Develop goals and objectives for the Practicum Experience in this course. When developing your goals and objectives be sure to keep womens health guidelines and best practices in mind.

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To prepare for this courses Practicum Experience address the following in your Practicum Journal:

Select and explain a nursing theory or feminist perspective to guide your clinical practice.

2. Develop goals and objectives for the Practicum Experience in this course. When developing your goals and objectives be sure to keep womens health guidelines and best practices in mind.
4. Create a timeline of practicum activities based on your practicum requirements.My time line starts 8/29 I will do two 8 hr days per week for 11weeksResourcesSchuiling K. D. & Likis F. E. (2013). Womens gynecologic health (2nd ed.). Burlington MA: Jones and Bartlett Publishers.??
Chapter 1 Womens Health from a Feminist Perspective (pp. 319)
This chapter compares the biomedical model of nursing to the feminist perspective of health and offers strategies for implementation. It also examines the social construction of gender and health.
Chapter 2 Womens Growth and Development Across the Life Span (pp. 2138)
This chapter explores growth and development including foundational theories of feminist perspectives of female development. It focuses on the physiological and psychosocial development of women from the adolescent years to older adulthood.
OTHER SOURCES
Up to Date (must use original articles from Up to Date as a resource)2. Wikipedia3. Cdc.gov- non healthcare professionals section4. Webmd.com5. Mayoclinic.com6. Babyzone.com7. Americanheartassociation.com

 

Frameworks and Models in Research

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Frameworks and Models in Research
 
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Frameworks/Models for EBP – Class Assignment Writing Service

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Frameworks/Models for EBP
 
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What did you learn from these examples? In each case how did the individuals overcome the barriers to change and what were the resulting benefits?

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This work of HCA 459 Week 1 Discussion Question 2 The Challenge of Change shows the solutions to the following problems:
Change is usually positive but it can also be difficult to embrace at times. Employees can be resistant to change while managers may feel that it is necessary for organizational stability. Discuss the challenge of change as it relates to health care organizations. What is the overall impact of change on the organization its employees and its constituents and what role does the manager play as an agent of change?
In addition to responding to these questions review the examples of successful change in your textbook and choose two examples to discuss in greater detail. What did you learn from these examples? In each case how did the individuals overcome the barriers to change and what were the resulting benefits?

 

Determine the challenges you face in this leadership role. Justify how you would proceed in your new leadership role

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CASE STUDY A You have been appointed as the Director of Clinical Services at a large (600 bed) metropolitan hospital – Ambrose Health. You are younger than the previous incumbent, being only 30 years of age and better qualified, having just completed a Master of Health Service Management and enrolled in a doctoral program. Most of your experience has been in smaller hospitals outside the metropolitan area. The executive management team made it clear to you at interview that they were interested in effecting change throughout the Clinical Services Division, which is why they were seeking an external appointment to the position.
In particular, they were seeking an individual who could establish a cohesive and productive working team. Shortly after commencing in the position it becomes obvious that much of what is achieved is as a result of ‘who you know’. There are many instances when the usual communication channels or procedures are not followed because of ‘system failures’ which have never been brought to anyone’s attention. When running short of stock medications, for example, many nurses contact the nursing unit manager of the medical ward as she has a ‘contact’ in the pharmacy, rather than working through appropriate channels to correct the problem.
Patients in the Coronary Care Unit are routinely admitted directly to the unit rather than through the Admissions Office because it is a slow and tedious process. When you ask why these problems have never been addressed formally, the nursing unit manager of the medical ward tells you “It has always been this way. I am a very experienced health professional – I know the system and how to get around it to get what I need to do the job properly. I see no reason to change things when I think the system is working well.” Questions to be answered (maximum of 750 words):
1. Propose three personal goals that will guide you in effecting change throughout the Clinical Services Division of Ambrose Health within the first six months.
2. Determine the major driving and restraining forces for change at Ambrose Health and strategies for dealing with these.
3. Determine relevant strategies for initiating change and methods of unfreezing and refreezing.
4. Propose how you would respond to the nursing unit manager of the medical ward who expressed the comments in the last paragraph – your exact words are required.
5. Predict your chance (as a percentage) of implementing successful change in this organisation in the next two years and justify why. CASE STUDY B You have recently been appointed (in a voluntary capacity) to lead the medical services in a
volunteer organisation which provides first aid services at a range of sporting events. The position has been vacant for two years and perhaps as a consequence, medical staff numbers have fallen, there are very few policies to guide the volunteers and virtually all protocols have not been updated for over ten years.
The director responsible for all volunteers is and has been running the organisation to suit his own needs, which at times are in conflict with accepted medical practice. The administration of drugs during cardiac arrest procedures by medical officers, for example, has been discouraged because lay members of the organisation are unable to participate in this activity. He has often described the medical staff as being ‘elitist’ and ‘arrogant’ and does not like it when they try to ‘bamboozle him with scientific information’.
Despite being committed to assisting injured players at sporting events, morale is low amongst the medical staff volunteers who are now looking to you for leadership in this organisation. The organisation is well established and hierarchical. There are over 2000 volunteers of whom less than 100 are medical staff and there are approximately 150 nurses. A range of commercial providers is increasingly competing for contracts that your organisation has traditionally held.
Questions to be answered (maximum of 750 words): Determine the difficulties facing this organisation. Determine the challenges you face in this leadership role. Justify how you would proceed in your new leadership role. Predict your chance (as a percentage) of implementing successful change in this organisation in 
the next two years and justify why.

