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NRNP 6645 Mother and Daughter a Cultural Tale Video Family Assessment Assignment

NRNP 6645 Mother and Daughter a Cultural Tale Video Family Assessment AssignmentNRNP 6645 Mother and Daughter: A Cultural Tale Video Family Assessment Assignment Brief

Assignment Overview:

The main goal of this assignment is to thoroughly assess a family based on the case study presented in the “Mother and Daughter: A Cultural Tale” video. The focus is on understanding family dynamics, roles, and the potential root causes of the identified issues. The assignment involves using the Comprehensive Evaluation Note Template to document key aspects of the family’s history, psychosocial context, and individual mental health.

Understanding Assignment Goals:

  • Family Assessment: The assignment aims to show the student’s ability to assess families, emphasizing the importance of looking beyond the identified “problem” individual to understand broader family dynamics. Students should use knowledge from the provided Learning Resources, with a specific focus on psychotherapy genograms.
  • Documentation Skills: The assignment requires the use of the Comprehensive Psychiatric Evaluation Note Template. Students should show careful documentation skills in addressing various aspects, including chief complaint, history of present illness, and psychosocial history. The provided exemplar should serve as a guide for meeting documentation requirements.
  • Video Analysis: Students are expected to critically analyze the “Mother and Daughter: A Cultural Tale” video, extracting relevant information for the family assessment. The analysis should consider cultural factors, communication patterns, and observable behaviors within the family.

The Student’s Role:

As a student undertaking this assignment, your role is to act as a mental health professional conducting a thorough family assessment. Approach the case study with sensitivity to cultural factors, trauma, and familial dynamics. Utilize the provided resources, including the psychotherapy genograms, to enhance your understanding of family structures and relationships.

Your documentation skills will be crucial in addressing each section of the Comprehensive Psychiatric Evaluation Note Template. Be attentive to details, and where information is not directly available from the video, provide a thoughtful explanation of how you would gather the missing data and justify its relevance to diagnosis and treatment planning.

Additionally, demonstrate critical thinking in the formulation of a differential diagnosis based on DSM-5-TR diagnostic criteria. The treatment plan should be comprehensive, incorporating psychotherapeutic interventions, medications, and additional support services.

Detailed Assignment Instructions: Assessment Description

Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues.

To prepare:

    Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.

    Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples.

    View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.

THE ASSIGNMENT

Document the following for the family in the video, using the Comprehensive Evaluation Note Template:

    Chief complaint

    History of present illness

    Past psychiatric history

    Substance use history

    Family psychiatric/substance use history

    Psychosocial history/Developmental history

    Medical history

    Review of systems (ROS)

    Physical assessment (if applicable)

    Mental status exam

    Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria

    Case formulation and treatment plan

    Include a psychotherapy genogram for the family

 

Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning.

NRNP 6645 Mother and Daughter a Cultural Tale Video Family Assessment Assignment Example

CC (chief complaint):

The mother’s chief complaint revolves around experiencing considerable pain with a sense of inadequate support. Sharleen, her daughter, aspires to bring peace to her mother’s life by encouraging her to adjust expectations and embrace life changes. Sharleen perceives a constraint from her mother, hindering her personal growth. The mother seeks consistent companionship from her daughters and occasionally grapples with loneliness-induced depression.

Sharleen reveals discomfort in her mother’s home due to two dogs, expressing a dislike for them and their hair. This discomfort extends to avoiding meals at her mother’s house due to the pervasive dog smell. Sharleen also raises concerns about her mother’s prompt decision-making influenced by high expectations.

Complicating matters, there’s a disclosure about a sibling experiencing sexual assault by their biological father, significantly impacting mental health. The relationship between Patti and Sharleen is characterized by disagreements, and Gonzalo Baciga is expressing worry about the overall well-being of the mother and daughter. As these issues are presented, it becomes apparent that the family is navigating intricate challenges requiring a comprehensive assessment for effective intervention.

History of Present Illness (HPI):

The patient, a 40-year-old woman of Iranian-American origin, is seeking evaluation due to intricate family dynamics affecting both herself and her children. Her 23-year-old daughter has brought up various concerns regarding family relationships, particularly focusing on trauma related to domestic violence from their father, as portrayed in the “Mother and Daughter: A Cultural Tale” video. The patient acknowledges challenges in adapting to American norms, displaying symptoms consistent with an adjustment disorder.

Amidst family conflicts, a significant issue arises – the father’s history of sexual assault on one of the daughters. This traumatic event exacerbates the mother’s declining health, marked by multiple foot surgeries. Another layer of discord involves disparities in beliefs and traditions, with the mother desiring care from her children while the children lean towards utilizing nursing facilities.

The unresolved family issues have taken a toll, resulting in depression and trauma, evident in observed symptoms such as fumbling, fluctuations in enthusiasm, impulsivity, hyperactivity, repetitive speech, and irritability. Despite these challenges, there’s no apparent difficulty in focus, memory, or attention. The intricate nature of the family’s challenges necessitates a thorough assessment to formulate an effective treatment plan addressing both the psychological and physical aspects of the patient’s well-being.

Past Psychiatric History:

In exploring the mother’s past psychiatric history, she discloses instances of experiencing depressive moments. However, she explicitly denies any formal psychiatric diagnoses, emphasizing that she has not been diagnosed with conditions such as depression. Notably, the patient vehemently disputes any thoughts of suicide, providing insight into her mental and emotional state. Furthermore, she asserts a lack of engagement with illegal substances and categorically denies suffering from any significant mental illness or insanity.

Hospitalizations:

There is no documented history of acute admissions for mental illness, suggesting that the mother has not required inpatient psychiatric care in the past.

Psychotherapy or Previous Psychiatric Diagnosis:

The available records do not indicate any current psychiatric diagnosis or ongoing psychotherapeutic treatment for the patient. While the mother admits to experiencing episodes of depression, there is no mention of specific medications prescribed for the management of depressive symptoms. This information highlights a gap in the therapeutic interventions and underscores the need for a comprehensive mental health assessment.

Substance Current Use and History:

The patient reports no current abuse of substances, indicating a lack of ongoing issues related to substance use.

Family Psychiatric/Substance Use History:

The family history does not reveal any substance use or psychiatric disorders among the family members. This absence of familial psychiatric history adds a layer of complexity to the understanding of the mother’s individual mental health challenges.

Psychosocial History:

The mother and daughter find themselves grappling with the challenges of adjusting to a new way of life, reflecting the broader context of cultural adaptation. Seeking assistance, they have visited a mental health institution for a diagnostic assessment, specifically focusing on trauma disorders and adjustment disorders. During these assessments, the current psychiatrist participated in addressing questions related to the patients’ past issues, providing a collaborative approach to understanding the family’s mental health landscape.

The mother, reliant on disability, is brought to the institution by her daughter, a school-going girl. However, there is a notable absence of specific details about the daughter’s school, an area that could provide valuable insights into the daughter’s daily life and potential stressors. Recognizing the significance of comprehensive patient information, it becomes evident that a more thorough exploration of the daughter’s experiences and challenges may contribute to a more holistic treatment plan.

The family denies both current and medical history, and the assessment predominantly focuses on the mother’s surgery without specifying its underlying reason. This prompts a critical consideration of the importance of probing deeper into the patients’ health histories to glean relevant information that could inform a comprehensive and tailored treatment plan. The narrative underscores the need for a thorough and nuanced understanding of the patients’ experiences, incorporating both individual and familial perspectives for effective mental health interventions.

Medical History:

  1. Current Medications: The patient is not currently taking any medications.
  2. Allergies: There is no information available regarding any known allergies.
  3. Reproductive History: While reproductive history for the children is not disclosed, the mother has six children.

Objective:

Review of Systems (ROS):

  • Skin: No reported issues.
  • Respiratory System: No complaints of shortness of breath, cough, or sneezing.
  • Cardiovascular System: No reported chest pains.
  • Gastrointestinal: No complaints of constipation, abdominal pains, or diarrhea.
  • Hematologic: No reports of easy bleeding or anemia.
  • Genitourinary: No complaints of hematuria or flank pain.
  • Neurological: Absence of dizziness, headaches, ataxia, or paralysis.
  • Endocrine System: No indications of polyuria, diabetes, polyphagia, or polydipsia.

Assessment:

Mental Status Examination:

The mother, a 40-year-old Iranian female, and her Americanized Iranian daughter, aged 23, present for evaluation. The mother’s physical appearance reflects the toll of early and abusive marriage stress, making her appear older than her chronological age. In contrast, the daughter appears unfazed by her mother’s aged appearance, demonstrating a lack of concern.

Both individuals exhibit cooperation during the examination, presenting as cleanly dressed with no observable abnormal mental activity. However, a sense of restlessness, anxiety, and irritation pervades their demeanor. The absence of auditory or visual hallucinations or delusions is noted. Both individuals communicate with clear and loud speech, maintaining normal volume and tones.

Observable behaviors include fidgeting, impulsivity, excitability, and annoyance, accompanied by an aggressive tone and repetitions. Despite these manifestations, their thought processes remain logical, and their goals appear driven. Notably, when engaged in conversation, they exhibit a present-minded focus. Cognitively, remote and recent memories are intact, concentration is within normal limits, and they demonstrate average insight. Importantly, attention, judgment, and abstraction are unbroken, indicating preserved cognitive functions.

The combined observations suggest a complex interplay of emotional distress, potentially influenced by the trauma and familial conflicts discussed earlier. The apparent emotional turmoil is manifested through observable behaviors, emphasizing the need for a nuanced and comprehensive approach to address both the mental health and interpersonal dynamics within the family unit.

Differential Diagnoses:

POST-TRAUMATIC STRESS DISORDER (PTSD); ICD-10 CODE: F.43

Post-Traumatic Stress Disorder (PTSD) is considered a potential diagnosis based on the reported traumatic experiences within the family, specifically the history of domestic violence and sexual assault. PTSD can emerge following exposure to life-threatening or extremely distressing events, such as physical assault or combat. Individuals afflicted by PTSD often undergo a process of reliving trauma through their thoughts, distancing themselves from social connections, and experiencing prolonged anger. The prevalence of PTSD is not fixed and affects individuals of various demographics, emphasizing the universality of its impact.

People with PTSD may struggle to cope with the aftermath of terrifying events, and while many recover fully, a significant portion continues to grapple with the trauma. Common symptoms include extreme anger, fear, guilt, shame, and negative emotional thoughts. Neurotransmitters, particularly dopamine, play a role in the sustainability and formation of PTSD. Moreover, individuals with PTSD are at an increased risk of developing physical impairments affecting both daily life and mental well-being.

Reflections:

The assignment reflects the misconception surrounding PTSD, emphasizing the need for accurate understanding. The complexity of PTSD is highlighted by its association with neurotransmitters, such as dopamine. Additionally, the link between PTSD and severe health difficulties throughout the lifespan is underscored, with an elevated incidence of type II diabetes mellitus reported in affected individuals.

The assignment draws attention to the high-risk behaviors associated with PTSD, including substance misuse, binge eating, obesity, and unsafe sexual conduct. Educating patients on the importance of modern contraception, healthy eating habits, and physical activity is deemed critical in mitigating the potential health consequences of PTSD.

Case Formulation and Treatment Plan:

The treatment plan for PTSD involves a multidimensional approach, recognizing the uniqueness of each individual’s experience and response to interventions. A comprehensive management strategy includes psychotherapy, medications, and lifestyle modifications. An experienced healthcare professional, such as a nurse practitioner, is recommended to oversee the treatment process.

Specific medications are prescribed to address symptoms and manage the root cause of PTSD. In this case, a daily dosage of 20mg Prozac and 15mg twice daily (BID) Buspar is proposed. Additionally, stress management is integral to the treatment plan, emphasizing the importance of addressing the psychological and physiological aspects of stress.

The inclusion of a nutrition and diet specialist underscores the holistic nature of treatment, recognizing the interconnectedness of mental and physical well-being. Education on the potential side effects of medications and setting realistic expectations contributes to informed decision-making and patient empowerment.

References:

Mitchell, J. M., Bogenschutz, M., Lilienstein, A., Harrison, C., Kleiman, S., Parker-Guilbert, K., … & Doblin, R. (2021). MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study. Nature Medicine, 27(6), 1025-1033.

Unnikrishnan, R., Radha, V., & Mohan, V. (2021). Challenges Involved in Incorporating Personalised Treatment Plan as Routine Care of Patients with Diabetes. Pharmacogenomics and personalized medicine, 14, 327.

Watkins, L. E., Sprang, K. R., & Rothbaum, B. O. (2018). Treating PTSD: A review of evidence-based psychotherapy interventions. Frontiers in behavioral neuroscience, 12, 258.

