Assignment 3: LASA: Working Ahead

In this assignment, you will be able to identify and understand the steps in the proposed ethical decision-making model presented in your textbook by Bush et al. (2006). In addition, you will be able to discuss the strengths and weaknesses of this proposed model.
Tasks:
Write a 3- to 4-page paper, including the following points:

A summary of the eight steps in the ethical decision-making model proposed by Bush et al. (2006).
A critical analysis of the ethical decision-making model (i.e., analyze the strengths and weaknesses of the model in ethical decision making).

Submission Details:

Save your paper as M1_A3_Lastname_Firstname.doc. By Wednesday, June 28, 2017, post it to the M1 Assignment 3 Dropbox.

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What are the determinants of health affecting this disease?

A minimum of three references is required. The written essay should be at least 1250 words in length.APA format is required.
Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease.
THE DISEASE IS rubeola
MUST USE ATTACHED FORMAT******
Epidemiology Paper Requirements
Include the following in your assignment:
A thorough description of the disease including causes, mode of transmission, symptoms, treatment and complications. Discuss the demographic most affected-incidence, prevalence, morbidity and mortality.
What are the determinants of health affecting this disease? https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health.
Identify the epidemiologic triad including host, agent and environmental factors as related to this disease.
Discuss the role of the public health nurse in relation to this disease. How is the public health nurse involved in finding, reporting, collection and analysis of data and follow up?

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Quantitative Data Analysis: Statistical Techniques-Peer Response

·     Response Guidelines
Respond to the post of two peers, offering an expansion of what your peer said, or asking a probing question. Consider commenting on how you might find the statistical technique in the learner’s study to be useful for answering questions of interest to you in your current or future work as a counselor. There needs to be a response to each peer’s posting, your response needs to be supported with two references for each peer’s posting.
1st Peer Posting
Quantitative Data Analysis: Statistical Techniques
This article is a systematic study that evaluates the efficacy of MDMA on the treatment of PTSD.  The article cites different studies on the treatment of PTSD using pharmaceuticals, psychotherapy, or a combination of the two as a way of building baseline data that the results of the MDMA treatment can be compared to.  The data from these different studies are presented statistically in t-test format.  The objective of this article is to examine the impact of  3,4-methylenedioxymethamphetamine (MDMA) on PTSD and try to determine if this drug holds any promise as a method of treatment for the disorder (White, 2014).  The article examines trials that span from 1960-2014, but the article itself was first published in The Annals of Pharmacotherapy in 2014.  The summary of the information presented in the article was interpreted with the use of information taken from Counseling research: Quantitative, qualitative, and mixed methods (2014) to ensure that the interpretation of the data in the article is as accurate as possible.  The specific pharmacology of MDMA is discussed as well as the effects of the drug on the user.  There is a discussion on the potential negative effects of the drug and precautions that should be taken.  The findings suggest that there is potential for MDMA assisted therapy to be an effective form of treatment for PTSD, but there is a need for much more research on the topic before that conclusion can be confidently stated.  This quantitative study is useful as starting point that further research into this topic can be built upon.  Perhaps the most valuable information presented in the article is what methods of MDMA assisted treatment were not effective.  Since this information is supported by statistical data, it serves as a guide to future researchers on methods to avoid and will, hopefully, produce more meaningful gains in the research moving forward.
James Naylor
References
Sheperis, C. J., Young, J. S., & Daniels, M. H. (2010). Counseling research: Quantitative, qualitative, and mixed methods. Upper Saddle River, NJ: Pearson Education.
White, C. M. (2014, April). 3,4-Methylenedioxymethamphetamine’s (MDMA’s) Impact on Posttraumatic Stress Disorder. Annals of Pharmacotherapy, 48(7).
2nd Peer Posting
u04d1 – Quantitative Data Analysis: Statistical Techniques – Maggie Jones
Weisman de Mamani, Weintraub, Gurak and Maura (2014) conducted a study that sought to find out if use of culturally informed treatment for schizophrenia (CIT-S) was more successful in reducing the severity of symptoms posttreatment than psychoeducation (PSY-ED).  This study was a family treatment focused study.  Inferential statistics were gained from this study as the use of chi square and t-tests were used to determine the statistical difference between the results of the two groups (CIT-S and PSY-ED).  Use of the Brief Psychiatric Rating Scale was used to collect data from the schizophrenic individuals.  This information was used to compare the rating prior to the two different treatment models, and then again after.  By comparing the ratings both before and after the two treatments, the differences in the ratings of the individuals with schizophrenia were able to indicate the level of change for each treatment type.  These results were then compared against each other to see if there was any indication that one treatment was more successful over the other.  The main hypothesis of this study was that patients in the CIT-S group would have a significant decline in psychiatric symptoms at the time of their treatment termination compared to those in the PSY-ED group.  
The results supported the hypothesis by computing a mean score of 43.44 for the CIT-S group and a mean score of 53.71 for the PSY-ED group.  These results show that in this study, the psychiatric symptoms decreased about 20% when CIT-S was used compared to PSY-ED.  The mean scores of this study were used for much of the comparisons between the CIT-S and PSY-ED group.  Mean scores are calculations of the average score; taking into account all scores and dividing them by the number of total scores.  The mean is often used in studies to describe the central tendency of the results (Sheperis, Young & Daniels, 2010).   
References
Sheperis, C. J., Young, J. S., & Daniels, M. H. (2010). Counseling research: Quantitative, qualitative, and mixed methods. Upper Saddle River, NJ: Pearson Education Inc.
Weisman de Mamani, A., Weintraub, M. J., Gurak, K., & Maura, J. (2014). A randomized clinical trial to test the efficacy of a family-focused, culturally informed therapy for schizophrenia. Journal Of Family Psychology, 28(6), 800-810.

