Use the PICO question to look for 2 articles and complete the evidence based table i have attached.
PICO question: In individuals diagnosed with Parkinson’s disease (P), does the implementation of complementary supportive therapies in conjunction with standard practice (I) improve quality of life (O) compared with standard practice alone (C)?
The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced health assessment. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.
This discussion enables the student to meet the following course outcomes:
Initial posts are due to the discussion board by Wednesday at 11:59 p.m. MT. Instructor and peer responses are due by Sunday at 11:59 p.m. MT. Students must post on a minimum of two separate days. A 10% late penalty will be imposed for discussions posted after the deadline Wednesday at 11:59 p.m. MT, regardless of the number of days late. NOTHING will be accepted after 11:59 p.m. MT on Sunday (i.e., the student will receive an automatic 0).
The total points possible for this assignment is 75.
Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.
This week, you will consider assessment questions and appropriate interventions related to social determinants of health. Healthy physical, social, and economic environments strengthen the potential to achieve health and well-being. The nurse practitioner (NP) must assess all facets of clients’ health during a comprehensive health history. Identify the assigned topics listed by the first letter of your first name. For example, if your first name is Gilda then your assigned topic is education access and quality. Select an objective related to your assigned social determinant from the Healthy People website.
First Letter of Your First NameTopicA – EEconomic stabilityF – JEducation access and qualityK – OHealth care access and qualityP – SNeighborhood and built environmentT – ZSocial and community context
Complete the following requirements:
due 10-7-23 @10am
Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.
More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.
To Complete:
Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:
References include:
respond to the discussion using APA format and two scholarly references
The suggested disease in the case study is protein malnutrition. It is a condition where the patient does not have adequate protein intake. Genetic disorders can cause protein malnutrition. For instance, cystic fibrosis can lead to pancreatic insufficiency, limiting the production of digestive enzymes necessary for protein digestion (Montoro-Huguet et al., 2021). Celiac disease can lead to malabsorption of many nutrients. Hartnup can hinder the absorption of Tryptophan, which is necessary for protein synthesis (Schmidt-Kastner & Kravetz, 2022). However, these genetic factors may not be adequate to cause protein malnutrition. Other health conditions and poor dietary intake may also play an important role.
The patient presents with generalized edema of extremities and abdomen due to low levels of albumin (a plasma protein), which causes the leakage of fluids from the blood vessels into the surrounding tissues due to low osmotic pressure. The physiologic response to the stimulus is an attempt for the body to maintain homeostasis amid the lack of adequate protein. The body breaks down muscle tissues to release amino acids necessary for several cellular processes. The process causes muscle wasting and exacerbates protein deficiency.
Liver cells (hepatocytes) are involved in protein malnutrition. Hepatocytes synthesize plasma proteins, including albumin. Due to inadequate protein, these cells do not produce adequate albumin. Therefore, oncotic pressure in the blood vessels decreases, leading to edema (Grüngreiff et al., 2021). Another characteristic that would change the response is gender influence. The female elderly patient may have low levels of estrogen that would cause hormonal imbalance. Therefore, there would be a decrease in muscle mass and protein synthesis, a possible cause of protein malnutrition. The patient’s progesterone levels may also fluctuate due to menopause, leading to poor nutrient intake and loss of appetite. These gender-based factors may cause protein malnutrition.
Review the terms Stratified Sampling, Cluster Sampling, Random Sampling, and Systematic Sampling from “The Visual Learner: Statistics,” located in the Topic 2 Resources.
For this question you are divided into groups based on your last name. Identify your given sampling method using the first letter of your last name.
Use the assigned sampling method to answer the following question:
Imagine that you are conducting a patient satisfaction survey at your health care facility. How would the assigned sampling method be applied in this case? What are the strengths and weakness of the assigned sampling method in this scenario?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “HLT-362V Discussion Question Rubric” and “HLT-362V Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Describe two cognitive techniques and two behavioral techniques. In what types of situations would you choose each?
The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Thursday, 11:59 p.m. Eastern Time. Two scholarly sources references are required unless stated otherwise by your professor.
The student provides a substantive response to the discussion question or topic on Thursday day and posts a minimum of two additional responses to peers on another day(s). The answers to classmates must be posted by Sunday, 11:59 pm Eastern Time. We expect each student to participate in the discussion board in a respectful manner.
Remember that a new discussion rubric was approved by the professors, committee members, and a majority of the students. Please review the rubric before posting to ensure a maximum of points.
Here are the categories of the new discussion rubric:
Initial Post relevance to the topic of discussion, applicability, and insight. (20%)
Quality of Written Communication Appropriateness of audience and words choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)
Inclusion of APNA standards essentials explored in the discussion as well as the role-specific competencies as applicable.(10%)
Rigor, currency, and relevance of the scholarly references. (Use articles that are below 5 years). (20%)
Peer & Professor Responses. The number of responses, quality of response posts. (20%)
Timeliness of the initial post and the answers to the peers. (10%
Due 10/13/23 @ 1600 EST
Respond by sharing ideas for how shortcomings discovered in their evaluations and/or their examples of incivility could have been managed more effectively.
using APA, at least 2 scholarly references
The results show that the organization encourages collaborative decision-making, where multiple stakeholders, including employees, have a say in important matters. This can lead to a more inclusive and democratic decision-making process. Members are actively involved in creating and shaping workplace policies. This involvement ensures that policies reflect the needs and preferences of those who work within the organization. The organization recognizes the importance of periodically reviewing its policies to remain relevant and practical. This proactive approach helps in identifying areas that may need improvement or adjustment. The organization is also open to revising policies as necessary. This flexibility allows for adaptation to changing circumstances or feedback from members.
Members of the organization share a vision and mission based on trust, respect, and collegiality. Communication at all levels of the organization is transparent, direct, and respectful. The organizational culture is assessed on an ongoing basis, and measures are taken to improve it based on the results of that assessment.
surprisingly “Most employees did not recommend the organization as a good or great place to work to their family and friends.” This suggests that despite some positive aspects mentioned in the assessment, many employees are dissatisfied to the point where they would not recommend the organization to others. This could indicate a significant issue with the workplace culture or conditions that may need urgent attention.
Another surprising thing is that “Individual and collective achievements are not celebrated and publicized equitably.” This lack of recognition and celebration of achievements can harm employee morale and motivation. It is surprising because recognizing and celebrating accomplishments is common in many organizations to boost employee engagement and satisfaction.
Before the assessment, I had an idea that “Communication at all levels of the organization is transparent, direct, and respectful.” the assessment confirms this aspect as it indicates that the organization values open and respectful communication and is seen as a positive sign, as effective communication is crucial for building trust and a healthy workplace culture (Dempsey & Assi, 2018).
It is evident from the findings that my workplace is civil because it values employees, fosters a positive and inclusive culture, invests in employee development, and prioritizes their well-being. Such an environment will likely attract and retain talented individuals and contribute to the organization’s long-term success.
The assessment also shows that my workplace is characterized by trust, respect, engagement, and a positive culture providing a healthy working environment. However, it is essential to continue monitoring and addressing any potential areas for improvement to sustain this healthy and civil work environment.
The concepts presented in the articles appear to be related to organizational culture and employee satisfaction. A healthy organizational culture that aligns with employees’ values and supports their well-being is more likely to result in higher employee satisfaction. When employees feel that they fit into the culture, are respected, and have opportunities for growth and development, their satisfaction increases. The assessment evaluates various aspects of an organization’s work environment, including trust, communication, employee engagement, leadership, and more (Cummings et al., 2018). These factors collectively contribute to the organizational culture and can significantly impact employee satisfaction and overall well-being.
In summary, the theory of organizational culture and employee satisfaction closely aligns with the assessment criteria in my workplace. A positive organizational culture, characterized by trust, communication, recognition, and employee well-being, will likely result in higher employee satisfaction, engagement, and morale (Cummings et al., 2018). Conversely, a negative culture can lead to dissatisfaction and a lack of employee recommendations.