 

Identify the pathophysiology of the associated alterations, including the normal and altered cellular function.

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In clinical settings, some of the most common questions that patients ask are Why do I have this? What caused this disorder? Will it ever go away? These emotional questions can be difficult to ask and to answer. However, for patients to come to terms with their diagnoses and adhere to treatment plans, they must have an understanding of factors that might have caused, or continue to impact, their disorders. As an advanced practice nurse, it is important that you are able to explain disorders, associated alterations and symptoms, and changes that might occur within your patients’ bodies.
To prepare:
•Review this week’s media presentation. Reflect on the importance of developing an in-depth understanding of pathophysiology.
•Select a disorder from the following list: ◦Adrenal insufficiency (Addison’s disease) ◦Atherosclerosis ◦Cholelithiasis (gallstones) ◦Colon cancer ◦Cystic fibrosis ◦Hemophilia ◦Nephrolithiasis (kidney stones) ◦Osteoporosis ◦Parkinson’s disease ◦Tuberculosis
•Select one of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how that factor might impact your selected disorder, as well as potential associated alterations and symptoms.
•Identify the pathophysiology of the associated alterations, including the normal and altered cellular function. Consider both intra- and extra-cellular changes that occur. Post on or before Day 3 a brief description of a patient scenario involving the disorder and the factor you selected.
Explain how the factor might impact your selected disorder, as well as potential associated alterations and symptoms. Finally, explain the pathophysiology of the associated alterations, including changes in cellular function. Place this order with us and get 18% discount now! to earn your discount enter this code: special18 If you need assistance chat with us now by clicking the live chat button.

 

How will you evaluate your effectiveness? Include any tools you would use to evaluate outcomes (15%) E.

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Guidelines for Strategy Paper
1. Examine your current or recent clinical nursing experience
2. Identify a practice situation in which you are involved in that you think should be shared with the nursing community
3. Describe the situation and explain why you chose this situation
4. Give one exemplar of this situation. Include the context, your intentions, interpretation of the events, the chronology and actions and outcomes
5. Use the information from your text, discussion board and related literature Paper must include the following:
A. An introduction indicating
1. A clear statement of the issue
2. A historical perspective of the issue
3. A brief literature review related to the issue
4. Relevance and significance of this issue to advanced nursing practice (25%) B. Discussion of the possible and relevant strategies/roles that could be used by an advanced practice nurse to resolve this situation (15%) C. A selection of one of the strategies you have discussed above.
Indicate its theoretical base, relevance to your issue and how you would implement this strategy in your clinical practice as an advanced practice nurse. Is the theory and strategy you propose adequate or is more needed? (35%) D. How will you evaluate your effectiveness?
Include any tools you would use to evaluate outcomes (15%) E. Paper must follow APA writing style manual. Please use latest edition. Proofread your paper for sentence structure, grammar, spelling and punctuation (10%)

 

Discuss measurement qualities – sensitivity and specificity, reliability and validity, and importance.

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Each student will conduct an in-depth analysis of a major clinical outcome, which can either be an aggregate or individual health outcome and do the following: Criteria:
1. Conceptual a. Define the outcome, use research literature to support your definition b. What model can be used to describe the relations of the outcome to determinant and process of care.
2. Operational Definition a. What is the operational definition for this outcome? b. How are you going to measure the concept?
3. Measurement Characteristics a. Discuss the methods used to collect data in the system of care versus community population focus. b. Discuss measurement qualities – sensitivity and specificity, reliability and validity, and importance.
4. Relate outcome to: a. Life Span b. Diverse population 0. Cultural variation
5. How does this outcome relate to clinical decisions? a. How will you use the measure? b. When will you use the measure
6. How is the outcome amenable to change by nursing interventions? Under what set of conditions will bring about change?
7. Clinical versus research significance – what would be a meaningful clinical change? How much?
8. How does this outcome fit into the overall health care system? (To whom, for what?)
9. What are the methodological issues using this measure as a systems measure?
10. What is the relevance of outcome to nursing?
11. What are the Policy implications? Up to 10 points will be deducted for grammar and spelling mistakes.