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Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:
Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
Reorganization in Response to Merger or Consolidation of Services
Layoffs as a Result of Declining Revenues
Influx of Registry, Part-Time, and Temporary Contract Staff
Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
Poor Job Satisfaction Rates Resulting in Turnover
You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal 1,200 words that is directed toward your staff, in which you address the following:
Inform the staff of the two issues (from the topics provided) your organization is facing.
Describe the impact of these issues on your department.
Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
A minimum of three academic references from credible sources are required for this assignment.
Prepare this assignment according to the APA guidelines found in the APA Style Guide.
MINIMUM OF 3 RFEFERENCES, CHECK PLAGIARISM

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Journal Article Summary | Nursing School Essays

This assignment requires a single evidence-based, peer-reviewed journal article, not an opinion publication or one reviewing or summarizing multiple writings or researchers’ experimental studies.  Evidence-based means the article reports on a single experiment conducted by an article’s author(s).  Peer-reviewed means an article in an academic journal that had to be approved by the journal’s editorial panel of scientific discipline experts.  Trade journals and commercial/popular publications do not qualify for the assignment. 
Because it reports on a single article, this assignment will only have one publication, the article you are summarizing, listed in the required APA formatted attached Reference list.  This paper will include a description of the article’s main focus, a description of the experimental methodology (including the study sample, measures and analyses used, etc.), discussion of the results and related conclusions reached by the article’s authors, and a substantive closing paragraph describing two to three future research ideas inspired by the article.
Required page length is 3 pages
Issues in Psychology Article Summary Topics
Addiction
ADHD
Aging
Alzheimer’s
Anger
Anxiety
Autism
Bipolar Disorder
Bullying
Death & Dying
Depression
DisabilityDissociative Disorders
Diversity
Eating Disorders
Ethics in Research and Practice
False Memory Syndrome
Hate Crimes
HIV & AIDS
Hypnosis Treatment
Impact of Violent Media Exposure
Mental Health of the IncarceratedMilitary Mental Health
Natural Disasters
Obesity
Post-Traumatic Stress Disorder
Safety & Design
Schizophrenia
Sexuality
Suicide
Testing Issues
Trauma
Violence
Workplace Issues

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How is the public health nurse involved in finding, reporting, collection and analysis of data and follow up?

A minimum of three references is required. The written essay should be at least 1250 words in length.APA format is required.
Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease.
THE DISEASE IS rubeola
MUST USE ATTACHED FORMAT******
Epidemiology Paper Requirements
Include the following in your assignment:
A thorough description of the disease including causes, mode of transmission, symptoms, treatment and complications. Discuss the demographic most affected-incidence, prevalence, morbidity and mortality.
What are the determinants of health affecting this disease? https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health.
Identify the epidemiologic triad including host, agent and environmental factors as related to this disease.
Discuss the role of the public health nurse in relation to this disease. How is the public health nurse involved in finding, reporting, collection and analysis of data and follow up?

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Actio Plan to Address Drunk Driving **FOR SOLUTIONS PRO**

Assignment 2: Action Plan to Address Drunk Driving
Drunk driving is one of the largest social problems related to alcohol use. Driving under the influence (DUI) of alcohol is involved in 40–45% of all fatal traffic accidents. As a result, legislators, educators, and law enforcement officers are continually attempting to find ways to prevent driving under the influence of alcohol.
Select one of the following age groups: teens (13–17 years), college-age (18–25 years), adults (26–60 years), or seniors (61 years and up).
For your selected age group, develop a plan to reduce driving under the influence. The plan could include (but not be limited to) educational, legislative, and community support; and social advertising. Present at least three action points in your plan. Be sure to include:

The format of the plan
Who will deliver the information and how
Specific tactics used to target the selected group
Methods used to measure the success of the plan

Be sure to include an introduction and summary for your plan. Support your recommendations using authoritative sources.
Write a 2–3-page plan in Word format. Apply APA standards to citation of sources.

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what is the major problem that new nurses receive?