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NRSG378 – Principles of Nursing Extended Clinical Reasoning Case Study Example

NRSG378 - Principles of Nursing Extended Clinical Reasoning Case Study ExampleNRSG378 – Principles of Nursing Extended Clinical Reasoning Case Study Assignment

NRSG378 – Principles of Nursing: Extended Clinical Reasoning Assessment Task 3 – Case Study

NRSG378 – Principles of Nursing Extended Clinical Reasoning Case Study Assignment Brief

Assignment Instructions Overview:

This case study assignment requires students to apply unit learnings to assess, prioritize, and plan nursing care for an acutely unwell patient using a structured clinical reasoning framework. Students must critically link theoretical knowledge to the patient’s presentation and management within the acute care setting.

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Understanding Assignment Objectives:

The objective of this task is to strengthen clinical reasoning skills through the analysis of an acute clinical situation. Students must demonstrate the ability to understand the pathophysiology of illness, recognize clinical cues, identify nursing and patient problems, plan evidence-based interventions, and consider the holistic impact of illness on patient well-being.

The Student’s Role:

Students are expected to step into the role of a registered nurse managing an acutely ill patient. They must assess clinical information, make informed nursing judgments, prioritize care needs, and formulate a detailed care plan using a systematic clinical reasoning approach. Students should integrate theoretical concepts with practical nursing care strategies while addressing both physical and psychosocial patient needs.

Competencies Measured:

This assignment evaluates competencies in critical thinking, clinical decision-making, pathophysiological knowledge, nursing assessment, prioritization of care, pharmacological understanding, evidence-based intervention planning, and holistic patient care. It also measures the ability to apply a clinical reasoning framework systematically to patient management.

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NRSG378 – Principles of Nursing Extended Clinical Reasoning Case Study Example

Extended Clinical Reasoning Case Study: Care of Kate Sansbury

  1. Disease Pathophysiology and Patient Assessment

Kate Sansbury, a 22-year-old female, presented to the emergency department with worsening abdominal pain, nausea, vomiting, and general malaise. Initially experiencing dull pain localized to the right lower quadrant, her symptoms progressed over three days to severe, sharp pain that triggered vomiting and restricted oral intake. Clinical assessment revealed tachycardia (HR 118 bpm), hypotension (BP 90/60 mmHg), fever (39.2°C), mild work of breathing (RR 24 bpm), and physical signs of dehydration and guarding.

These symptoms strongly suggest perforated appendicitis leading to secondary peritonitis. Appendicitis occurs when the lumen of the appendix becomes obstructed, often by lymphoid hyperplasia, fecaliths, or foreign bodies (Stringer, 2017). This blockage promotes bacterial overgrowth, increased intraluminal pressure, vascular compromise, and eventually, necrosis. In untreated cases, the appendix can rupture, spilling infectious material into the peritoneal cavity, leading to secondary peritonitis, a serious and potentially life-threatening condition (Clements et al., 2021).

Kate’s elevated white blood cell count (15 x 10⁹/L) and C-reactive protein (150 mg/L) indicate a strong systemic inflammatory response. Her elevated lactate (2.0 mmol/L) suggests early tissue hypoperfusion. The presence of minimal bowel sounds, guarding, and a distended abdomen point to peritonitis, which results from widespread inflammation of the peritoneum. Inflammation leads to third-spacing of fluids into the peritoneal cavity, contributing to intravascular volume depletion, reflected in Kate’s hypotension and signs of dehydration.

Elements of a comprehensive nursing assessment for Kate include:

  • Full set of vital signs monitoring (hourly)
  • Detailed pain assessment (scale, location, radiation, characteristics)
  • Fluid balance charting (input/output monitoring)
  • Abdominal assessment (inspection, auscultation, palpation, percussion)
  • Neurological status monitoring (GCS assessment)
  • Skin turgor, mucous membranes hydration status
  • Electrolyte and renal function monitoring
  • Respiratory assessment
  • Psychosocial evaluation (stress levels, mental health status)
  • Nutritional assessment
  • Mobility assessment
  1. Nursing and Patient Issues

Three primary nursing issues emerge from Kate’s case: pain management, infection control, and fluid volume deficit management.

2.1 Pain Management

Pain presents as a dominant issue for Kate, rated 8/10 and limiting her movement. Uncontrolled pain can lead to numerous adverse outcomes, including heightened stress responses, impaired respiratory function, delayed mobilization, and prolonged recovery (Jiang, 2019). Severe pain also exacerbates sympathetic nervous system activation, potentially worsening her hemodynamic instability. Effective pain management will optimize Kate’s comfort, enhance cooperation with care procedures, and promote faster postoperative recovery.

2.2 Infection Control

The perforated appendix has allowed bacterial contamination of the peritoneal cavity, triggering secondary peritonitis. Infection control becomes crucial to prevent progression to sepsis, a life-threatening condition associated with significant morbidity and mortality (Jones et al., 2021). Proactive infection management, including aseptic techniques, early antibiotic therapy, and vigilant monitoring of vital signs and inflammatory markers, is essential to stabilize Kate’s condition and prevent further complications.

2.3 Fluid Volume Deficit

Kate exhibits significant fluid loss due to vomiting, fever, and third-spacing of fluids into the peritoneal cavity. Clinical signs, including dry lips, reduced urine output, hypotension, and elevated lactate levels, all support the presence of hypovolemia. Failure to promptly address her fluid deficit may worsen tissue perfusion and precipitate septic shock (Michaelides & Zis, 2019). Aggressive fluid resuscitation with isotonic crystalloids remains essential.

Impact on Activities of Living

Nutrition and Hydration: Kate’s inability to tolerate oral intake and ongoing fluid losses compromise her nutritional status. Maintenance of adequate hydration and electrolyte balance is vital for wound healing, immune function, and overall recovery.

Mobility: Postoperative pain, abdominal tenderness, and surgical intervention will likely impair Kate’s mobility. Early mobilization post-surgery prevents complications such as deep vein thrombosis, pulmonary embolism, and promotes bowel function return (Haahr-Raunkjaer et al., 2022).

  1. Pharmacological Management

Kate’s pharmacological management focuses on antibiotics and analgesics, both vital for treating her underlying infection and managing pain.

3.1 Antibiotics (Beta-lactam class)

Broad-spectrum beta-lactam antibiotics, such as ceftriaxone, play a key role in Kate’s treatment. Beta-lactams inhibit bacterial cell wall synthesis by binding to penicillin-binding proteins, leading to cell lysis and death (Pandey & Cascella, 2022). In cases like Kate’s, early administration of broad-spectrum antibiotics helps control peritoneal contamination and limits systemic infection progression. Nursing considerations include monitoring for signs of allergic reactions, ensuring timely administration, and reassessing therapy once culture results become available (Blumenthal et al., 2019).

3.2 Analgesics (Opioid class)

Opioids, such as morphine, provide essential pain relief for patients experiencing severe postoperative pain. Opioids act by binding to mu-receptors in the central nervous system, altering the perception and emotional response to pain (Vadivelu et al., 2018). For Kate, PRN morphine ensures rapid pain control, aiding in relaxation, reduced sympathetic activation, and smoother postoperative recovery. Nursing considerations involve regular pain assessment, close monitoring for respiratory depression, sedation, and gastrointestinal side effects such as constipation, which may complicate recovery.

Additional supportive medications include antiemetics like ondansetron to control postoperative nausea and vomiting, contributing to better comfort and hydration status.

  1. Nursing Interventions

4.1 Prioritized Nursing Interventions in the First 24 Hours Post-Surgery

4.1.1 Monitoring and Assessment

Continuous monitoring of Kate’s vital signs, fluid balance, and neurological status remains the top priority. Early detection of hypotension, tachycardia, hypoxia, or altered mental status can signal deterioration, requiring urgent intervention (Michard et al., 2020). Hourly observations of blood pressure, heart rate, respiratory rate, temperature, oxygen saturation, and pain levels ensure rapid identification of postoperative complications, including hemorrhage, sepsis, or respiratory compromise.

Rationale: Early detection enables timely interventions and prevents severe complications, including septic shock.

4.1.2 Pain Management

Effective pain management is essential to enhance Kate’s recovery. Pain must be assessed regularly using validated tools like the Numeric Rating Scale (0-10) or the Verbal Descriptor Scale. PRN opioids, in combination with non-pharmacological strategies such as repositioning, relaxation techniques, and emotional support, should be provided.

Rationale: Adequate pain control improves comfort, encourages deep breathing, promotes early ambulation, and prevents postoperative pulmonary complications (Chiarotto et al., 2019).

4.1.3 Fluid Resuscitation and Electrolyte Management

Strict input and output monitoring and ensuring the prescribed IV fluid regimen are critical. Regular electrolyte review (e.g., sodium, potassium) must guide further fluid and electrolyte replacement strategies to prevent imbalances.

Rationale: Restoration of circulatory volume enhances tissue perfusion and oxygen delivery, essential for healing and recovery (Michaelides & Zis, 2019).

4.1.4 Infection Prevention

Strict aseptic technique must be maintained during all care activities, including wound care and IV access management. Surgical wounds should be assessed at least once per shift for signs of infection, including redness, swelling, warmth, or discharge. Prophylactic antibiotic administration must follow the hospital schedule precisely.

Rationale: Meticulous infection prevention minimizes the risk of postoperative sepsis and wound dehiscence (Kim et al., 2019).

4.1.5 Early Mobilization

Kate should be encouraged to mobilize as soon as she is medically stable. Initial mobilization should occur with assistance, ensuring pain control and hemodynamic stability. Passive range-of-motion exercises should be initiated if active mobilization is delayed.

Rationale: Early mobilization prevents complications like deep vein thrombosis, pulmonary embolism, and promotes the return of gastrointestinal function (Haahr-Raunkjaer et al., 2022).

4.1.6 Respiratory Care

Incentive spirometry, deep breathing exercises, and regular repositioning should be part of Kate’s postoperative care plan to prevent atelectasis and pneumonia.

Rationale: Postoperative respiratory exercises reduce the risk of hypoventilation and respiratory infections, particularly after abdominal surgery (Ramachandran et al., 2017).

4.1.7 Psychosocial Support

Given Kate’s history of depression and current worries about missing her veterinary placement, emotional support must be incorporated into the care plan. Open, empathetic communication should be maintained, and a referral to mental health services considered if anxiety or depressive symptoms escalate.

Rationale: Addressing psychosocial needs promotes holistic recovery and reduces the risk of psychological complications (Michaelides & Zis, 2019).

References

Blumenthal, K. G., Peter, J. G., Trubiano, J. A., & Phillips, E. J. (2019). Antibiotic allergy. The Lancet, 393(10167), 183-198.

Chiarotto, A., et al. (2019). Measurement properties of pain intensity scales. British Journal of Anaesthesia, 123(2), e270-e282.

Clements, W. D., et al. (2021). Peritonitis: Clinical perspectives and management. Surgical Infections, 22(5), 407-416.

Dowling, J., et al. (2017). Infectious diseases and antibiotic management. Journal of Clinical Pharmacology, 57(6), 690-705.

Fikri, M., et al. (2023). Pathophysiology of acute appendicitis: A review. Clinical Surgery Journal, 28(2), 120-127.

Haahr-Raunkjaer, C., et al. (2022). Early mobilization strategies following surgery. European Journal of Anaesthesiology, 39(2), 149-157.

Jiang, Y. (2019). Pain management in surgical patients. International Journal of Surgery, 65, 38-43.

Jones, M. C., et al. (2021). Preventing surgical site infections. American Journal of Surgery, 221(2), 293-298.

Kim, D. J., et al. (2019). Surgical infections: Diagnosis and management. Clinical Infectious Diseases, 68(3), 414-421.

Michaelides, A., & Zis, P. (2019). Management of dehydration and electrolyte imbalance. Frontiers in Physiology, 10, 570.

Michard, F., et al. (2020). Hemodynamic monitoring in postoperative care. Critical Care, 24(1), 20.

Pandey, S., & Cascella, M. (2022). Beta-lactam Antibiotics. StatPearls Publishing.

Perez, E., & Allen, S. (2018). Diagnosis and management of appendicitis. Clinical Practice and Cases in Emergency Medicine, 2(1), 71-74.

Ramachandran, S. K., et al. (2017). Risk factors for postoperative respiratory depression. Anesthesia & Analgesia, 124(5), 1669-1675.

Salazar Maya, A. M. (2022). Best practices in postoperative nursing care. Journal of Perioperative Practice, 32(7), 214-221.

Stringer, M. D. (2017). Acute appendicitis. Journal of Paediatrics and Child Health, 53(11), 1071-1076.

Vadivelu, N., et al. (2018). Pain management post-surgery. Pain Practice, 18(5), 524-532.

Detailed Assessment Instructions for the NRSG378 – Principles of Nursing Extended Clinical Reasoning Case Study Assignment

ASSESSMENT INFORMATION
Assessment Title  

Assessment Task 3 – Case Study

Purpose This assessment enables students to apply knowledge from unit learnings to an issue requiring extended clinical reasoning.

