According to the study about nurse graduates from higher education levels having a higher productivity, and the direct link to impacts on patients care outcomes, the link appears clear (Yakusheva & Weiss, 2017). The study looked at physiological, functional, emotional, cognitive, mobility, symptom control, knowledge, self-care, complications, injury, falls, pressure ulcers, and infections associated within the relationship between nurses trained at an associate level, or baccalaureate level (Yakusheva & Weiss, 2017). In multiple studies it has been shown over and over again the productivity boost from having an higher education such as baccalaureate nurse level, thus improving the safety and care outcomes of our patients (Yakusheva & Weiss, 2017). Completion of a baccalaureate program increases the nurses intellectual capital, and this in turns raises performance, and consequently productivity and that equals better and safer outcomes and care (Yakusheva & Weiss, 2017). I truly feel, that I’m a better nurse than I was when I started the BSN program, from the knowledge learned so far, and was surprised because I felt I was a great nurse to begin with, so just goes to prove that increasing your education can help you serve your patients better, and safer.
When looking at roles of ADN and BSN nurses, it has been shown that BSN nurses function more independently in collaboration of care delivery when assigned to direct care (Yakusheva & Weiss, 2017). It has been shown through multiple studies that hospitals that employ large numbers of BSN-prepared nurses have lower patient mortality rates, with just a 10%, increase in BSN nurses shows a 7 %, decrease in patients deaths (RWJF, 2014). Even though associate degree nurses make tremendous contributions in the field, more highly educated nurses are needed to navigate an increasingly complex health care system, and ensure that patients who are sicker, living longer, having multiple chronic health conditions, have access to highly skilled, patient-centered care across the entire care continuum (RWJF, 2014). Multiple studies have found positive correlations to lower cost, shorten hospital stays, and most important decrease deaths with furthering the education level of the nurse to a baccalaureate level (RWJF, 2014). After reading and most importantly completed the BSN program, it is clear that patient safety outcomes would be better with a BSN degree, because of the training to critically think, research, and understand more with health disparities, to address a patient, and their situation different than an ADN trained nurse.

The Assignment
In a 1- to 2-page paper, address the following:
Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature. (Please use APA formanting Introduction, summary References, )
Researchers often identify the research problem and then go in search of a theory. Discuss the disadvantages of doing this. What does the textbook recommend that researchers do to assure a true fit between theory and designing the study?Discuss sources of bias for both quantitative and qualitative research. For quantitative research, be sure to address both random and systematic bias. You may use examples from the articles you selected as illustrations of bias and/or preventing bias.

Global Warming: A Major Concern
According to World Health Organization (WHO), global warming is the primary issues for concern. Noise pollution, overcrowding, traffic jams are some factors that have led to this problem. Lack of privacy is another factor in the modern times that is impacting people in ways that haven’t been examined yet. We also see a wide variance in weather patterns, such as severe hurricanes and drought conditions in the U.S.
Source: World Health Organization (WHO). (n.d.). Climate change. Retrieved from http://www.who.int/topics/climate/en/
Based on your understanding of the topic, create a report in a Microsoft Word document answering the following questions:
Examine one weather condition over the past two years in the U.S. which drastically affected the population. How can the community better prepare their families for such severe conditions?
Do you agree with the statement that countries should be held accountable for their contribution to climate change? Why or why not?
List some of the issues that might occur as the world’s population increases? Factor in water, food, and hazardous waste into your comments. Suggest ideas to address or avoid these issues.
According to the CDC website, violence is attributed for approximately fifty thousand deaths each year and results in over 2.5 million injuries. Homicide and suicide are the second and third leading causes of death, respectively, among US population aged fifteen to thirty four years.
Hospital emergency departments treat an average of fifty five people for injuries every minute. The worst after effect of the sudden population explosion across the globe is the rise in violence.
How have violent injuries affected a community? What steps have communities taken to decrease overall violent crimes?
What steps can the federal or state governments take to help support communities affected from random or consistent violent acts?
