reflect on choosing an article. Answer the following questions in a  document of between 250 and 500 words. Save your response as a word  document and include a 7th edition APA cover page. Upload the document  to complete the assignment. Do not cut and paste from any document of  quote from any source. This is a reflection on your own experiences, so  you should not need to do this.

A. How did you choose the question?

B. What difference could the answer to the question make?

C. Who will be affected by the answer to the question?

D. Could anyone else be affected?

Nursing module 4 assignment

What steps do you take to locate primary and peer-reviewed research articles when performing a literature search?

What resources are available to you to engage in a meaningful and successful literature search?

As you have explored throughout this course, Walden University provides vast resources for student support to ensure success in their academic program of study. When it comes to research and using Library resources, several support mechanisms are available to you as well.

Taking the first step to think about a research topic or area of interest and filtering that topic using a series of keywords and operations will be a fundamental component for performing a literature search in Walden Library’s databases. While the ultimate goal is to produce a set or results that match your search criteria, you must keep in mind that that the quality of the research articles obtained will likely vary. Thus, you must critically examine and analyze the aims of the research produced and how it aligns, confirms, or negates your topic or area of research. As you develop proficiency in this area, you will discover that you can extract content themes and frameworks to enhance future research and the need to identify additional research support.

For this Assignment, consult the Walden Library webinars and resources provided. These resources serve as a general good first step for performing literature searches and engaging with the databases of research available to you. Think about a research topic or area of interest to focus on for this Assignment. Then, search the Walden Library to locate and retrieve peer-reviewed research articles that pertain to your topic or area of interest. 

6-paragraph assignment in which you do the following:

  •  a 1-pararaph introduction of how you conducted your literature search and the databases consulted in your search in relation to your practice area or area of interest. Be specific and provide examples.
  • a 1-paragraph summary of each of the articles you have selected (a total of 3 paragraphs).
  •  1 paragraph that synthesizes the three articles using a scholarly voice.
  •  a final paragraph in which you discuss the differences between summarizing and synthesizing research. Be specific and provide examples.

Case study Analysis 2

***This assignment utilizes TurnItIn.  When you submit this assignment to the assignment drop box, it will automatically be submitted to TurnItIn.  You will receive an Originality Score along with an Originality Report that should be carefully reviewed.  If revisions need to be made to your assignment, you will be able to make additional submissions, and you will quickly receive updated Originally feedback. It is important to plan ahead so that you have enough time to review your originality feedback and make any revisions to your assignment 
before the final due date. Please see instructions for using TurnItIn in the Course Welcome module under Useful Resources.

How many submissions to TurnItIn are allowed?

· For 3000 level courses, you will be allowed a total of three (3) submissions to TII (original plus 2 additional)

· For 4000 level courses, you will be allowed a total of two (2) submissions to TII (original plus 1 additional) (excluding elective courses LDR 4400, NSG 4310, NSG 4410, NSG 4430)

· For elective courses, you will be allowed a total of three (3) submissions to TII (original plus 2 additional)

NOTE:  If you must submit your assignment 
AFTER the due date, please refer to the RN to BSN Late Assignment Policy in the Syllabus for questions related to a request to submit a late assignment.

Assignment Instructions: 

· Review the case study scenario below and the client's family history and medical profile information from unit 1.  

· Next, write a 6-8-page paper analysis of the client (including title and reference page) according to the assignment specifications, outline, and grading rubric. 

Case Study 2 Scenario:

Client, William Collins, arrived to the emergency room for an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). The emergency department nurse enters the triage room to find Mr. Collins sitting at the side of the bed leaning forward with both arms on the bedside tray. He complains he is having shortness of breath that he is unable to control with his usual medications. His son is with him at the bedside because his wife is unable to come with him due to dialysis. 

Case Study Analysis Assignment Outline: 

 The case study analysis paper should include the following sections with responses and rationales for all the prompts.

Introduction (3-5 paragraphs) 

Provide an overview of the pathophysiology of the disease exhibited by the client. Include: 

· What additional assessment findings would you look for? 

· What lab abnormalities would you expect to see? 

· What diagnostics would you anticipate the healthcare team ordering? 

· Provide a rationale for your answers. 

Implications for Self-Care (2 paragraphs) 

· Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing.  

· How does this disease process impact the client’s and/or their care provider’s ability to care for themselves? 

Patient Education Strategy (2-3 paragraphs) 

· Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings. 

· Describe the educational strategies that should be incorporated when building a plan of care for your client. 

· Support with rationale. 

Interdisciplinary Collaboration (2-3 paragraphs) 

· Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale. 

· Consider the care the client will need while inpatient and upon discharge.  

· Consider nutrition, community services, and financial implications. 

Conclusion 

· Summarize the key concepts of this disease process and client case study scenario.  

References 

· A minimum of three references should be used in this paper.  