The assessment will engage students with the application of theory to practice and is designed to facilitate an understanding of the impact of illness on the patient. It is

also intended to give students the opportunity to demonstrate the ability to use a clinical reasoning framework to plan the care of an acutely unwell patient.

Due Date Wednesday 24th May 2023
Time Due 14:00
Weighting 50%
Length 2000 words
Assessment Rubric  

Appendix 2 of the NRSG378 unit outline

LEO

Resource

A national pre-recorded video will be uploaded onto LEO in week seven (7), which will provide students with an overview of the assessment as well as resources and advice on how to approach the task.

Students are encouraged to post questions on the discussion forum on LEO and to check for answers there as a first point of query.

LOs Assessed  

LO1, LO2, LO3, LO4

Task Students will assess, prioritise and plan the care of the case study patient using a clinical reasoning framework.

Sections you need to respond to include:

1.     Disease pathophysiology and patient assessment (500 words):

·        Provide an initial impression of the patient and identify relevant and significant features from the patient presentation;

·        Discuss in detail, the pathophysiology of the disease and how Kate’s presenting signs and symptoms reflect the underlying pathophysiology;

·        Identify further elements of a comprehensive nursing assessment (this can be presented as a list)

 

2.     Identify nursing and patient issues (500 words):

·        Identify and prioritise 3 nursing issues you must address for Kate and justify why they are priorities and support your discussion with evidence and data from the case study. These can be actual or at-risk issues.

·        Discuss the potential impact of this admission on Kate’s 2 most important activities of living (can be biological, psychosocial, spiritual or cultural factors)

 

  1. Discuss the pharmacological management (400 words):
    • Identify and discuss two (2) common classes of drugs used for Kate, including the drug mechanism of action, indication and nursing considerations. This does not mean specific drugs but rather the class that these drugs belong to.
  1. Nursing interventions (600 words):
    • Identify, rationalise and explain, in order of priority, the nursing care strategies you should use within the first 24 hours post-surgery for Kate.

Case Study          Kate Sansbury is a 22-year-old female who presented to the emergency department (ED) with abdominal pain, nausea and vomiting, and general malaise. She stated that the pain appeared 3 days ago but was dull and localised to the right lower quadrant only, and resolved when she applied a heat pack and took some paracetamol. She assumed the pain was due to her upcoming period.

Last night at 3am she woke when the abdominal pain became sharp and was so “intolerable” she vomited. She has since had 2 further vomits, and states she feels ongoing nausea. She has not been able to eat or drink her usual amounts for the past day. She states she has only voided once yesterday and it was “very dark yellow” in colour.

On assessment:

  • Kate appears pale, cool and clammy. Her lips appear dry
  • She is lying in a semi-Fowler’s position and has her hands across her stomach (guarding). Kate appears reluctant to move
  • Her abdomen is distended and tender, and there are minimal abdominal sounds on auscultation
  • On abdominal palpation, she states the pain is 8/10 on the right lower quadrant, but the pain also occurs across her abdomen, and it is becoming worse

Health assessment findings and laboratory results at presentation:

  • HR 118 bpm, regular pulse
  • BP 90/60 mmHg
  • RR 24 bpm, mild WOB
  • Temp 39.2C
  • SpO2 97% on RA
  • Alert and orientated to time, place, and person. GCS 15
  • CRT 2 seconds
  • Last bowel motion – yesterday but patient states she feels “constipated”
  • Weight – 62kg

 

Result Normal Values
Haemoglobin (Hb) 145 g/L 150-160 g/L (females)
WBC 15 x 109/L 4-11 x 109/L
Sodium 132 mmol/L 135 to 145 mmol/L
Potassium 3.5 mmol/L 3.5 to 5.2 mmol/L
Lactate 2.0 mmol/L <1.0 mmol/L
C-reactive protein (CRP) 150 mg/L <5 mg/L
Human chorionic

gonadotropin (hCG)

< 5 IU/L Not pregnant < 5 IU/L
Blood cultures Pending Negative

 

Patient history:

Kate currently lives with two friends in a share house in an inner-city suburb in Melbourne. She works part-time as a retail worker in a bookshop, and studies veterinary nursing at TAFE full-time. She states that she is due to commence placement soon for her studies, and is “worried I won’t be able to attend and fail”.

She consumes a healthy diet, and only eats takeout once every few weeks. Kate exercises 4 days a week, for approximately 1 hour each time and considers herself “fit and healthy”. She does not smoke and has 2 standard alcohol drinks every Saturday when she goes out with her friends. She also smokes marijuana recreationally when she becomes “stressed out”.

Family history:

 

·        Parents live in Darwin and are both well with no medical concerns

·        Kate visits them once a year during Christmas

 

Medical history:

·        Depression

·        Asthma

 

Medications:

·        Sertraline 50mg daily

·        Salbutamol 4-6 puffs via pMDI PRN

 

Following the review of her laboratory tests and assessment results, Kate has been diagnosed with ?perforated appendix leading to secondary peritonitis

 

Management

 

·        Administer IV bolus NaCl 0.9% 500ml over less than 15 minutes

·        Commence IV NaCl 0.9% at 70ml/hr

·        Administer IV ceftriaxone 1g BD

·        Administer IV morphine 2mg PRN

·        Administer IV ondansetron 4mg PRN

·        1/24 vital obs and pain assessment

·        Repeat UEC 2 hours post IVF commencement

·        SFBC

·        NBM

·        Pre-op preparation for an emergency appendectomy and peritoneal cleanout

 

You are the registered nurse looking after Kate, and you are required to plan her care guided by a clinical reasoning framework and the provided case study information.

Submission Via the Turnitin dropbox in the NRSG378 LEO site under the “Assessment” tile.

 

 

FORMATTING
File format The information will be presented as a question-and-answer format. There is no need to include an introduction or conclusion.

Do not include the question in your assessment, just label it as 1), 2), etc.

Each answer has a word limit; answers beyond this limit will not be considered in your mark.

The assessment will be submitted as a Microsoft Word document file via Turnitin. Please do not submit pdf files.

 

REFRENCING

Referencing Style APA 7th edition
 

 

Minimum References

A minimum of 15 high quality resources are to be used. All arguments must be supported using a variety of high-quality primary evidence. Avoid using any one source repetitively.
Age of References Published in the last 5 years unless using seminal text.
Alphabetical Order References are arranged alphabetically by author family name
Hanging Indent Second and subsequent lines of a reference have a hanging indent
DOI Presented as functional hyperlink
Spacing Double spacing the entire reference list, both within and between entries
 

ADMINISTRATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Late Penalties

Late penalties will be applied from 2:01pm on the due date, incurring 5% penalty of the maximum marks available up to a maximum of 15%. Assessment tasks received more than three calendar days after the due or extended date will receive feedback but will not be allocated a mark.

Penalty Timeframe         Penalty Marks Deducted

2:01pm Wednesday to 2pm Thursday        5% penalty          5 marks 2:01pm Thursday to 2pm Friday   10% penalty        10 marks 2:01pm Friday to 2pm Saturday              15% penalty        15 marks Received after 2:01pm Saturday               No mark allocated

Example:

An assignment is submitted 12 hours late and is initially marked at 60 out of

100. A 5% penalty is applied (5% of 100 is 5 marks). Therefore, the student receives 55 out of 100 as a final mark.

Final Assignment Marks for this last assessment will be returned after release of final unit results.
Assessment template project informed by ACU student forums, ACU Librarians and the Academic Skills

Unit.

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NRNP 6645 Analyzing Group Techniques Assignment Example

NRNP 6645 Analyzing Group Techniques Assignment Example

NRNP 6645 Analyzing Group Techniques Assignment Example Brief
Assignment Overview:
The NRNP 6645 Analyzing Group Techniques Assignment aims to help students understand group therapy techniques in the context of cognitive-behavioral therapy (CBT). Students will analyze a provided video, "Psychotherapy for Schizophrenia," focusing on group therapy dynamics and the therapist's role in facilitating cognitive-behavioral interventions. The assignment looks into how CBT strategies are used, their impact on group dynamics, and how well the therapist manages challenging situations.
Understanding Assignment Objectives:
•	Analysis of Group Therapy Techniques: Students need to carefully assess the group therapy techniques shown in the video. This includes focusing on the CBT strategies used by facilitators and how effective they are in addressing participants' concerns.
•	Therapist's Role Evaluation: Students should evaluate how the therapist contributes to the group session. This involves looking at how the therapist creates a supportive environment, manages group dynamics, and applies CBT principles to improve participants' mental health.
•	Application of CBT Principles: The assignment explores how CBT principles are used in a group setting. Students should identify instances where CBT techniques help reduce symptoms and improve patient satisfaction.
•	Suggestions for Improvement: Students are encouraged to give helpful feedback by suggesting improvements in how the group is run. This includes ideas for making the physical layout of the group better and other practical enhancements.
•	Insights Gained Reflection: The assignment requires students to think about what they've learned from analyzing the video. This may include new perspectives on effective group facilitation, the importance of structured sessions, and the therapist's role in creating a supportive therapeutic environment.
•	Handling Disruptive Clients: Students should analyze how the therapist deals with disruptive clients in the group. This involves understanding redirection techniques, considering potential removal strategies, and thinking about how disruptive behavior affects the group.
•	Benefits and Phases of Group Therapy: The assignment explores the benefits of group therapy and the different phases participants go through. Students are expected to recognize the positive aspects of group therapy, including increased interaction, shared coping mechanisms, and diverse perspectives contributing to rehabilitation.
The Student's Role:
As a student, your role is to carefully watch the provided video, "Psychotherapy for Schizophrenia." Pay close attention to the group therapy techniques, the therapist's interventions, and how the session is going overall. Use your knowledge of cognitive-behavioral therapy principles to assess how well the strategies are working. Additionally, give helpful feedback on potential improvements, reflect on personal insights gained, and think about how the therapist deals with disruptive clients.
Make sure your analysis fits with the assignment objectives and gives a good understanding of group therapy techniques, emphasizing the use of cognitive-behavioral interventions in a group setting. This assignment is a chance to improve your skills in evaluating therapeutic approaches and contribute valuable insights to the field of mental health.
Detailed Discussion Assignment Instructions: Assessment Description
The Analyzing Group Techniques Assignment
Group therapy can alleviate feelings of isolation and foster a supportive and collaborative environment for sharing difficult feelings in order to facilitate healing. For many people, being part of a group that has a shared understanding of a struggle provides a unique opportunity to gain understanding of their own experiences.
As you examine one of the group therapy demonstrations from this week’s Learning Resources, consider the role and efficacy of the leader and the reasons that specific therapeutic techniques were selected.
RESOURCES
 Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
NRNP-6645 Assignment Analyzing Group Techniques
WEEKLY RESOURCES
To prepare:
    Select one of the group therapy video demonstrations from this week’s required media Learning Resources.
THE ASSIGNMENT
In a 3- to 4-page paper, identify the video you selected and address the following:
    What group therapy techniques were demonstrated? How well do you believe these techniques were demonstrated?
    What evidence from the literature supports the techniques demonstrated?
    What did you notice that the therapist did well?
    Explain something that you would have handled differently.
    What is an insight that you gained from watching the therapist handle the group therapy?
    Now imagine you are leading your own group session. How would you go about handling a difficult situation with a disruptive group member? How would you elicit participation in your group? What would you anticipate finding in the different phases of group therapy? What do you see as the benefits and challenges of group therapy?
    Support your reasoning with at least three peer-reviewed, evidence-based sources, and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
BY DAY 7
Submit your Assignment.
ReminderLinks to an external site. The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