What can parents do in their homes to help educate children about risks and preventative accidents to help keep them safe? What role should parents take to reduce family violence?
How can health promotion and wellness programs play a significant role to reduce individual or gang violence?
How can schools and work environments increase safety measures against violent individuals or gangs entering their establishments?
What roles should parents, neighbors, friends, health care personnel, and the community take when they observe someone who may exhibit unusual behavior or comments to help prevent potential violence? What agencies or resources are available to help communities cope and help their members seek help or assistance?

Descriptive Statistics
This week, you explore key statistical concepts related to data and problem solving through the completion of the following exercises using SPSS and the information found in your Statistics and Data Analysis for Nursing Research textbook. The focus of this assignment is to become familiar with the SPSS data analysis software and to develop an understanding of how to calculate descriptive statistics and make conclusions based on those calculations. As you formulate your responses, keep in mind that descriptive statistics only allow you to make conclusions and recommendations for the sample at hand—not for the larger population to which that sample may belong.
To prepare:
Review the Statistics and Data Analysis for Nursing Research chapters assigned in this week’s Learning Resources. Pay close attention to the examples presented, as they provide information that will be useful when you complete the software exercise this week. You may also wish to review the Research Methods for Evidence-Based Practice video resources to familiarize yourself with the software.
Refer to the Week 4 Descriptive Statistics Assignment page and follow the directions to calculate descriptive statistics for the data provided using SPSS software. If you run into any difficulties or problems, post them to the Week 4 Discussion 2 area (see attached file)
Download and save the Polit2SetA.sav (see attached file) data set. You will open the data file in SPSS.
Compare your data output against the tables presented in the Week 4 Descriptive Statistics SPSS Output document (see attached file) This will enable you to become comfortable with defining variables, entering data, and creating tables and graphs.
Formulate an initial interpretation of the meaning or implication of your calculations.
To complete:
Complete the Part I, Part II, and Part III steps and Assignment as outlined in the Week 4 Descriptive Statistics Assignment page. (see attached file for week 4 descriptive statistics assignment page)
Due Tomorrow Saturday 09/23/17 by 8pm
Required Media
Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Quantitative research: Data analysis. Baltimore, MD: Author.
Note: The approximate length of this media piece is 10 minutes.
In this week’s video, the presenter describes challenges to collecting and utilizing quantitative data and offers suggestions for assessing and improving data quality. The strategic use of quantitative data by health care organizations is also considered.
Introduction to SPSS”
Used by permission from SPSSVideoTutor.com A division of ConsumerRaters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA
Descriptive Statistics”
Used by permission from SPSSVideoTutor.com A division of ConsumerRaters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA
Note: The approximate length of this media piece is 12 minutes.
Note: The approximate length of this media piece is 11 minutes.
Top of Form
Required Readings
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.

Bachelor of Paramedicine
This case study is based on Mr Ivan Jankovic who is 78 years old. He is admitted for a left total hip replacement. He undergoes surgery and is now three days post-operative, in the orthopaedic ward.
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Caring for a patient post-operatively with arthritis and multiple co- morbidities.
Setting the scene
Background- social: Mr Jankovic is 78 years old and has enjoyed good health over his lifetime.
He moved to Australia in his late teens following the communist uprising in his home country in Eastern Europe in the late 1950s. His education was disrupted, and he has worked in a variety of skilled and semi-skilled jobs that have required manual labour at times, retiring 12 years ago. He says his English is good.
Ivan lives independently with his wife in a retirement living unit. His wife Marla is 74 years old and is in good health but recently had a fall and suffered a # wrist that required surgery. She is unable to drive for 8 weeks. They have 2 children – one daughter lives a fair distance away and works full time in a high-pressure job. Their son lives interstate and visits infrequently. They report having a lot of friends and social contact in the retirement village, but their friends are all elderly and are unable to assist at all.