· References should be no more than five years old. 
Exceptions include seminal works, such as original publications by nurse theorists.  

· One reference must be your textbook, 

· One reference must be from a peer-reviewed journal,  

· One reference must be from an authoritative website such as the CDC, NIH or Healthy People 2030.

Assignment Specifications: 

· Name the paper with a File Naming Protocol: When you save the paper, name it: LastName_NSG 3300_CaseStudyAnalysis_1.docx 

· Paper reflects clinical and professional client/cases, and no references to personal or family issues.

APA Formatting 

· All papers should be written in APA formatting. This paper should include: 

· Formal components, such as a title page, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts 

· APA-formatted 
level headings 

· APA margin, font, and paragraph spacing 

· Include page numbers 

· Appropriate in-text reference citations 

· A reference page, in correct APA format 

600 w6 p1

What are the benefits of evaluating the role of outcomes in practice change through research? Discuss how you would evaluate the roles of outcomes through a change proposed from research findings.

Expectations

Initial Post:

keep all posts you win on bids in US sources

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

Peer Responses:

Disscusion Boards

Discussion Board 1.

Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in pre-licensure education, to act as patient advocates. 

Compose at least 2-3 paragraphs all in APA format with proper references.

Discussion Board 2.

The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses.

Compose at least 2-3 paragraphs all in APA format with proper references.

DISCUSSION REPLIES

Respond to the four colleagues
 with preference to colleagues who selected different translation science frameworks or models from the one you chose. Recommend another framework/model they might consider and/or clarify their explanation of translation science. Cite sources to support your posts. PLEASE INCLUDE AT LEAST 2 REFERENCES OF EACH RESPONSE

 1 . One of the prominent theories that has been very effective in the incorporation of learned information into action is the Knowledge to Action (KTA) model. Spooner et al. (2018) stated that this model is the conceptual layout recommended to help individuals perturbed by the process of knowledge implementation to evidence-based practice. Knowledge creation and action cycle are the two major parts of the KTA model used to translate the knowledge obtained into clinical settings and the barriers encountered during this process are based on the practice conditions. When the KTA model is utilized one can ascertain that the knowledge obtained is from reliable research with long-lasting outcomes (Spooner et al., 2018).   

            The ease of translation of knowledge to action is the reason the KTA model is more popular among clinicians. Working in the correctional facility as a Nurse Practitioner, allows me to see a variety of inmates from minor to more serious crimes. Most of these inmates suffer from different mental health disorders including Schizophrenia and Bipolar disorder and their manner of voicing their anger is significant. The complexity and interdisciplinary nature of correctional facilities necessitates a conceptual framework or model to help translate evidence-based information into action. Field et al. (2014) pointed out that the KTA framework was made to address the various complexities utilized in explaining the method of theory implementation into action. Achieving optimal health requires an increase in the quality of healthcare services and products delivered. Kastner and Straus (2012) opined that the information implementation process including synthesis, dispensing, interchange, and effective use is crucial in the advancement of healthcare

                                                                   Relevancy To my practice

              Due to the hierarchy in correctional facilities, working as a Nurse Practitioner in this space can be very demanding as the county sheriff is in charge of operations while the detention officers apply different rules in dealing with inmates with psychiatric illnesses. The “Use of Force” is the most likely used process by detention officers when managing violent and mental health patients and this unsafe practice can lead to injury on both parties. Moreover, utilizing force is dehumanizing, does not promote support, and is not a holistic approach. Although, assessing and stabilizing these types of patients can be tough for healthcare providers due to their presentation, abnormal vital signs, and violence against the care team. Relating the KTA model to my practice issue can be done by incorporating the two parts of the model the knowledge creation and the action cycle. For knowledge creation, pinpointing the “Use of force” as a limitation to the delivery of efficient care to inmates and the action part is the transformation model to dismiss the use of force. This action promotes social support in the setting and the change team consists of sergeants, nurses, nurse practitioners, and several mental health professionals. A specific example of the effective use of the KTA model was highlighted when a bipolar patient was accompanied to the clinic due to a psychotic episode. The patient had refused to respond to the officer's question during intake and was identified as a high risk for suicidal ideation/attempt. While the suicidal process was being implemented the patient became violent and aggressive. The change team took over the situation and incorporated the “action cycle” of the KTA model by leading the inmate to a quiet area and reassuring him of his safety. This deed by changing them caused the patient to become compliant with his admission and provided willingly all the needed information for the process. Horesh and brown (2020) emphasized that there is an imminent need to close the disparaging gaps in care delivery in major areas as the care team addresses the barriers and creates innovative ways to support individuals in need.

2 . The translation science framework/model I chose is the Iowa model for Evidence-based Practice framework because of the detailed algorithm. The Iowa Model algorithm is user-friendly and straightforward, guiding nurses to use research to improve care. The Iowa Model centers around complete organizational support for transitioning current practices with top priority triggers to current evidence-based practice. The model is designed as a pilot test instead of an instant practice change. The process begins with stating the trigger or purpose identified. The process then determines if it is a priority; once established as a priority, the next step is addressed. This step includes appraising and analyzing the evidence and determining if there is sufficient evidence. If the answer is yes to the sufficient evidence question, the design of the pilot is developed. Once the pilot is appropriate for a change in practice, the change is implemented.  

An example of a trigger appropriate for the Iowa Model use is the change in practice for pressure ulcers. The organization accepts pressure ulcers as a top priority. The next step is evidence-based practice research and determining if the information is substantial. Once evidence is validated as appropriate, the design pilot integrating pressure ulcer preventative equipment is developed. Once approved, the pilot is evaluated again for appropriateness and implemented into practice. In conclusion, I chose this model because of the straightforward algorithm.

3 : The integration of evidenced-based strategies into practice can be challenging, especially in behavioral health. Knowledge translation frameworks provide a systematic approach for translating knowledge into practice, which promotes and sustains practice change (White et al., 2019). The knowledge-to-action (KTA) framework is one of the most popular conceptual frameworks used in healthcare settings to support the implementation of evidence-based practice (White et al., 2019). The framework incorporates existing change theories from health, social sciences, education, and management fields to provide user-friendly action phases to consider during the knowledge translation process.

The KTA framework comprises two components: knowledge creation and action. Knowledge creation is the production of knowledge and consists of three phases: knowledge inquiry, knowledge synthesis, and creation of knowledge for best practice (Davison et al., 2015). The Action component guides the implementation process for change and sustainability consisting of the following phases: identify the problem; adapt knowledge to the local context; assess barriers to knowledge use; select, tailor, and implement interventions; monitor knowledge use; evaluate outcomes; and sustain knowledge use (Davison et al., 2015).

The practice problem that I am looking to address issues facing mental healthcare that negatively affect access to mental health services (Andrade et al., 2014). Inequalities in health and social circumstances perpetuate social and economic exclusion that leads to unequal access to health and its determinants (Marmot et al., 2008). The utilization of the KTA model allows us to critically examine and support the move towards health equity by addressing the causes of health inequities in addition to acknowledging the gap between knowledge and action to improve health equity.

4.The Knowledge to Action (KTA) framework is a prominent concept that emphasizes translating research findings into practical therapeutic applications. The primary objective of this strategy is to prioritize evidence-based interventions, particularly in contexts where the effective dissemination of knowledge is of utmost importance (Spooner et al., 2018). The KTA framework is primarily centered around two fundamental processes: generating and disseminating knowledge, followed by its practical implementation. The applicability of this paradigm is contingent upon the specific characteristics of the context. Nevertheless, its primary objective is establishing long-term treatments grounded in rigorous research (Spooner et al., 2018).

Within the domain of critical care nursing, the interplay between generating knowledge and implementing practical insights holds immense value. Critical care units manage many situations, encompassing life-threatening disorders and post-operative care. The intricate and interdisciplinary character of critical care environments necessitates the development of a systematic framework that integrates evidence-based ideas into tangible interventions. Field et al. (2014) acknowledge that the KTA framework is appropriately structured to manage the complexities associated with knowledge translation effectively. To improve patient outcomes and the healthcare system, engaging in successful knowledge translation is crucial, which involves the ethical sharing and application of research findings (Kastner & Straus, 2012).

Application In My Practice

Managing the difficulties encountered in a critical care environment is inherently arduous. In this context, the potential consequences are significant, and the implementation of therapies based on timely and evidence-based practices can determine the outcome between survival and mortality. For example, the selection of ventilation systems, sepsis management approaches, and hemodynamic monitoring techniques necessitates a foundation in empirical research while also considering the unique requirements of each patient.

The KTA model, comprising the elements of “Learning Paths” and “Action Cycle,” provides a framework for implementing evidence-based practice in the critical care setting. During the initial stage of learning, it is imperative to find optimal methods or standards tailored to specific medical diseases such as acute respiratory distress syndrome (ARDS) or septic shock. In contrast, the “action” step involves the customization and execution of these optimal methodologies by individual patient circumstances.

Let us contemplate a hypothetical situation when a patient afflicted with septic shock exhibits an inadequate response to the initial administration of fluids for resuscitation purposes. By employing the Knowledge-to-Action (KTA) paradigm, a critical care nurse can effectively incorporate current research about initiating vasopressors. This approach allows for the adjustment of interventions based on empirical evidence while also considering the specific circumstances of the individual patient. The need for knowledge translation is heightened in healthcare teams as they confront increasing difficulties, particularly in high-pressure settings such as critical care units, where adherence to evidence-based treatment is crucial (Horesh & Brown, 2020).