NRNP 6645 Analyzing Group Techniques Assignment Example
Introduction
Group therapy, a valuable therapeutic approach, provides individuals with a supportive environment to share and explore their feelings, fostering healing through shared understanding. This analysis focuses on an IPT session for a client with a substance use disorder, examining group therapy techniques, the therapist's performance, insights gained, and strategies for handling a challenging group member. By delving into these aspects, we aim to deepen our comprehension of effective group therapy dynamics.
Group Therapy Techniques
The IPT session demonstrated several impactful group therapy techniques. Interpersonal sensitivity, catharsis, universality, and releasing tension were evident as group members shared personal experiences and vulnerabilities. Hauber, Boon, and Vermeiren (2019) highlight the importance of these techniques in promoting trust, disclosure, and cohesiveness within the group. Furthermore, interpersonal learning played a key role, allowing group members to gain insights into their own behaviors through genuine emotional experiences (Cuijpers et al., 2016).
The therapist effectively utilized a directive approach, guiding the group through various stages of the session. This approach positively influenced the group's depth of interaction and personal disclosure. The use of active listening and turn-taking contributed to a balanced and inclusive therapeutic environment, aligning with the principles of effective group therapy leadership (Jones, Bodie, & Hughes, 2019).
Therapist's Performance
The therapist's directive approach showcased effective leadership and facilitation skills. By actively listening and allowing turn-taking, the therapist created an environment where each group member felt heard and valued. Empathy was a notable strength, as demonstrated by the therapist's understanding of the client's experiences, even in the absence of explicit verbalization. However, caution must be exercised regarding individual reactions, as they may be interpreted differently by group members, potentially impacting the therapeutic alliance (Hauber, Boon, & Vermeiren, 2019).
Handling a Difficult Group Member
When faced with a challenging group member, the author would employ a strategic approach, considering the client's readiness stage, offering choices, and focusing on strengths. This approach aligns with principles of client-centered therapy, ensuring active client engagement and empowerment in the therapeutic process. Determining the client's readiness stage is crucial for tailoring interventions that facilitate progress without inducing resistance (Cuijpers et al., 2016). Offering choices empowers the client, fostering a sense of autonomy and collaboration within the therapeutic relationship. Focusing on strengths enhances optimism and attachment, crucial factors in overcoming challenges within the group context.
Insights Gained
The analysis provided valuable insights into the significance of effective leadership and the balance between talking and listening in group therapy. The directive approach proved instrumental in promoting active engagement and disclosure. The importance of creating a non-judgmental space for clients to share their experiences became evident, emphasizing the therapist's role in facilitating a safe and supportive group environment. These insights are transferable across various therapeutic modalities, underscoring the universal principles of effective group therapy facilitation.
Benefits and Challenges of Group Therapy
Group therapy offers numerous benefits, including peer support, shared learning, and interpersonal skill development. The shared experience among group members fosters a sense of universality, reducing feelings of isolation (Hauber, Boon, & Vermeiren, 2019). However, challenges such as managing conflicts and varying participation levels must be navigated. Strategies for addressing these challenges include establishing clear group guidelines and interventions to promote equal participation.
Conclusion
This analysis has provided a comprehensive examination of group therapy techniques within an IPT session, shedding light on the therapist's performance, handling difficult group members, and the broader benefits and challenges of group therapy. By integrating insights from scholarly literature, this exploration contributes to a deeper understanding of effective group therapy dynamics and their application in diverse therapeutic settings.
NRNP 6645 Analyzing Group Techniques Assignment Example Two
Introduction
Interpersonal Psychotherapy (IPT) is a time-limited therapeutic approach that addresses mental health issues by focusing on the impact of interpersonal relationships. This analysis delves into an IPT group therapy session for a client named Jimmy, who presented with a substance use disorder. The study explores group therapy techniques employed during the session, supported by scholarly literature, evaluates the therapist's performance, suggests alternative approaches, and reflects on the insights gained from observing the therapy.
Group Therapy Techniques and Literature Support
The IPT session for Jimmy showcased various group therapy techniques with strong support from scholarly literature. Releasing tension emerged as a crucial technique at the beginning of the session. Hauber, Boon, and Vermeiren (2019) emphasize that sharing personal experiences promotes universality, comfort, and cohesiveness within the group. The group members, acknowledging Jimmy's initial discomfort, responded by sharing their secrets, creating a supportive environment.
Catharsis played a significant role in building trust and promoting disclosure. Group members, through their willingness to share shameful aspects of their lives, demonstrated catharsis. This technique fosters an environment where individuals feel safe to take risks and make further disclosures (Hauber, Boon, & Vermeiren, 2019). Interpersonal sensitivity was evident as group members, particularly Mark, shared experiences similar to Jimmy's, highlighting the importance of readiness and cohesiveness for effective disclosure (Hauber et al., 2019).
Interpersonal learning, another group technique, was demonstrated when Jimmy shared his problematic behavior of stealing his mother's medication. The therapist facilitated the process by providing feedback and guiding group members in understanding the dynamics of their own behaviors. This aligns with the principles of interpersonal learning, allowing individuals to gain insights through genuine emotional experiences (Cuijpers et al., 2016).
Instilling hope emerged as a powerful technique during the session. Tim's intervention effectively addressed Jimmy's feelings of shame by acknowledging his courage and honesty. This approach aligns with Hauber, Boon, and Vermeiren's (2019) assertion that individuals, realizing they are not judged solely on past actions, can inspire hope and facilitate positive change in others.
Therapist's Performance
The therapist demonstrated commendable skills throughout the IPT session. The directive approach employed effectively guided the group, maintaining relevance and ensuring active engagement. Active listening and turn-taking, as highlighted by Jones, Bodie, and Hughes (2019), contributed to a balanced and inclusive therapeutic environment. The therapist's empathy, particularly in understanding Jimmy's experiences without explicit verbalization, created a non-judgmental atmosphere.
What the Therapist Did Well
The therapist excelled in using a directive approach, actively leading the group. This approach ensured the session's relevance and maintained a clear therapeutic focus. The emphasis on active listening and turn-taking allowed each group member, including Jimmy, to feel heard and valued. The empathetic understanding demonstrated by the therapist contributed to a safe space for disclosure and exploration.
What to Handle Differently
While the therapist's overall performance was commendable, the author suggests refraining from introducing individual reactions or comments during the session. Such interventions may be interpreted differently by group members and can potentially impact the therapeutic alliance negatively. Maintaining a neutral stance could prevent unintended consequences on client disclosure and engagement.
Insights Gained
Observing the therapist provided valuable insights into the importance of effective leadership and the balance between talking and listening in group therapy. The directive approach positively influenced group dynamics, promoting engagement and disclosure. The significance of creating a non-judgmental space for clients to share their experiences became evident, emphasizing the therapist's role in fostering a supportive group environment.
Handling a Difficult Group Member
If faced with a challenging group member, the author would adopt a strategic approach, considering the client's readiness stage, offering choices, and focusing on strengths. This aligns with principles of client-centered therapy, aiming to empower the client and tailor interventions to facilitate progress without inducing resistance. Understanding the client's stage of readiness is crucial for effective intervention planning, while offering choices and highlighting strengths enhances collaboration and optimism within the therapeutic relationship.
Conclusion
In conclusion, the analysis of an IPT group therapy session for a client with a substance use disorder highlighted effective group therapy techniques, the therapist's performance, potential improvements, and valuable insights. By integrating scholarly literature, this examination contributes to a deeper understanding of IPT within a group setting. The emphasis on releasing tension, catharsis, interpersonal sensitivity, interpersonal learning, and instilling hope underscored the therapeutic impact of group dynamics. The therapist's directive approach, active listening, and empathetic understanding were crucial in fostering a supportive and transformative group environment.

NRNP 6645 Analyzing Group Techniques Assignment Example Three
Introduction
Group therapy is a valuable approach for individuals dealing with mental health issues, providing a supportive environment for open communication and shared experiences. This analysis focuses on a group therapy session featured in the video "Psychotherapy for Schizophrenia." The aim is to examine the group therapy techniques applied in the video, specifically emphasizing cognitive-behavioral therapy (CBT), and evaluate the therapist's role in facilitating the session.
Cognitive-Behavioral Therapy (CBT) Techniques
The video effectively demonstrates the application of cognitive-behavioral therapy (CBT) techniques within the group setting. The facilitators encouraged clients to voice their fears and discuss how they overcame the worries they were experiencing. This interactive approach aligns with CBT principles, emphasizing the identification and modification of negative thought patterns (Carr et al., 2018). Research supports the effectiveness of CBT in reducing hospital admissions and enhancing patient satisfaction, highlighting its relevance in group therapy settings (Carr et al., 2018).
The facilitators' introduction, session overview, and follow-up phone calls contribute positively to the group dynamics. Clear communication of the session structure fosters a sense of predictability and safety, essential for individuals with schizophrenia. This aligns with the foundational principles of group therapy, promoting a structured and secure environment (Lecomte et al., 2018).
Suggestions for Improvement
While the facilitation was generally effective, a minor adjustment in the seating arrangement could enhance the group's comfort. Spreading patients out in a circular pattern and providing more space between them may alleviate potential discomfort caused by close proximity. This adjustment addresses the issue of overstimulation, ensuring a more comfortable and conducive environment for group participation.
Insights Gained
Watching the video provided valuable insights into the importance of introducing the session, outlining guidelines, and conducting follow-up activities. These practices contribute to a well-structured and organized group therapy environment, minimizing uncertainties for participants. The video also highlighted the significance of validating and appreciating client responses, emphasizing the therapist's role in creating a supportive atmosphere.
Handling Disruptive Clients
The video shed light on the challenges of facilitating groups with disruptive clients. It reinforced the understanding that managing disruptive behavior depends on the specific client, group dynamics, and their perception of the situation. The examples shared, such as redirecting a delusional and manic patient, underscore the therapist's role in maintaining group cohesion. In cases of persistent disruption, removing the disruptive client from the group may be necessary for the overall efficiency of the session.
Benefits and Phases of Group Therapy
Group therapy offers numerous benefits, including increased interaction, shared coping mechanisms, and diverse perspectives. The stages of group therapy involve members recognizing their own perspectives, learning from others, fostering openness, understanding, respect, and appreciation. Positive experiences shared within the group contribute to rehabilitation and the application of alternative strategies for managing symptoms (Li et al., 2020).
Conclusion
In conclusion, group therapy, particularly using cognitive-behavioral therapy techniques, proves to be a valuable approach for individuals with schizophrenia. The video analysis highlighted the effectiveness of CBT within a group setting, the importance of clear communication in session management, and the therapist's role in handling disruptive behaviors. The insights gained emphasize the significance of structured sessions, validating client responses, and creating a supportive atmosphere for successful group therapy outcomes. Group therapy remains a powerful method for individuals to connect, share experiences, and acquire coping mechanisms in their journey toward mental health.
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Assignment Overview:

The NRNP 6645 Analyzing Group Techniques Assignment aims to help students understand group therapy techniques in the context of cognitive-behavioral therapy (CBT). Students will analyze a provided video, “Psychotherapy for Schizophrenia,” focusing on group therapy dynamics and the therapist’s role in facilitating cognitive-behavioral interventions. The assignment looks into how CBT strategies are used, their impact on group dynamics, and how well the therapist manages challenging situations.

Understanding Assignment Objectives:

  • Analysis of Group Therapy Techniques: Students need to carefully assess the group therapy techniques shown in the video. This includes focusing on the CBT strategies used by facilitators and how effective they are in addressing participants’ concerns.
  • Therapist’s Role Evaluation: Students should evaluate how the therapist contributes to the group session. This involves looking at how the therapist creates a supportive environment, manages group dynamics, and applies CBT principles to improve participants’ mental health.
  • Application of CBT Principles: The assignment explores how CBT principles are used in a group setting. Students should identify instances where CBT techniques help reduce symptoms and improve patient satisfaction.
  • Suggestions for Improvement: Students are encouraged to give helpful feedback by suggesting improvements in how the group is run. This includes ideas for making the physical layout of the group better and other practical enhancements.
  • Insights Gained Reflection: The assignment requires students to think about what they’ve learned from analyzing the video. This may include new perspectives on effective group facilitation, the importance of structured sessions, and the therapist’s role in creating a supportive therapeutic environment.
  • Handling Disruptive Clients: Students should analyze how the therapist deals with disruptive clients in the group. This involves understanding redirection techniques, considering potential removal strategies, and thinking about how disruptive behavior affects the group.
  • Benefits and Phases of Group Therapy: The assignment explores the benefits of group therapy and the different phases participants go through. Students are expected to recognize the positive aspects of group therapy, including increased interaction, shared coping mechanisms, and diverse perspectives contributing to rehabilitation.

The Student’s Role:

As a student, your role is to carefully watch the provided video, “Psychotherapy for Schizophrenia.” Pay close attention to the group therapy techniques, the therapist’s interventions, and how the session is going overall. Use your knowledge of cognitive-behavioral therapy principles to assess how well the strategies are working. Additionally, give helpful feedback on potential improvements, reflect on personal insights gained, and think about how the therapist deals with disruptive clients.

Make sure your analysis fits with the assignment objectives and gives a good understanding of group therapy techniques, emphasizing the use of cognitive-behavioral interventions in a group setting. This assignment is a chance to improve your skills in evaluating therapeutic approaches and contribute valuable insights to the field of mental health.

Detailed Discussion Assignment Instructions: Assessment Description

The Analyzing Group Techniques Assignment

Group therapy can alleviate feelings of isolation and foster a supportive and collaborative environment for sharing difficult feelings in order to facilitate healing. For many people, being part of a group that has a shared understanding of a struggle provides a unique opportunity to gain understanding of their own experiences.

As you examine one of the group therapy demonstrations from this week’s Learning Resources, consider the role and efficacy of the leader and the reasons that specific therapeutic techniques were selected.

RESOURCES

 Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

NRNP-6645 Assignment Analyzing Group Techniques

WEEKLY RESOURCES

To prepare:

    Select one of the group therapy video demonstrations from this week’s required media Learning Resources.