Epidemiology / pathophysiology of disease processes The National Health Priority Areas (NHP) of Arthritis and Musculoskeletal conditions, Mental Health Disorders, Cardiovascular Disease, and Injury Prevention and Control were established with the aim of improving health outcomes in these areas. They were established in response to the World Health Organization’s global strategy of Health for all by the year 2000. They are also the areas with the highest economic and health burden for Australians; this assessment considers the following NHP areas in relation to a case (Ivan Jankovic):
• Musculoskeletal conditions are conditions of the bones, muscles and their attachments (e.g. joints and ligaments). Osteoarthritis, rheumatoid arthritis and osteoporosis are the most commonly occurring musculoskeletal conditions. They have substantial influence on a person’s quality of life and impose a heavy economic burden on the community (AIHW, 2018).
• Injuries are adverse effects on the human body. They are a significant source of preventable illness, disability and premature death in Australia (AIHW, 2018).
• Mental Health Disorders relate to behaviours and conditions which interfere with social functioning and capacity to negotiate daily life. They can occur acutely at times of illness (AIHW, 2018).
• Obesity is when the energy consumed from food and drink is greater than the energy used, fat is deposited on the body, which over time can lead to obesity. Obesity increases the risk of many other chronic and potentially lethal diseases (AIHW, 2018).
NSB335 Assessment 3 Page 3 of 8
Your Task: Use the Clinical Reasoning Cycle (CRC) on the following pages to review the nursing priorities in relation to the care of Ivan. Consider the CRC on the following pages and following your work on the modules that encompass the NHP and National Health and Quality Safety (NHQHS) Standards, you should be able to answer the workbook questions. This task will assist you to critically think about typical clinical situations that will arise when you are a Registered Nurse and you will be required to assess and make clinical decisions for your patients. When you have done this, answer the questions at the end of this workbook and submit into Turnitin in the provided template.
NSB335 Assessment 3 Page 4 of 8
Now we shall step through the CRC in relation to Ivan’s’ case to prepare you for the workbook assessment questions.
Watch the video –At home
Gain an initial impression of your patient
Consider Ivan’s situation, both socially and health wise. What is your initial view of this patient?
Consider Ivan’s osteoarthritis and obesity and how these may be linked.
Ivan is at risk of injury – both at home and when he comes to hospital. Consider why and what can be done in these settings to prevent injury.
Further background information
Mr Jankovic is 78 years old and has enjoyed good health over his lifetime. He has gained a lot of weight over the past few years and has severe osteoarthritis in his hips. He also has had resection of a prostatic cancer that has no current treatment and has residual prostatamegaly. He has occasional angina, high blood pressure and obstructive sleep apnoea, using a CPAP machine infrequently as it dries his mouth and nose and the noise annoys his wife.
Past medical history
• Osteoarthritis (diagnosed 10 years ago) • Mild left cardiac failure and occasional angina (diagnosed 2 years ago) • Hypertension (diagnosed 5 years ago) • Frequent gout
Surgical history: • Internal fixation left tibia and fibula following motor cycle accident at age 21years • Appendectomy at age 23 years • Resection prostatic carcinoma (7 years ago)
Medications: • Omeprazole 20mg nocte • Frusemide 20mg mane • Isosorbide Nitrate 60mg mane • Atorvastatin 40mg mane • Prazosin 5mg mane • Panadol osteo tds • Brufen 400mg mane • Glycerol Trinitrate 5mg S/L prn • Colchicine 0.5mg prn • Allopurinol 300 mg mane
Now watch the videos of Mr Jankovic-
1. Waiting room:
2. Pre-operative preparation – checklist:
3. Pre-operative preparation – medication:
4. Patient’s conversation after pre-operative checklist
(a) Review current information (b) Gather new information (c) Recall knowledge (A&P, ethics, law, cultural safety)
Consider the pre-operative phase. What are the issues here with the communication? What may be contributing to this? Ensure you understand the co-morbidities Ivan has presented with and how they may complicate a surgical recovery.
Now watch the video below and review the clinical documents for Mr Jankovic. Day 3 post-operative Handover
Nursing Documents: