NURS 6053 Discussion reply 2

Leadership can be defined as ??a process whereby an individual influences a group of individuals to achieve a common goal?? (Northouse, 2004). This means here is relationship in leadership. Examples of relationally focused leadership styles include transformational leadership which motivates others to do more than they originally intended and often more than they thought possible, individualized consideration, which focuses on understanding the needs of each follower and works continuously to get them to develop to their full potential, and resonant leadership that inspires, coaches, develops and includes others even in the face of adversity (Stantou, et al., 2017). Transformational leaders use idealized influence, inspiration and motivation, intellectual stimulation and individualized consideration to achieve superior results and resonant styles are based on the emotional intelligence of the leaders (Stantou, et al., 2017). In task focused or non-relationally focused leadership styles can be categorized as management by exception, laissez-faire, transactional leadership, dissonant leadership styles, and instrumental leadership. In Active Management-by-Exception, the leadership focuses on monitoring task execution for any problems that might arise and correcting those problems to maintain current performance levels.In laissez-faire styles, they are passive avoidance of issues, decision making and accountability and only tend to react only after problems had reaches a critical point and often avoids making any decisions at all. Passive? avoidant leadership tends to react only after problems have become serious to take corrective action, and often avoids making any decisions at all (Stantou, et al., 2017). Transactional leadership emphasize the transaction or exchange that takes place among leaders, colleagues and followers to accomplish the work (Bass and Avolio, 1994). Dissonant leadership is characterized by pacesetting and commanding styles that undermine the emotional foundations required to support and promote staff success (Goleman et al., 2002). Instrumental leadership focuses on the strategic and task-oriented developmental functions of leaders (Stantou, et al., 2017). Initiating structure referred to the degree to which leaders articulate clear role expectations, create well defined communication channels and focus on tasks and attaining goals (Judge et al., 2004).Where I do PRN job, my director used transformational leadership style. This has made many of us to practice collective responsibility. This hospital has a high nurse-retention level because of this humane leadership.

 
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Supportive Psychotherapy versus Interpersonal Psychotherapy

Assignment: Supportive PsychotherapyversusInterpersonal PsychotherapyAlthough supportive psychotherapy and interpersonal psychotherapy share some similarities, these therapeutic approaches have many differences. When assessing clients and selecting therapies, it is important to recognize these differences and how they may impact your clients. For this Assignment, as you compare supportive and interpersonal psychotherapy, consider which therapeutic approach you might use with your clients..The AssignmentIn a 1- to 2-page paper, address the following:ú Briefly describe how supportive and interpersonal psychotherapies are similar.ú Explain at least three differences between these therapies. Include how thesedifferences might impact your practice as a mental health counselor.ú Explain which therapeutic approach you might use with clients and why. Supportyour approach with evidence-based literature.ú PLEASE DO NOT FAIL TO INCLUDE INTRODUCTION, CONCLUSION, AND ÿWITHREFERENCESLearning ResourcesRequired ReadingsWheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.Chapter 5, ?Supportive and Psychodynamic Psychotherapy? ÿÿÿÿÿ(pp. 238?242)Chapter ÿÿÿÿÿ9, ?Interpersonal Psychotherapy? (pp. 347?368)American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy. In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), History of psychotherapy: Continuity and change (pp. 723?740). Washington, DC: American Psychological Association. doi:10.1037/12353-048Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format. Journal of Counseling and Development, 80(3), 286?292. Retrieved from the Academic Search Complete database. (Accession No. 7164780)Nicholson, R. (2002). The dilemma of psychotherapy notes and HIPAA. Journal of AHIMA, 73(2), 38?39. Retrieved from http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4U.S. Department of Health & Human Services. (n.d.). HIPAA privacy rule and sharing information related to mental health. Retrieved from http://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/Required MediaSommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.Stuart, S. (2010). Interpersonal psychotherapy: A case of postpartum depression [Video file]. Mill Valley, CA: Psychotherapy.net.

 
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Formulating a Qualitative Research Study

Using the problem having something related to chemotherapy administration or working on an oncology floor:Using the Learning Resources as a guide, determine a qualitative research topic that is of interest to you and applies to a clinical practice area.With your selected topic, formulate at least one research question that could serve as the basis for a qualitative research study.Consider which of the following qualitative research methods would best address your selected research question: phenomenology, ethnography, or grounded theory. Why is that method appropriate?Anticipate any issues (related to ethics, credibility, management, funding, etc.) you might encounter if you were to engage in this research project, and consider how you would handle them.Ask yourself: What other qualitative methods could be used to address my selected qualitative research topic? What are the strengths and weaknesses of these methods?By Day 3Post a cohesive response that addresses the following:Summarize your selected qualitative research topic and research question(s) and identify your selected methodology for gathering data about the question(s). Explain why you chose that particular methodology and how it would be useful to the qualitative research topic you selected.Identify and elaborate on the challenges (related to ethics, credibility, management, funding, etc.) you might encounter if you were to engage in this research project.Describe the strengths and weaknesses of your selected research method (phenomenology, ethnography, and grounded theory) in terms of the research project you selected.Discuss at least one other qualitative method that could be used to research your selected topic.