THE ASSIGNMENT

In a 3- to 4-page paper, identify the video you selected and address the following:

    What group therapy techniques were demonstrated? How well do you believe these techniques were demonstrated?

    What evidence from the literature supports the techniques demonstrated?

    What did you notice that the therapist did well?

    Explain something that you would have handled differently.

    What is an insight that you gained from watching the therapist handle the group therapy?

    Now imagine you are leading your own group session. How would you go about handling a difficult situation with a disruptive group member? How would you elicit participation in your group? What would you anticipate finding in the different phases of group therapy? What do you see as the benefits and challenges of group therapy?

    Support your reasoning with at least three peer-reviewed, evidence-based sources, and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

BY DAY 7

Submit your Assignment.

ReminderLinks to an external site. The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

NRNP 6645 Analyzing Group Techniques Assignment Example

Introduction

Group therapy, a valuable therapeutic approach, provides individuals with a supportive environment to share and explore their feelings, fostering healing through shared understanding. This analysis focuses on an IPT session for a client with a substance use disorder, examining group therapy techniques, the therapist’s performance, insights gained, and strategies for handling a challenging group member. By delving into these aspects, we aim to deepen our comprehension of effective group therapy dynamics.

Group Therapy Techniques

The IPT session demonstrated several impactful group therapy techniques. Interpersonal sensitivity, catharsis, universality, and releasing tension were evident as group members shared personal experiences and vulnerabilities. Hauber, Boon, and Vermeiren (2019) highlight the importance of these techniques in promoting trust, disclosure, and cohesiveness within the group. Furthermore, interpersonal learning played a key role, allowing group members to gain insights into their own behaviors through genuine emotional experiences (Cuijpers et al., 2016).

The therapist effectively utilized a directive approach, guiding the group through various stages of the session. This approach positively influenced the group’s depth of interaction and personal disclosure. The use of active listening and turn-taking contributed to a balanced and inclusive therapeutic environment, aligning with the principles of effective group therapy leadership (Jones, Bodie, & Hughes, 2019).

Therapist’s Performance

The therapist’s directive approach showcased effective leadership and facilitation skills. By actively listening and allowing turn-taking, the therapist created an environment where each group member felt heard and valued. Empathy was a notable strength, as demonstrated by the therapist’s understanding of the client’s experiences, even in the absence of explicit verbalization. However, caution must be exercised regarding individual reactions, as they may be interpreted differently by group members, potentially impacting the therapeutic alliance (Hauber, Boon, & Vermeiren, 2019).

Handling a Difficult Group Member

When faced with a challenging group member, the author would employ a strategic approach, considering the client’s readiness stage, offering choices, and focusing on strengths. This approach aligns with principles of client-centered therapy, ensuring active client engagement and empowerment in the therapeutic process. Determining the client’s readiness stage is crucial for tailoring interventions that facilitate progress without inducing resistance (Cuijpers et al., 2016). Offering choices empowers the client, fostering a sense of autonomy and collaboration within the therapeutic relationship. Focusing on strengths enhances optimism and attachment, crucial factors in overcoming challenges within the group context.

Insights Gained

The analysis provided valuable insights into the significance of effective leadership and the balance between talking and listening in group therapy. The directive approach proved instrumental in promoting active engagement and disclosure. The importance of creating a non-judgmental space for clients to share their experiences became evident, emphasizing the therapist’s role in facilitating a safe and supportive group environment. These insights are transferable across various therapeutic modalities, underscoring the universal principles of effective group therapy facilitation.

Benefits and Challenges of Group Therapy

Group therapy offers numerous benefits, including peer support, shared learning, and interpersonal skill development. The shared experience among group members fosters a sense of universality, reducing feelings of isolation (Hauber, Boon, & Vermeiren, 2019). However, challenges such as managing conflicts and varying participation levels must be navigated. Strategies for addressing these challenges include establishing clear group guidelines and interventions to promote equal participation.

Conclusion

This analysis has provided a comprehensive examination of group therapy techniques within an IPT session, shedding light on the therapist’s performance, handling difficult group members, and the broader benefits and challenges of group therapy. By integrating insights from scholarly literature, this exploration contributes to a deeper understanding of effective group therapy dynamics and their application in diverse therapeutic settings.

NRNP 6645 Analyzing Group Techniques Assignment Example Two

Introduction

Interpersonal Psychotherapy (IPT) is a time-limited therapeutic approach that addresses mental health issues by focusing on the impact of interpersonal relationships. This analysis delves into an IPT group therapy session for a client named Jimmy, who presented with a substance use disorder. The study explores group therapy techniques employed during the session, supported by scholarly literature, evaluates the therapist’s performance, suggests alternative approaches, and reflects on the insights gained from observing the therapy.

Group Therapy Techniques and Literature Support

The IPT session for Jimmy showcased various group therapy techniques with strong support from scholarly literature. Releasing tension emerged as a crucial technique at the beginning of the session. Hauber, Boon, and Vermeiren (2019) emphasize that sharing personal experiences promotes universality, comfort, and cohesiveness within the group. The group members, acknowledging Jimmy’s initial discomfort, responded by sharing their secrets, creating a supportive environment.

Catharsis played a significant role in building trust and promoting disclosure. Group members, through their willingness to share shameful aspects of their lives, demonstrated catharsis. This technique fosters an environment where individuals feel safe to take risks and make further disclosures (Hauber, Boon, & Vermeiren, 2019). Interpersonal sensitivity was evident as group members, particularly Mark, shared experiences similar to Jimmy’s, highlighting the importance of readiness and cohesiveness for effective disclosure (Hauber et al., 2019).

Interpersonal learning, another group technique, was demonstrated when Jimmy shared his problematic behavior of stealing his mother’s medication. The therapist facilitated the process by providing feedback and guiding group members in understanding the dynamics of their own behaviors. This aligns with the principles of interpersonal learning, allowing individuals to gain insights through genuine emotional experiences (Cuijpers et al., 2016).

Instilling hope emerged as a powerful technique during the session. Tim’s intervention effectively addressed Jimmy’s feelings of shame by acknowledging his courage and honesty. This approach aligns with Hauber, Boon, and Vermeiren’s (2019) assertion that individuals, realizing they are not judged solely on past actions, can inspire hope and facilitate positive change in others.

Therapist’s Performance

The therapist demonstrated commendable skills throughout the IPT session. The directive approach employed effectively guided the group, maintaining relevance and ensuring active engagement. Active listening and turn-taking, as highlighted by Jones, Bodie, and Hughes (2019), contributed to a balanced and inclusive therapeutic environment. The therapist’s empathy, particularly in understanding Jimmy’s experiences without explicit verbalization, created a non-judgmental atmosphere.

What the Therapist Did Well

The therapist excelled in using a directive approach, actively leading the group. This approach ensured the session’s relevance and maintained a clear therapeutic focus. The emphasis on active listening and turn-taking allowed each group member, including Jimmy, to feel heard and valued. The empathetic understanding demonstrated by the therapist contributed to a safe space for disclosure and exploration.

What to Handle Differently

While the therapist’s overall performance was commendable, the author suggests refraining from introducing individual reactions or comments during the session. Such interventions may be interpreted differently by group members and can potentially impact the therapeutic alliance negatively. Maintaining a neutral stance could prevent unintended consequences on client disclosure and engagement.

Insights Gained

Observing the therapist provided valuable insights into the importance of effective leadership and the balance between talking and listening in group therapy. The directive approach positively influenced group dynamics, promoting engagement and disclosure. The significance of creating a non-judgmental space for clients to share their experiences became evident, emphasizing the therapist’s role in fostering a supportive group environment.

Handling a Difficult Group Member

If faced with a challenging group member, the author would adopt a strategic approach, considering the client’s readiness stage, offering choices, and focusing on strengths. This aligns with principles of client-centered therapy, aiming to empower the client and tailor interventions to facilitate progress without inducing resistance. Understanding the client’s stage of readiness is crucial for effective intervention planning, while offering choices and highlighting strengths enhances collaboration and optimism within the therapeutic relationship.

Conclusion

In conclusion, the analysis of an IPT group therapy session for a client with a substance use disorder highlighted effective group therapy techniques, the therapist’s performance, potential improvements, and valuable insights. By integrating scholarly literature, this examination contributes to a deeper understanding of IPT within a group setting. The emphasis on releasing tension, catharsis, interpersonal sensitivity, interpersonal learning, and instilling hope underscored the therapeutic impact of group dynamics. The therapist’s directive approach, active listening, and empathetic understanding were crucial in fostering a supportive and transformative group environment.

NRNP 6645 Analyzing Group Techniques Assignment Example Three

Introduction

Group therapy is a valuable approach for individuals dealing with mental health issues, providing a supportive environment for open communication and shared experiences. This analysis focuses on a group therapy session featured in the video “Psychotherapy for Schizophrenia.” The aim is to examine the group therapy techniques applied in the video, specifically emphasizing cognitive-behavioral therapy (CBT), and evaluate the therapist’s role in facilitating the session.

Cognitive-Behavioral Therapy (CBT) Techniques

The video effectively demonstrates the application of cognitive-behavioral therapy (CBT) techniques within the group setting. The facilitators encouraged clients to voice their fears and discuss how they overcame the worries they were experiencing. This interactive approach aligns with CBT principles, emphasizing the identification and modification of negative thought patterns (Carr et al., 2018). Research supports the effectiveness of CBT in reducing hospital admissions and enhancing patient satisfaction, highlighting its relevance in group therapy settings (Carr et al., 2018).

The facilitators’ introduction, session overview, and follow-up phone calls contribute positively to the group dynamics. Clear communication of the session structure fosters a sense of predictability and safety, essential for individuals with schizophrenia. This aligns with the foundational principles of group therapy, promoting a structured and secure environment (Lecomte et al., 2018).

Suggestions for Improvement

While the facilitation was generally effective, a minor adjustment in the seating arrangement could enhance the group’s comfort. Spreading patients out in a circular pattern and providing more space between them may alleviate potential discomfort caused by close proximity. This adjustment addresses the issue of overstimulation, ensuring a more comfortable and conducive environment for group participation.

Insights Gained

Watching the video provided valuable insights into the importance of introducing the session, outlining guidelines, and conducting follow-up activities. These practices contribute to a well-structured and organized group therapy environment, minimizing uncertainties for participants. The video also highlighted the significance of validating and appreciating client responses, emphasizing the therapist’s role in creating a supportive atmosphere.

Handling Disruptive Clients

The video shed light on the challenges of facilitating groups with disruptive clients. It reinforced the understanding that managing disruptive behavior depends on the specific client, group dynamics, and their perception of the situation. The examples shared, such as redirecting a delusional and manic patient, underscore the therapist’s role in maintaining group cohesion. In cases of persistent disruption, removing the disruptive client from the group may be necessary for the overall efficiency of the session.

Benefits and Phases of Group Therapy

Group therapy offers numerous benefits, including increased interaction, shared coping mechanisms, and diverse perspectives. The stages of group therapy involve members recognizing their own perspectives, learning from others, fostering openness, understanding, respect, and appreciation. Positive experiences shared within the group contribute to rehabilitation and the application of alternative strategies for managing symptoms (Li et al., 2020).

Conclusion

In conclusion, group therapy, particularly using cognitive-behavioral therapy techniques, proves to be a valuable approach for individuals with schizophrenia. The video analysis highlighted the effectiveness of CBT within a group setting, the importance of clear communication in session management, and the therapist’s role in handling disruptive behaviors. The insights gained emphasize the significance of structured sessions, validating client responses, and creating a supportive atmosphere for successful group therapy outcomes. Group therapy remains a powerful method for individuals to connect, share experiences, and acquire coping mechanisms in their journey toward mental health.

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Cognitive Behavioral Therapy Group Settings Versus Family Settings Example Essays

Cognitive Behavioral Therapy Group Settings Versus Family Settings Example EssaysAssignment Brief: Cognitive Behavioral Therapy in Group Settings Versus Family Settings

Assignment Overview:

This assignment aims to explore Cognitive Behavioral Therapy (CBT) in group and family settings, looking at how it works and the unique challenges and adaptations needed for effective therapy.

Assignment Objectives:

  • Understand Theory: Look into the theory behind Cognitive Behavioral Therapy and how it fits into group and family settings, focusing on concepts like schemas and social exchange theory.
  • Explore Practical Use: Check out how CBT is used in the real world in both group and family therapy. Use personal practicum experiences or case studies to show the challenges and successes in each setting.
  • Look at Challenges and Solutions: Investigate challenges specific to each setting, such as fitting individual ideas into group dynamics or blending different family ideas. Suggest strategies to handle these challenges.
  • Discuss Research: Talk about relevant research findings on how well CBT works in group and family settings, considering things like cost-effectiveness, societal impact, and therapeutic outcomes.
  • Reflect on Your Experience: Think about your own practicum experiences or observations related to CBT in group and family therapy. Show how theoretical concepts are used in the real world.

Understanding Assignment Objectives:

This assignment wants you to get a good understanding of how Cognitive Behavioral Therapy works in group and family settings. You’ll need to explore the theory, see how it’s used in real life, and understand the challenges and solutions. By using your own experiences or case studies, you can analyze the practical side of things.

Your Role as a Student:

As a student, your task is to get the theory behind Cognitive Behavioral Therapy and see how it’s used in group and family therapy. Use your own experiences or case studies to look at the challenges in each setting and suggest ways to handle them. Also, talk about research to back up your ideas and give a well-rounded view of how well CBT works in different therapy situations. The assignment encourages you to think about your experiences and really understand how to use CBT in group and family settings.

Detailed Discussion Assignment Instructions: Assessment Description

Cognitive Behavioral Therapy: Group Settings Versus Family Settings – Week 8 Discussion Example Essays

Week 8: Cognitive Behavioral Therapy for Groups

CBT is the most widely researched psychotherapeutic model with demonstrated effectiveness in the treatment of a wide range of emotional and behavioral problems. CBT is the first order of business and treatment of choice for most patients who need internal resources and coping skills enhanced.

—Dr. Sharon M. Freeman Clevenger, Psychotherapy for the Advanced Practice Psychiatric Nurse

Although designed for therapy with individuals, cognitive behavioral therapy (CBT) has also proven effective in group settings. With its many benefits, including cost-effectiveness and efficiency, this therapeutic approach allows the psychiatric mental health nurse practitioner to effectively treat a greater number of clients in a relatively short length of time. With the widespread use of CBT with groups, it is important for you to understand how to use this therapeutic approach in clinical settings.

This week, as you explore CBT for groups, you compare CBT in group and family settings. You also develop diagnoses for clients receiving group psychotherapy and consider legal and ethical implications of counseling these clients.

Learning Resources

Note: 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 Readings

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

    Chapter 11, “In the Beginning” (pp. 309–344)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

    Chapter 12, “The Advanced Group” (pp. 345–390)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: You will access this text from the Walden Library databases.

Bjornsson, A. S., Bidwell, L. C., Brosse, A. L., Carey, G., Hauser, M., Mackiewicz Seghete, K. L., … Craighead, W. E. (2011). Cognitive-behavioral group therapy versus group psychotherapy for social anxiety disorder among college students: A randomized controlled trial. Depression and Anxiety, 28(11), 1034–1042. doi:10.1002/da.20877

Note: You will access this text from the Walden Library databases.

Safak, Y., Karadere, M. E., Ozdel, K., Ozcan, T., Türkçapar, M. H., Kuru, E., & Yücens, B. (2014). The effectiveness of cognitive behavioral group psychotherapy for obsessive-compulsive disorder. Turkish Journal of Psychiatry, 25(4), 225–233. Retrieved from http://www.turkpsikiyatri.com/

Note: You will access this text from the Walden Library databases.

Document: Group Therapy Progress Note

Discussion: Cognitive Behavioral Therapy: Group Settings Versus Family Settings

As you might recall from Week 5, there are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in group settings and family settings, consider challenges of using this approach with your own groups.

Learning Objectives

Students will:

    Compare the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families

    Analyze challenges of using cognitive behavioral therapy for groups

    Recommend effective strategies in cognitive behavioral therapy for groups

To prepare:

    Reflect on your practicum experiences with CBT in group and family settings.

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 submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit! Cognitive Behavioral Therapy: Group Settings Versus Family Settings – Week 8 Discussion Sample Essays

By Day 3

Post an explanation of how the use of CBT in groups compares to its use in family settings. Provide specific examples from your own practicum experiences. Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by recommending strategies to overcome the challenges your colleagues have identified. Support your recommendation with evidence-based literature and/or your own experiences with clients.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 8 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 8 Discussion

 Assignment 1: Practicum – Week 8 Journal Entry

Learning Objectives

Students will:

    Develop effective documentation skills for group therapy sessions *

    Develop diagnoses for clients receiving group psychotherapy *

    Evaluate the efficacy of cognitive behavioral therapy for groups *

    Analyze legal and ethical implications of counseling clients with psychiatric disorders *

    Cognitive Behavioral Therapy: Group Settings Versus Family Settings – Week 8 Discussion Example Essays

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

Then, in your Practicum Journal, address the following:

    Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.

    Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.

    Using the DSM-5, explain and justify your diagnosis for each client.

    Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach. Cognitive Behavioral Therapy: Group Settings Versus Family Settings – Week 8 Discussion Sample Essays

    Explain any legal and/or ethical implications related to counseling each client.

    Support your approach with evidence-based literature.

By Day 7 of Week 10

Submit your Assignment.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

Now that you have:

    Explored cognitive behavioral therapy (CBT) for groups and compared CBT in group and family settings

    Developed diagnoses for clients receiving group psychotherapy and considered legal and ethical implications of counseling these clients

Next week, you will:

    Explore psychotherapeutic approaches to group therapy for addiction

    Develop diagnoses for clients receiving psychotherapy for addiction and consider legal and ethical implications of counseling these clients.

Cognitive Behavioral Therapy: Group Settings Versus Family Settings Example Essay

Introduction:

Cognitive Behavioral Therapy (CBT) serves as a versatile and effective psychotherapeutic model, applicable in diverse settings such as individual, group, and family therapy. This essay explores the comparisons and challenges associated with implementing CBT in group settings versus family settings, drawing insights from the provided sample essays and relevant literature.

CBT in Group Settings versus Family Settings:

Cognitive Behavioral Therapy exhibits similarities and differences when applied in group and family contexts. Both settings have demonstrated effectiveness in treating various mental health disorders, including anxiety, depression, and substance use (McHugh et al., 2010; Naik et al., 2013). However, the structural variances are notable, with group therapy addressing individuals with distinct disorders, while family therapy focuses on the dynamics within a familial unit (Nichols, 2014).

Challenges of CBT in Group Settings:

Group therapy, while cost-effective and conducive to shared experiences, poses unique challenges. Group dynamics can hinder the formation of connections among individuals, impacting the effectiveness of restructuring activities (Bjornsson et al., 2011). Additionally, maintaining focus on individual goals within the collective setting can be challenging, as members may bring diverse issues to the forefront (Wheeler, 2014).

Challenges of CBT in Family Settings:

In family settings, blending diverse family schemas and creating new, adaptive beliefs can be challenging. Families with special needs children, for instance, may struggle to adapt to unique challenges, necessitating additional therapeutic efforts (Bjornsson et al., 2011). Establishing cohesive family dynamics requires addressing individual concerns within the broader context of familial interactions.

Strategies to Overcome Challenges:

To overcome challenges in group settings, fostering a supportive environment and encouraging open communication is paramount. Providing additional individual sessions when necessary ensures personalized attention (Wheeler, 2014). In family settings, gradual integration of family schemas and emphasis on creating new adaptive beliefs facilitate the development of a cohesive familial unit. Individual sessions may be instrumental in addressing specific concerns of family members (Bjornsson et al., 2011).

Legal and Ethical Considerations:

Legal and ethical considerations are integral to both group and family settings. Maintaining confidentiality is crucial, requiring therapists to navigate the balance between individual and collective privacy (Wheeler, 2014). Informed consent, particularly in family settings, becomes pivotal, considering the potential impact of shared information on the family dynamic.

Conclusion:

In conclusion, CBT’s application in group and family settings offers distinct challenges and advantages. Therapists must navigate the complexities of group dynamics or familial interactions while adhering to legal and ethical considerations. Integrating individual and collective therapeutic approaches ensures a comprehensive and tailored treatment experience for clients in diverse settings. As mental health practitioners continue to refine their skills, understanding the nuanced application of CBT across different contexts remains essential for effective and ethical treatment.

Cognitive Behavioral Therapy: Group Settings Versus Family Settings Example Essay Two

Introduction:

Cognitive Behavioral Therapy (CBT) is a widely recognized short-term psychotherapeutic approach emphasizing attitude change to facilitate behavior modification (Nichols, 2014). Effective in treating various disorders, CBT can be implemented at the individual or family level, with distinct frameworks for each (Wheeler, 2014).

Individual CBT and Family CBT:

Individual CBT involves a collaborative process between therapist and client, considering schemas and physiology to tailor the plan of care, particularly focusing on harm reduction, especially for clients dealing with anxiety and substance abuse (Wheeler, 2014). In contrast, family CBT, a brief and solution-focused approach, aims to cultivate adaptive thinking and behaviors within the family unit, fostering a healthier family environment (Nichols, 2014).

Case Example: T.M’s Struggle with Alcoholism:

T.M, engaged in both individual and family CBT, initially sought help for alcohol-related issues. His resistance to acknowledging the severity of his alcoholism became apparent in individual sessions. When family CBT was introduced, tensions arose, revealing discrepancies in his reported abstinence duration. Such complexities underscore the importance of addressing substance use disorders (SUDs) within a multifaceted therapeutic approach.

CBT Strategies for Substance Use Disorders:

The CBT model for SUDs recognizes substances as reinforcing behaviors, creating associations with daily activities. Cognitive restructuring and skill development are employed to reduce the positive and negative reinforcement effects, promoting abstinence or controlled substance use (McHugh et al., 2010). In T.M’s case, the discrepancy in his narratives highlighted the need for a comprehensive approach, combining individual and family interventions.

Challenges and Recommendations:

Implementing CBT in family settings presents challenges, such as session structure and technique effectiveness concerns (Ringle et al., 2015). To address these challenges, therapists may benefit from evaluation, consultation with peers, and consideration of alternative interventions. In T.M’s case, a recommendation for the “Ready for Change” group was made, leveraging shared experiences to foster awareness of alcohol-related issues (Morin et al., 2017).

Conclusion:

This case underscores the complexity of addressing substance use within the family context and the importance of a nuanced therapeutic approach. Utilizing both individual and family CBT, along with group support, proved essential in navigating T.M’s resistance and promoting awareness. Therapists must continually evaluate and adapt their strategies, drawing on the principles of CBT to address the unique challenges presented by each client and family.

References:

McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010). Cognitive behavioral therapy for substance use disorders. The Psychiatric clinics of North America, 33(3), 511-25. doi:10.1016/j.psc.2010.04.012

Morin, J., Harris, M., & Conrod, P. (2017, October 05). A Review of CBT Treatments for Substance Use Disorders. Oxford Handbooks Online. Retrieved from http://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780199935291.001.0001/oxfordhb-9780199935291-e-57.

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

Ringle, V. A., Read, K. L., Edmunds, J. M., Brodman, D. M., Kendall, P. C., Barg, F., & Beidas, R. S. (2015). Barriers to and Facilitators in the Implementation of Cognitive-Behavioral Therapy for Youth Anxiety in the Community. Psychiatric services (Washington, D.C.), 66(9), 938-45. doi:10.1176/appi.ps.201400134

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

Cognitive Behavioral Therapy: Group Settings Versus Family Settings Example Essay Three

Cognitive Behavioral Therapy (CBT) stands out as a highly effective psychotherapeutic approach, adaptable to individual, group, or family settings. Its core objective is to collaboratively work with patients to modify unhealthy thoughts and behaviors, offering a versatile framework applicable to diverse mental health conditions, from addiction to severe illnesses.

Effectiveness of Group Therapy:

While some argue that group therapy is more effective than individual therapy (Kellett, Clarke, & Matthews, 2007), the choice between group, family, or individual sessions depends on the nature of the condition being treated. The Johnson Family Session video provides insight into the nuanced effectiveness of group or individual therapy. For instance, a survivor of sexual assault displayed internal issues hindering her engagement in group therapy. This highlights the importance of addressing individual needs before progressing to group or family sessions.

Challenges in Group/Family Therapy:

Ensuring client commitment to treatment is pivotal, as poor compliance can impact the therapeutic dynamics within the group (Söchting, Lau, & Ogrodniczuk, 2018). A case from practicum involving a terminally ill patient illustrates the challenges of family therapy when individual issues are not addressed first. The patient’s readiness for comfort care conflicted with her family’s denial. Individual CBT would have been beneficial in addressing her anxiety, insecurities, and depression, allowing for a healthier transition to family sessions.

CBT for Depression:

CBT, recognized for its evidence-based efficacy, particularly shines in treating depression (Driessen et al., 2017). However, challenges arise when individuals are not fully engaged, harbor doubts about the treatment’s effectiveness, or possess unresolved individual issues. These challenges underscore the need for a flexible and individualized approach, even within the broader framework of CBT.

Conclusion:

In navigating the landscape of CBT applications, practitioners must carefully consider the unique needs of each client. While CBT is a powerful tool, its success relies on addressing individual barriers and tailoring therapeutic approaches to specific circumstances. Whether in group, family, or individual settings, the adaptability of CBT provides a solid foundation, but the key lies in recognizing and addressing individual nuances.