 

Evaluate both theories using the evaluation criteria provided in the Learning Resources.(see upload)

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1. Briefly describe your selected clinical practice problem. Problem= Job satisfaction as it relates to quality patient care.
2. Summarize the two selected theories. Both may be middle range theories or interdisciplinary theories, or you may select one from each category. My theories are:Transformational Leadership Theory & Dynamic Leader-Follower Relationship Model Theory
3. Evaluate both theories using the evaluation criteria provided in the Learning Resources.(see upload)
4. Determine which theory is most appropriate for addressing your clinical practice problem. Most important=transformational leadership theory provides the most appropriate framework of inquiry in the selected clinical practice problem.
5. Summarize why you selected the theory.(SEE UPLOAD) 6. Using the propositions of that theory, refine your clinical / practice research question.

 

Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHD

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Presentations of ADHD
Although ADHD is often associated with children, this disorder is diagnosed in clients across the lifespan. While many individuals are properly diagnosed and treated during childhood, some individuals who have ADHD only present with subsyndromal evidence of the disorder. These individuals are often undiagnosed until they reach adulthood and struggle to cope with competing demands of running a household, caring for children, and maintaining employment. For this Discussion, you consider how you might assess and treat individuals presenting with ADHD.
Learning ObjectivesStudents will:Assess client factors and history to develop personalized therapy plans for clients with ADHDAnalyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHDEvaluate efficacy of treatment plansApply knowledge of providing care to adult and geriatric clients presenting for antidepressant therapyLearning ResourcesNote: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required ReadingsNote: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Clancy, C.M., Change, S., Slutsky, J., & Fox, S. (2011). Attention deficit hyperactivity disorder: Effectiveness of treatment in at-risk preschoolers; long-term effectiveness in all ages; and variability in prevalence, diagnosis, and treatment. Table B. KQ2: Long-term(>1 year) effectiveness of interventions for ADHD in people 6 years and older.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 12, “Attention Deficit Hyperactivity Disorder and Its Treatment”Stahl, S. M., & Mignon, L. (2012). Stahl’s illustrated attention deficit hyperactivity disorder. New York, NY: Cambridge University Press.
To access the following chapter, click on the Illustrated Guides tab and then the ADHD tab.
Chapter 4, “ADHD Treatments”Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication.
Review the following medications:
For ADHD
armodafinilamphetamine (d)amphetamine (d,l)atomoxetinebupropionchlorpromazineclonidineguanfacinehaloperidollisdexamfetaminemethylphenidate (d)methylphenidate (d,l)modafinilreboxetine
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Note: Retrieved from Walden Library databases.
Optional ResourcesHodgkins, P., Shaw, M., McCarthy, S., & Sallee, F. R. (2012). The pharmacology and clinical outcomes of amphetamines to treat ADHD: Does composition matter? CNS Drugs, 26(3), 245–268. doi:10.2165/11599630-000000000-00000
Psychiatric Times. (2016). A 5-question quiz on ADHD. Retrieved from http://www.psychiatrictimes.com/adhd/5-question-quiz-adhd?GUID=AA46068B-C6FF-4020-8933-087041A0B140&rememberme=1&ts=22072016
To prepare for this Discussion:
Note: By Day 1 of this week, your Instructor will have assigned you to one of the following case studies to review for this Discussion. To access the following case studies, click on the Case Studies tab on the Stahl Online website and select the appropriate volume and case number.
Case 1: Volume 1, Case #13: The 8-year-old girl who was naughty
Case 2: Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter
Case 3: Volume 2, Case #21: Hindsight is always 20/20, or attention deficit hyperactivity disorder
Review this week’s Learning Resources and reflect on the insights they provide.Go to the Stahl Online website and examine the case study you were assigned.Take the pretest for the case study.Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.Review the posttest for the case study.Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
By Day 3Post a response to the following:
Provide the case number in the subject line of the Discussion.List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.List two pharmacologic agents and their dosing that would be appropriate for the patient’s ADHD therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.