I work on a Labor and Delivery/Postpartum unit. I work the night shift for the past 19 years and I have seen the high rate of nurse turnover and struggle with nurse retention. Of the varied reasons for discord is the perception and role that the new nurses are expected to jump into after a harried orientation. I also see the inability to conform or endure the role of a night nurse on a very busy unit.
Expectations seem to be unrealistic and not well defined when progressing through the orientation process that begins on the “day” shift when a orientee is hired for a night shift position. According to Mazhindu, D. M., Griffiths, L., Pook, C., Erskine, A., Ellis, R., & Smith, F. (2016), the resilience and devotion to performing the job hired for is not clear or misinterpreted. Also the financial aspect of training or orienting nurses is always increasing. According to Colosi (2018), the 2018 National Health Care Retention & RN Staffing Report shows that the average cost of RN turnover ranges from $38,000 to $61,000 which translates into the hospital cost for turnover ranging from $4.4M – $7.0M.
Comment 2
I currently work in a sub-acute unit of a long term care center. The center has two units, the senior nursing facility (SNF) and sub-acute unit. My unit is very different from the SNF side because they all have tracheotomies, require total care, most of them have PEG tubes, and their acuity is higher. It is a 27-bed unit and each nurse is usually responsible for 6-8 patients over an 8 hour shift. The unit is divided into four different carts and some carts are more difficult than others. We are not only responsible for medication pass, but we also need to assist our CNAs with ADLs. A major problem the organization is facing is the high turn-over rate. I have only worked at the facility for a year and it took me about 4 months to finally get used to the unit. It is a very difficult unit to work on and many nurses have quit because they are not adequately trained. The length of training is only 1-2 weeks and at most 8 shifts total. Most of the time it is usually less until the nurse is put on the floor by themselves. Luckily, most of the nurses are very nice and helpful, but everyone is busy so it can be hard to stop what you’re doing to help the new nurse. The major problem is the inadequate training that new nurses receive.
Two implications for nursing involve adequately training nurses to improve retention. Providing adequate training to new nurses is vital because not only increases their chances of staying with the organization, but improves their competency in giving their patients the most appropriate care. Another implication is the cost for turn-over and according to Maryniak, Markantes, & Murphy (2017), the cost of turn-over for a clinical RN ranges from $37,700 to $58,400. Training new nurses is not only very costly, but also time consuming as well. Fixing the problem of inadequate training of nurses is vital because if a nurse feels overwhelmed, they are more likely to leave and find a place that prepares them better.
Comment 3 (Abigail)2 DQ 2
I think that the main issue that my organization is addressing is providing patient safety through quality care. There have been many in-services dedicated to making sure that we keep our patients safe by making sure we follow correct protocols in regards to moving and transferring. The also made sure that the residents that are a fall risk have an armband. Some of them even have mats placed by the bedside as well. According to van Gaal, Schoonhoven, Vloet, Minties, Borm, Koopman, & Achterberg (2010), educating staff and about proper interventions increases patient safety. They also mentioned that passive education (written material and large-scale educational meetings) is less effective than education that is personal and interactive. A great way for an organization to address and resolve patient safety and quality care issues, would be to require the employees to stay-up-to date on evidence-based practices. This can be accomplished by providing the information and requiring them to read the material, answer some questions based on the material, and go through a skills check off list and demonstrate how tasks should be completed. This way, the employee will read the information, be able to write or say the answers based on questions, and implement them in a clinical setting.

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Conse

Respond in 250 words with three or more scholarly references. Use citations, cite your references. 
Why is consent such an important component of research protocols?  What specific things should be taken into account when proposing consent procedures?The post Conse first appeared on Nursing School Essays.

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what is the effectiveness of daily chlorhexidine bath compared to weekly or as needed dressing changes to reduce infection?

In patients with central lines, what is the effectiveness of daily chlorhexidine bath compared to weekly or as needed dressing changes to reduce infection?
Formulate a research question that you would like answered for your Literature Review Paper.
Conduct a literature search for your research question using the Individual Literature Search Worksheet Preview the documentprovided. Document your systematic search on the form, covering all steps listed below
STEP 1: Think About the Best Way to Search
STEP 2: Plan Your First Search
STEP 3: Begin Your Search
STEP 4: Refine Your Search
STEP 5: Refine Your Search Again
STEP 6: Search another Database
STEP 7: Reflection
Submit your detailed literature review worksheet.
Remember: Read through the articles carefully. Eliminate those not appropriate. It is suggested that you create a summary table. There is an example in the course text to help you organize your thoughts. Synthesize twelve or more full text research articles, beyond your textbooks, that are relevant to your research. Summarize what the studies reveal about your selected topic. Are there consistencies? Are there inconsistencies or “gaps?” Be sure to keep the table of information you developed and the twelve or more articles as you build on the course assignments. The table itself will not be part of the content in your paper; it may be included as Appendix A.

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