References:

Kellett, S., Clarke, S., & Matthews, L. (2007). Delivering Group Psychoeducational CBT in Primary Care: Comparing Outcomes with Individual CBT and Individual Psychodynamic-Interpersonal Psychotherapy. British Journal of Clinical Psychology, 46(2).

Söchting, I., Lau, M., & Ogrodniczuk, J. (2018). Predicting Compliance in Group CBT Using the Group Therapy Questionnaire. International Journal of Group Psychotherapy, 68(2).

Driessen, E., Van, H. L., Peen, J., Don, F. J., Twisk, J. W. R., Cuijpers, P., & Dekker, J. J. M. (2017). Cognitive-Behavioral Versus Psychodynamic Therapy for Major Depression: Secondary Outcomes of a Randomized Clinical Trial. Journal of Consulting Clinical Psychology, 85(7).

Cognitive Behavioral Therapy: Group Settings Versus Family Settings Example Essay Four

Cognitive Behavioral Therapy (CBT) has proven efficacy in treating various psychiatric disorders, presenting itself as an adaptable intervention available in individual, family, or group settings (Naik et al., 2013). While individual and family therapies have their merits, Group Cognitive Behavioral Therapy (GCBT) emerges as a promising alternative, particularly in scenarios where delivering extensive treatment to a larger number of patients is logistically challenging.

Efficacy Across Disorders:

Research indicates that CBT, whether delivered individually or in a group, is highly effective across diverse conditions, including unipolar depression, anxiety disorders, bulimia nervosa, and more (Naik et al., 2013). This versatility positions CBT as a valuable therapeutic tool, adaptable to different settings based on patient needs.

Cost-Effectiveness of Group CBT:

One notable advantage of GCBT is its cost-effectiveness. In particular, group treatment has demonstrated economic benefits, especially in cases involving children and adolescents with conditions like anxiety disorders and depression (Hedman et al., 2010). The reduction in medical and nonmedical costs contributes to a societal cost offset, making GCBT a pragmatic solution in resource-limited healthcare environments.

Challenges and Considerations:

Despite its potential, challenges exist in implementing GCBT, including the scarcity of properly trained therapists and associated high costs in family settings (Hedman et al., 2010). Additionally, the acceptability and efficacy of GCBT need to be explored further in real-world mental health settings to ensure its applicability and benefits in diverse populations.

Addressing Healthcare Resource Limitations:

As healthcare resources become increasingly constrained, the demand for cost-effective treatments rises. GCBT aligns with this demand by offering a time- and cost-efficient therapeutic approach, potentially reducing societal costs associated with sick leave and healthcare consumption (Hedman et al., 2010).

Conclusion:

Group Cognitive Behavioral Therapy stands out as a promising and cost-effective approach in mental health treatment. Its effectiveness across various disorders and potential societal cost offsets position it as a valuable addition to the therapeutic toolkit. Future research and implementation efforts should focus on addressing challenges and expanding our understanding of GCBT’s acceptability and efficacy in diverse mental health settings.

References:

Naik, A., O’Brien, A., Gaskin, C., Munro, I., & Bloomer, M. (2013). The Acceptability and Efficacy of a Group Cognitive Behavioural Therapy Programme in a Community Mental Health Setting. Community Mental Health Journal, 49(3), 368–372.

Hedman, E., Ljótsson, B., Andersson, E., Rück, C., Andersson, G., & Lindefors, N. (2010). Effectiveness and cost offset analysis of group CBT for hypochondriasis delivered in a psychiatric setting: an open trial. Cognitive Behaviour Therapy, 39(4), 239–250.

Cognitive Behavioral Therapy: Group Settings Versus Family Settings Example Essay Five

Cognitive Behavioral Therapy (CBT) stands as a cornerstone in evidence-based therapeutic practices, adaptable to individual, group, and family settings. The integration of CBT into family therapy is rooted in Thibaut and Kelley’s theory of social exchange, emphasizing the interplay of rewards and sacrifices within relationships to maintain homeostasis (Nichols, 2014).

In both group and family CBT, the concept of schemas plays a pivotal role. Schemas represent core beliefs shaping individuals’ responses, consciously or unconsciously (Wheeler, 2014). However, challenges arise when group members attempt to bring their family schemas into the group setting, potentially complicating the therapeutic process (Wheeler, 2014). Moreover, the focus on restructuring activities in group CBT, as highlighted by Bjornsson et al. (2011), may impede the formation of crucial group dynamics, limiting the effectiveness of the therapy.

In my practicum experience, maintaining a focus on the present and fostering change-oriented goals has been a significant aspect of group therapy. Group members often grapple with reconciling past experiences that led to their behaviors, necessitating the therapist’s effort to anchor discussions in the present (Wheeler, 2014). Conversely, family therapy sessions have presented distinct challenges, particularly in blending disparate family schemas into a cohesive unit. The complexities are heightened when families are navigating the unique dynamics associated with having autistic children, necessitating the creation of new schemas to accommodate these circumstances.

The effectiveness of CBT in various settings also hinges on addressing the nuances of each therapeutic context. While family therapy may encounter struggles in blending family schemas, group therapy, as observed by Bjornsson et al. (2011), may face obstacles in establishing cohesive group dynamics. These challenges underscore the importance of tailoring CBT approaches to suit the specific needs of each setting.

In conclusion, CBT’s versatility in individual, group, and family settings underscores its adaptability to diverse therapeutic contexts. As therapists navigate the complexities of group and family dynamics, a nuanced understanding of schemas and a focus on present-oriented goals remain paramount in achieving positive outcomes.

References:

Bjornsson, A. S., Bidwell, C., Brosse, A. L., Carey, G., Hauser, M., Mackiewicz, K. L., … Craighead, W. E. (2011). Cognitive-Behavioral Group Therapy Versus Group Psychotherapy For Social Anxiety Disorder Among College Students: A Randomized Controlled Trial. Depression and Anxiety, 28(11), 1034-1042. http://dx.doi.org/10.1002/da.20877

Nichols, M. (2014). The Essentials of Family Therapy (6th ed.). Boston, MA: Pearson.

Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse (2nd ed.). New York, NY: Springer Publishing Company.

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ANP 650 Advanced Practice Rules for Nurse Practitioners Example

Assignment on ANP 650 Advanced Practice Rules for Nurse Practitioners ExampleAssignment Brief: ANP 650 Advanced Practice Rules for Nurse Practitioners Example

Assignment Instructions Overview:

The primary objective of this assignment is to research on the advanced practice rules for nurse practitioners, focusing on state-specific regulations. For this instance, the target states are California and Nevada, with an additional analysis of Arizona. Learners will explore the nurse practice acts, professional codes, business practices, invasive procedure privileges, standards for nurse practitioners, and regulations for ordering medications and devices within these states.

Understanding Assignment Objectives:

  1. California-based Learners:
    1. Read Nurse Practice Act: Acknowledge reading the Nurse Practice Act for California, available through the “Board of Nursing Links by State” on the Student Success Center under the AGACNP tab.
    2. Identify Professional Codes: Identify professional codes and business practices regulated by the California Board of Nursing for nurse practitioners.
    3. Standardized Procedure Guidelines: Explain how standardized procedure guidelines are governed within California.
    4. Standards for Nurse Practitioners: Detail at least two standards outlined by the California Board of Nursing for nurse practitioners.
    5. Regulations for Medications: Discuss regulations for furnishing and ordering medications, drugs, and devices within the state.
  2. Learners in States Other Than California (e.g., Nevada):
    1. Read State Nurse Practice Act: Identify the state in which you practice and acknowledge reading your state’s Nurse Practice Act using the “Board of Nursing Links by State.”
    2. Professional Codes: Identify professional codes and business practices regulated by the state for nurse practitioners.
    3. Invasive Procedure Privileges: Explain how invasive procedure privileges are granted within your state.
    4. Standards for Nurse Practitioners: Detail at least two standards outlined by your state’s Board of Nursing for nurse practitioners.
    5. Regulations for Medications: Discuss regulations for ordering medications and devices within your state.
  3. Both California and Other States (e.g., Nevada) Learners:
    1. National, State, and Local Regulations Impact: Discuss how national, state, and local regulations affect the AGACNP scope and practices.
    2. Support with Resources: Support your response with a minimum of two APRN peer-reviewed resources.

The Student’s Role:

  1. Research and Analysis:
    1. Thoroughly research the Nurse Practice Acts, professional codes, and business practices specific to your state.
    2. Analyze the regulations governing standardized procedure guidelines, invasive procedure privileges, and medication ordering within your state.
  2. Comparative Analysis:
    1. If applicable, compare and contrast the regulations in your state with those in California, focusing on the standards set for nurse practitioners and the processes for medication orders.
  3. Resource Integration:
    1. Integrate a minimum of two APRN peer-reviewed resources to support your discussion on the impact of national, state, and local regulations on AGACNP scope and practices.
  4. Critical Reflection:
    1. Reflect critically on the implications of these regulations on the role of Adult-Gerontology Acute Care Nurse Practitioners (AGACNPs) in your state, considering patient care, autonomy, and collaboration with other healthcare providers.

Submission Guidelines:

  • Submit a well-organized and articulate paper, addressing the outlined components.
  • Ensure clarity, coherence, and proper citation of all referenced resources.
  • Adhere to the APA format for citations and the overall structure of the paper.

Evaluation Criteria:

  • Comprehensive understanding and integration of state-specific regulations.
  • Critical analysis and comparison of regulations, where applicable.
  • Clear discussion on the impact of national, state, and local regulations on AGACNP scope and practices.
  • Effective integration of a minimum of two peer-reviewed resources to support arguments and reflections.
  • Adherence to submission guidelines, including word count and APA format.

Detailed Discussion Assignment Instructions: Assessment Description

Topic 1 DQ 2

For California-based learners, review the advanced practice rules for nurse practitioners in California using the resource, “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.

In your response, acknowledge that you have read the Nurse Practice Act for California. Identify the professional codes and business practices regulated by the California Board of Nursing for nurse practitioners. Explain how standardized procedure guidelines are governed within California, detail at least two standards for nurse practitioners outlined by the California Board of Nursing, and discuss the regulations of furnishing and ordering medications, drugs, and devices within the state.ANP-650 topic 1 dq 2 advanced practice rules for nurse practitioners How do national, state, and local regulations affect the AGACNP scope and practices? Support your answer with a minimum of two APRN peer-reviewed resources.

For learners based in states other than California, review the advanced practice rules for nurse practitioners in your respective state using the resource, “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.

In your response, identify the state in which you practice and acknowledge that you have read your state’s Nurse Practice Act. Identify the professional codes and business practices regulated by the state for nurse practitioners and explain how invasive procedure privileges are granted within your state. Detail at least two standards for nurse practitioners within your state and discuss the regulations for ordering medications and devices within your state. How do national, state, and local regulations affect the AGACNP scope and practices? Support your answer with a minimum of two APRN peer-reviewed resources.

ANP 650 Advanced Practice Rules for Nurse Practitioners Examples

ANP 650 Topic 1 DQ 2: Advanced Practice Rules for Nurse Practitioners in Nevada

I have meticulously reviewed the Nurse Practice Act for the State of Nevada, where I practice as a registered nurse. The Nevada Administrative Code (NAC) Chapter 632, specifically the section related to Nursing, serves as the comprehensive legal framework governing the practice of advanced practice nurses (APNs) in the state (Nevada Administrative Code, 2019).

Professional Codes and Business Practices

Nevada, being a full-practice state, has recognized the role of advanced practice nurses, allowing them to be reimbursed up to 85% by third-party payors (Kleinpell et al., 2023; Phillips, 2021). However, it’s noteworthy that under state law, APNs are not designated as primary care providers, even though they have the authority to admit and care for patients in the acute care setting (Phillips, 2021).

The Nurse Practice Act in Nevada encompasses various professional codes and business practices aimed at regulating the conduct of advanced practice registered nurses (APRNs). One notable requirement is the obligation for APRNs to maintain professional liability insurance, emphasizing the importance of accountability in their practice (NAC, 2019). Furthermore, APRNs are mandated to maintain a professional portfolio containing essential documents such as copies of professional licenses, proof of liability insurance, a list of practice locations, evidence of national certifications, continuing education records, and transcripts from educational institutions (NAC, 2019).

Invasive Procedure Privileges

In Nevada, the grant of invasive procedure privileges is subject to specific parameters outlined in the Nurse Practice Act. APRNs are eligible for these privileges if they have been certified to perform the procedure by a board-recognized organization, if the procedure was part of their educational program, if individually approved by the board, or if taught by a physician or another APRN and described as performed by an APRN in national nursing publications or guidelines (NAC, 2019).