 
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preventive nurse interventions

preventive nurse interventions

 
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Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format.

CASE STUDY: Drug-Facilitated Sexual Assault: Jessica Sexual assault includes any type of sexual activity to which an individual does not agree. Because of the effects of some drugs, commonly called date rape drugs, victims may be physically helpless, unable to refuse, or even unable to remember what happened. Jessica, a 16-year-old high school sophomore, expresses concern to the school nurse practitioner that she knows someone who might have had sex ?without knowing it.? How can the nurse practitioner answer these common questions? Reflective Questions 1. What are date rape drugs and how can a person be unaware that such a drug has been ingested? 2. What can you do to protect yourself? 3. What do you do if you think you have been sexually assaulted? 4. What can you do when someone you care about has been sexually assaulted? 5. What role does a nurse practitioner play in the care of sexually assaulted patients, particularly in the adolescent age group

 
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Humanities Credit by Assessment 03 ? Analyzing the Humanities

Part 1CompetencyFormulate, express, and support individual perspectives on diverse works and issues.For this assessment task, you are asked to act as a critic for one of the various subjects under the umbrella of the subject Humanities. Through a series of critiques, you will be demonstrating your background knowledge on these subjects and the themes studied in the Humanities. In general, a critic evaluates a work or piece based on a common language of a subject. For example, certain terminology is used in the film industry for aesthetic, whereas other terminology is used in architecture. Aside from a common language of art, each subject usually includes a history of influence-how a work was influenced by other works and how a work influence aspects of today’s art and culture. Critics use this common body of history and aesthetic to offer critiques, or judgements on the validity of the importance of aesthetic (it’s representation of beauty).Please watch the video below (02:33 – 16:32) as a refresher on this deliverable’s content. The video will not tell you everything you need to know to pass this test-out, but it should serve as a refresher.https://rasmussen-kanopystreaming-com.ezproxy.rasmussen.edu/video/humanities-approach-living-modern-worldpart 2Deliverable 03 – Humanities (Test-Out Sophia Replacement)CompetencyFormulate, express, and support individual perspectives on diverse works and issues.InstructionsYou will act as a critic for some of the main subjects covered in the humanities. You will conduct a series of short, evaluative critiques of film, philosophy, literature, music, and myth. You will respond to five different prompts, and each response should include an analysis of the topics using terminology unique to that subject area and should include an evaluation as to why the topic stands the test of time. The five prompts are as follows:Choose a film and offer an analysis of why it is an important film, and discuss it in terms of film as art. Your response should be more than a summary of the film.Imagine you had known Plato and Aristotle and you had a conversation about how we fall in love. Provide an overview of how Plato would explain falling in love, and then provide an overview of how Aristotle might explain falling in love.Compare and contrast the two poems below:LOVE?S INCONSISTENCYI find no peace, and all my war is done;I fear and hope, I burn and freeze likewiseI fly above the wind, yet cannot rise;And nought I have, yet all the world I seize on;That looseth, nor locketh, holdeth me in prison, And holds me not, yet can I ?scape no wise;Nor lets me live, nor die, at my devise,And yet of death it giveth none occasion.Without eyes I see, and without tongue I plain;I wish to perish, yet I ask for health;I love another, and yet I hate myself;I feed in sorrow, and laugh in all my pain;Lo, thus displeaseth me both death and life,And my delight is causer of my grief.PetrarchAfter great pain a formal feeling comes?The nerves sit ceremonious like tombs;The stiff Heart questions?was it He that bore?And yesterday?or centuries before?The feet mechanical go roundA wooden wayOf ground or air or oughtRegardless grown,A quartz contentment like a stone.This is the hour of leadRemembered if outlivedAs freezing persons recollectThe snow?First chill, then stupor, thenThe letting goEmily Dickinson.4. Compare and contrast these two pieces of music:Beethoven?s Violin Romance No. 2Scott Joplin?s Maple Leaf Rag5. Explain in classical terms why a modern character is a hero. Choose from either Luke Skywalker, Indiana Jones, Bilbo Baggins, Harry Potter, Katniss Everdeen, or Ender Wiggins.