To apply the theory of organizational culture and employee satisfaction to improve organizational health and create stronger work teams, an organization can take several specific actions and initiatives:
Define and Communicate Clear Values and Mission by holding regular meetings or workshops to reinforce the organization’s mission and values. Ensure that all employees understand and can articulate these core principles.
Foster Trust and Open Communication by Implementing regular “town hall” meetings where leadership provides updates and encourages questions from all employees. Create anonymous feedback channels for employees to express concerns or suggestions.
Recognize and Celebrate Achievements through establishing an employee recognition program that acknowledges outstanding contributions and achievements. Celebrate milestones and successes as a team.
Employee engagement and morale through Conducting regular employee engagement surveys to gather feedback on job satisfaction and areas for improvement. Act on the survey results by implementing changes based on employee input.
The organization seems to prioritize a positive and inclusive culture where trust, respect, and collegiality are fundamental principles. This is a commendable approach that can contribute to a healthy work environment. Committing to transparent and respectful communication at all levels is crucial for maintaining trust and ensuring all employees feel heard and valued. Open and honest communication is key to a thriving organization. Recognizing employees as valuable partners rather than liabilities is essential as it fosters a sense of belonging and motivates employees to contribute to the organization (Atrizka et al., 2020). Encouraging shared governance, teamwork, and collaboration reflects a commitment to involving employees in decision-making processes, which can lead to better solutions and more significant employee investment in the organization’s success. Notably, most employees did not recommend the organization as a good or excellent place to work to their family and friends. This indicates a potential area for improvement and suggests that the organization should actively address any concerns or issues that employees may have.
In summary, the organization seems to have many positive elements for creating a healthy and supportive work environment. However, it should pay attention to the feedback provided by its employees to address any areas that need improvement and enhance overall employee satisfaction and advocacy.
References
Atrizka, D., Lubis, H., Simanjuntak, C. W., & Pratama, I. (2020). Ensuring Better Affective Commitment and Organizational Citizenship Behavior through Talent Management and Psychological Contract Fulfillment: An Empirical Study of Indonesia Pharmaceutical Sector. Systematic Reviews in Pharmacy, 11(1).
Cummings, G. G., Tate, K., Lee, S., Wong, C. A., Paananen, T., Micaroni, S. P., & Chatterjee, G. E. (2018). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International journal of nursing studies, 85, 19-60.
Dempsey, C., & Assi, M. J. (2018). The impact of nurse engagement on quality, safety, and the experience of care: what nurse leaders should know. Nursing administration quarterly, 42(3), 278-283.
Thinking about what you’ve learned in this course about
1- If you had the power to change anything in this class that is assessment related, what would you change and why?
2- How will the concepts you learned in this class help you in your career?
The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Thursday, 11:59 p.m. Eastern Time. Two scholarly sources references are required unless stated otherwise by your professor.
The student provides a substantive response to the discussion question or topic on Thursday day and posts a minimum of two additional responses to peers on another day(s). The answers to classmates must be posted by Sunday, 11:59 pm Eastern Time. We expect each student to participate in the discussion board in a respectful manner.
Remember that a new discussion rubric was approved by the professors, committee members, and a majority of the students. Please review the rubric before posting to ensure a maximum of points.
Here are the categories of the new discussion rubric:
Initial Post relevance to the topic of discussion, applicability, and insight. (20%)
Quality of Written Communication Appropriateness of audience and words choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)
Inclusion of APNA standards essentials explored in the discussion as well as the role-specific competencies as applicable.(10%)
Rigor, currency, and relevance of the scholarly references. (Use articles that are below 5 years). (20%)
Peer & Professor Responses. The number of responses, quality of response posts. (20%)
Timeliness of the initial post and the answers to the peers. (10%
How to apply theory to practice for better outcomes?
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