 
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Reply to my peers

Reply to my peersPeer 1Discussion#3 PICOTProblem Statement: Diabetic keto-acidosis (DKA) is a serious disease that has become more prevalent among patients with diabetes mellitus type I and II.  In these situations it becomes imperative to educate patients on the importance of recognizing the symptoms of DKA and when it is appropriate to seek medical attention.  In an article written by Aneesh Ghosh, (2019), it was documented that a patient with blood glucose of 237, was in DKA based on other variant lab values and physical presentation.  In these situations, it is imperative for nurses to be able to begin insulin drips based on protocols that have been researched as best evidence based practice.  Minimizing the time that patients wait to be treated, will allow for better patient outcomes.Patient, Population and Problem:1. Patients who do not have access to proper medical treatment for diabetes and suffer                       from episodes of DKA2. population -rural areas where primary care providers may be limited.3. Problem- not enough properly trained nurses and primary care providers to treat DKAIntervention:Observe patient outcomes when nurses are able to administer nurse driven protocols to quickly and efficiently intervene on patients with clinical presentation of DKA versus patients who are treated traditionally.Comparison:Comparison of patients who are able to benefit from nurse driven protocols in emergency rooms or critical care settings versus delay of treatment while waiting for traditionally longer waits for primary care providers.Outcomes:Patients who are treated with nurse driven protocols tend to have better outcomes, and fewer episodes of hypoglycemia when nurses are able to calculate insulin protocols rather than report to primary care providers to await new orders.ReferencesAneesh Ghosh, M. (2019). A case of euglycemic diabetic keto acidosis. Indian Journal of Endocrinology and Metabolism, 23(4), 500. https://doi.org/10.4103/ijem.ijem_302_19Lee, C., Szwak, J., Bastow, S., & McCarthy, S. (2020). Impact of a nurse-driven diabetic ketoacidosis insulin infusion calculator on the rate of hypoglycemia. Journal of Patient Safety, 16(4), e255–e259. https://doi.org/10.1097/pts.0000000000000647Peer 2Staffing by Acuity and Improved Job Satisfaction in NursesPerceived workload including patient acuity and dependency as well as staffing has been seen to impact job satisfaction in nurses. Research suggests that nurses experiencing a heavy workload are 3.5 times more likely to report emotional exhaustion and lower job satisfaction (MacPhee et al., 2017). Nurses regularly report high levels of job dissatisfaction due to workload related to inequalities in the patient assignment distribution. The nurse-to-patient ratio design, which is used by many organizations, is unable to fully how many patients a single nurse can provide care for due to unexpected patient needs. An acuity tool helps identify the needs of each patient based upon assessments by the nurse and when utilized may help regulate the number of nurses per shift based on patient needs. This has been seen to improve nursing satisfaction with the standard of care provided and enhance their performance level (Al-Dweik & Ahmad, 2018). The implementation of an acuity tool has been shown to create a more equitable nursing assignment resulting in increased nursing satisfaction (Ageiz & Al-Mageed, 2020).Problem StatementNursing workload is leading to decreased job satisfaction and burnout among nurses.Research PurposeThe purpose of this research is to determine if staffing by patient acuity rather than nurse-to-patient ratio improves job satisfaction in nurses providing direct patient care.PICOT QuestionDoes staffing by acuity (I) rather than nurse-to-patient ratio (C) increase job satisfaction (O) in nurses providing direct patient care (P)?Population:The population in this study is a nurse providing direct patient care that are at risk for decreased job satisfaction due to staffing and workload issues.Intervention:Acuity-based staffing will be implemented. Staff nurses will complete a job satisfaction assessment tool before and after the implementation of acuity-based staffing.ComparisonJob satisfaction rates prior to the implementation of acuity-based staffing.Outcomes:Relevant outcomes will include job satisfaction among staff nurses that is improved, worsened, or unchanged after the new staffing model has been implemented.Time:Research will be conducted over a period of 4 months.References:Ageiz, M. H., & El-mageed, H. (2020). Nurses’ Satisfaction Related to Implementing PatientAcuity Tool-Based Assignment. American Journal of Nursing Research , 8(4), 452–462.https://doi.org/10.12691/ajnr-8-4-5Ahmad, M., & Al-Dweik, G. (2018, January). Matching Nursing Assignment to Patients’ Acuity Level: The Road to Nurses’ Satisfaction. ResearchGate. https://www.researchgate.net/publication/322662051_Matching_Nursing_Assignment_to_Patients%27_Acuity_Level_The_Road_to_Nurses%27_Satisfaction.MacPhee, M., Dahinten, V., & Havaei, F. (2017). The Impact of Heavy Perceived NurseWorkloads on Patient and Nurse Outcomes. Administrative Sciences, 7(1), 1–17.https://doi.org/10.3390/admsci7010007

 
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Week 6: Discussion: Treatment of Psychiatric Emergencies in Children versus Adults

Post answers to the three questions below:1. Briefly describe the case you selected (make up one).2. Explain how you would treat the client differently if he or she were a child or adolescent.3. Explain any legal or ethical issues you would have to consider when working with a child or adolescent emergency case.

 
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Legal, Safety, and Regulatory Requirements

The effect of legal, safety, and regulatory requirements on the human resources process. Focus on employee-related regulations established by the United States, such as the Department of Labor, the U.S. Equal Employment Opportunity Commission (EEOC), the Americans with Disabilities Act of 1990 (ADA), and the Department of Homeland Security.Include your thoughts on the following statement:”Common sense and compassion in the workplace have been replaced by litigation.”Cite at least 3 references.Format your assignment according to APA guidelines.

 
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Wk 1 Individual Assignment

Content

 
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