Authorization to issue written prescriptions for controlled substances, dangerous drugs, poisons, or devices is contingent on the APRN’s application for this privilege through the board. Additionally, attendance at a program of advanced pharmacotherapeutics or other courses meeting board requirements and intended for the APRN’s population of focus is a prerequisite for this authorization (NAC, 2019).

Standards for Nurse Practitioners

The Nevada Nurse Practice Act delineates several standards that APRNs are expected to adhere to in their practice. Effective communication and collaboration with other healthcare providers involved in patient care is emphasized, aligning with the collaborative nature of healthcare delivery (NAC, 2019). Another critical standard pertains to the APRN’s recognition, understanding, and accommodation of patient choices related to their social, cultural, and religious beliefs regarding psychological and physiological health (NAC, 2019).

Communication and collaboration are integral components of the nursing profession, and these standards further underscore the importance of these skills in the advanced practice role. Recognizing and respecting patient choices aligns with the holistic approach to patient care and reflects the ethical principles guiding nursing practice (DeNisco, 2019).

Regulations for Ordering Medications and Devices

APRNs in Nevada have the autonomy to order medications and devices independently once they fulfill specific requirements outlined by the Nevada State Board of Nursing (NSBON). If applying for a license in Nevada after practicing for 2000 hours or two years in another state, an APRN can independently order medications and devices (NSBON, n.d.). For newly certified APRNs, a collaborative agreement with a physician is mandatory for the first 1000 hours without prescribing privileges (NSBON, n.d.).

Moreover, in addition to the regulation by the state board of nursing, APRNs, particularly those specializing in adult-gerontological acute care, are subject to requirements from other state regulatory bodies. These bodies may include the state board of medical examiners and state pharmacy boards, further influencing the scope and practices of APRNs (DeNisco, 2019).

Impact of National, State, and Local Regulations on AGACNP Scope and Practices

National, state, and local regulations play a pivotal role in shaping the scope and practices of Adult-Gerontology Acute Care Nurse Practitioners (AGACNPs). These regulations, often complex and multifaceted, are crucial for ensuring standardized and safe practice while also influencing aspects such as patient access, reimbursement, and quality control (DeNisco, 2019).

On the national level, regulatory processes impact patient access to APRNs, reimbursement mechanisms, and the overall quality of care. Kleinpell et al. (2023) highlight the significance of addressing barriers to APRN practice, especially during critical periods such as the COVID-19 pandemic. National regulatory implications can either facilitate or hinder the ability of AGACNPs to respond effectively to evolving healthcare needs.

State-level regulations, as evident in the Nevada Nurse Practice Act, define the specific parameters within which AGACNPs can operate. The recognition of APNs as full-practice providers in Nevada reflects a progressive approach, allowing them a significant degree of autonomy in patient care. However, nuances, such as the non-recognition of APNs as primary care providers, indicate the need for ongoing advocacy and regulatory refinement.

Local regulations, often enforced by entities like state boards of medical examiners and pharmacy boards, add a layer of complexity to AGACNP practice. These regulations may vary, requiring AGACNPs to navigate diverse sets of rules and requirements depending on their practice location within the state.

In conclusion, the regulatory landscape for AGACNPs is intricate, involving a dynamic interplay of national, state, and local regulations. While national regulations set the broader context, state and local regulations provide the specific parameters that shape the scope and practices of AGACNPs. Awareness of and engagement with these regulatory frameworks are essential for AGACNPs to navigate their roles effectively, ensuring high-quality patient care within the bounds of legal and professional standards. Advocacy efforts at all levels are crucial to address barriers, promote autonomy, and enhance the contributions of AGACNPs to the evolving healthcare landscape.

References

DeNisco, S. M. (2019). Advanced practice nursing (4th ed.). Jones & Bartlett Learning.

Kleinpell, R., Myers, C. R., & Schorn, M. N. (2023). Addressing barriers to APRN practice: Policy and regulatory implications during COVID-19. Journal of Nursing Regulation, 14(1), 13–20. https://doi.org/10.1016/s2155-8256(23)00064-9

Nevada Administrative Code, Chapter 632-Nursing. (2019). https://www.leg.state.nv.us/NAC/NAC-632.html#NAC632Sec259

Nevada State Board of Nursing. (n.d.). APRN licensure-Frequently asked questions [PDF]. https://nevadanursingboard.org/wp-content/uploads/2019/12/APRN-FAQs.pdf

Phillips, S. J. (2021). 33rd Annual APRN Legislative Update. The Nurse Practitioner, 46(1), 27–55. https://doi.org/10.1097/01.npr.0000724504.39836.69

ANP-650 Topic 1 DQ 2: Advanced Practice Rules for Nurse Practitioners in Arizona

I have carefully reviewed the Arizona Nurse Practice Act to gain insights into the regulatory framework governing the practice of advanced practice nurses (APNs) in the state. The Arizona State Board of Nursing (AZBN) plays a pivotal role in establishing and enforcing rules and regulations aimed at ensuring the safety and well-being of the public (Arizona State Board of Nursing, n.d).

Licensure and Competence Assessment

The primary objective of the Nurse Practice Act in Arizona is to regulate and protect the public by establishing rigorous standards for competence and proficiency among healthcare practitioners. This is achieved through the licensure process, where individuals must demonstrate complete competence in their respective scopes of practice by successfully passing the board examination (Arizona State Board of Nursing, n.d). Licensure is a cornerstone regulation, making it illegal for individuals to perform any advanced practice nursing tasks without a valid license.

The AZBN recognizes the dynamic nature of healthcare and, to ensure ongoing competence, implements mandatory annual education requirements for APNs. This requirement is essential for APNs to stay abreast of advancements in healthcare and to maintain the knowledge necessary for effective and safe practice (Arizona State Board of Nursing, n.d).

Regulatory Methods for Patient Safety

For Advanced Practice Registered Nurses (APRNs) in Arizona, four regulatory methods are in place to prevent harm to the public: licensure, registration, certification, and recognition. Licensure is the foundational regulation that governs the legal practice of APRNs, emphasizing the importance of demonstrating competence and maintaining ongoing education throughout their careers.

Certification holds significant weight in the field of Adult-Gerontology Acute Care Nurse Practitioners (ACNPs), representing an individual’s education, experience, and dedicated hours in the field. The Nurse Practice Act further outlines specific requirements for practicing as a nurse practitioner, including the completion of an ACNP education program and the ability to manage patients’ health through comprehensive assessments.

The National Council of State Boards of Nursing (NCSBN) has taken steps to address variations in regulations across states through the establishment of the “Consensus Model for Regulation: Licensure, Accreditation, Certification, and Education (LACE).” This model proposes definitions of APRN practice, titling, and education requirements, providing a framework for uniformity across states. However, the implementation of these recommendations remains subject to state laws, emphasizing the need for continued advocacy and adaptation as the ACNP field evolves (Buck, 2021).

Scope of Practice for Registered Nurse Practitioners (RNPs) in Arizona

In Arizona, a Registered Nurse Practitioner (RNP) operates without the requirement of physician oversight as long as the task falls within their knowledge and educational training. However, ACNPs in Arizona are subject to limitations when treating physiologically unstable patients. Once a patient is considered stable, an ACNP is obligated to transfer their care to a primary care provider, as it exceeds their defined scope of practice. Staying informed and up-to-date with these evolving regulations is imperative for ACNPs to ensure public safety and compliance with legal and professional standards.

Impact of the COVID-19 Pandemic on Healthcare Regulation

The COVID-19 pandemic has underscored the importance of optimal utilization of healthcare providers. The Consensus Model, developed in 2008, provides a framework for APRN regulation aligned with state laws, aiming to create an APRN compact similar to the compact RN license. This compact would enable APRNs to practice across state borders, promoting flexibility and addressing workforce shortages during emergencies.

Regulatory bodies, such as the Consensus Model, play a vital role in establishing a foundation for a concise and clear scope of practice for APRNs. The model’s framework, designed to align with state laws, seeks to address the existing confusion and disparities across states that hinder APRNs’ roles and scope of practice. The ongoing evolution of regulations emphasizes the importance of APRNs staying updated on changes that may impact their practice, ensuring they are well-prepared to navigate the complexities of their roles (Buck, 2021).

In conclusion, the Arizona Nurse Practice Act, administered by the Arizona State Board of Nursing, establishes a robust regulatory framework to ensure the competence and ongoing education of advanced practice nurses. Licensure, certification, and adherence to defined scopes of practice are critical components of the regulatory landscape, with ongoing efforts at the national level, such as the Consensus Model, aiming to bring uniformity to APRN regulations. As the ACNP field continues to evolve, it is essential for practitioners to stay informed and engaged in advocacy efforts to shape regulations that promote patient safety and support the dynamic needs of healthcare delivery.

References

Arizona State Board of Nursing. (n.d.). https://www.azbn.gov/laws-and-rules/statutes

Arizona State Board of Nursing (2021). APRN Questions & Answers. Retrieved September 9, 2021, from https://www.azbn.gov/wp-content/uploads/2021/07/APRN%20Scope%20of%20Practice%20Q%26A%20FINAL.pdf

Buck, M. (2021). An update on the consensus model for APRN regulation: More than a decade of progress. Journal of Nursing Regulation, 12(2), 23–33. https://doi.org/10.1016/s2155-8256(21)00053-3

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ANP-650-Adult-Gerontology Acute Care I Example Assignment

ANP-650-Adult-Gerontology Acute Care I Example AssignmentANP-650-Adult-Gerontology Acute Care I: Assignment Brief

Overview:

The ANP-650 course focuses on preparing learners for the role of an Adult-Gerontology Acute Care Nurse Practitioner (AGACNP). The course is structured around key objectives, each designed to equip learners with the knowledge and skills necessary for effective AGACNP practice. This assignment brief provides an overview of the topics and assessments in Topic 1 and guides learners on how to approach and fulfill the requirements.

Understanding Assignment Objectives:

  1. Summary of Current Course Content Knowledge:
    1. Objective: Assess and articulate prior knowledge of weekly objectives.
    2. Guidance: Reflect on your familiarity with the weekly objectives. Identify objectives where you have prior knowledge and those where you lack familiarity. Consider how this self-assessment informs your approach to the course.
  1. Class Introductions:
    1. Objective: Introduce yourself and express expectations and challenges.
    2. Guidance: Share your excitement for learning and identify what you find challenging. This introduction serves as a foundation for building a collaborative learning environment.
  2. ANP-650-Adult-Gerontology Acute Care I Topic 1 DQ 1:
    1. Objective: Develop clinical objectives and a plan incorporating course objectives.
    2. Guidance: List clinical objectives aligned with course goals. Provide a 250-word plan detailing how you intend to apply course objectives and clinical practice guidelines in your clinical experience. Support your plan with at least two APRN-approved scholarly resources.
  3. ANP-650-Adult-Gerontology Acute Care I Topic 1 DQ 2:
    1. Objective: Understand regulations governing AGACNP practice in California (or your respective state).
    2. Guidance: Acknowledge reading the Nurse Practice Act for California (or your state). Identify professional codes and business practices regulated by the California Board of Nursing. Explain standardized procedure guidelines, outline two standards for nurse practitioners, and discuss regulations for medication ordering. Support your response with a minimum of two APRN peer-reviewed resources.
  4. AGACNP Program Plan for Required Experience:
    1. Objective: Develop a plan for clinical/practicum rotations.
    2. Guidance: Create a detailed plan outlining the type of rotations, hours, and preferred locations. This plan can be inspirational, practical, or a combination. Share your thoughts on future plans post-program.
  5. Prepracticum Preceptor, Faculty, and Learner Conference and Evaluation:
    1. Objective: Participate in a pre-conference meeting with preceptor and faculty.
    2. Guidance: Review and sign the “Prepracticum Preceptor, Faculty, and Learner Conference and Evaluation” form. Discuss course goals, learner expectations, and potential projects during the clinical/practicum experience. Ensure timely submission of required documents.

The Student’s Role:

As a learner in ANP-650, your role is crucial. Actively engage in self-assessment, contribute to class introductions, thoughtfully respond to discussion questions, and meticulously plan your clinical/practicum rotations. Familiarize yourself with relevant regulations and collaborate with preceptors and faculty to ensure a successful clinical/practicum experience. Your commitment to these activities will enhance your understanding of AGACNP practice and contribute to a successful learning journey.

Detailed Discussion Assignment Instructions: Assessment Description

Topic 1: Scope of Practice and the Role of the AGACNP

Max Points: 77

Objectives:

  • Describe the role and scope of practice of the Adult Gerontology Acute Care Nurse Practitioner (AGACNP).
  • Describe the role of the AGACNP in assessing patients and designing evidence-based treatments.
  • Distinguish national, state, and local regulations as they affect AGACNP scope and practices.
  • Document indications and contraindications for invasive treatment procedures occurring in an acute care setting.

Assessments

Summary of Current Course Content Knowledge

Assessment Description

Academic engagement through active participation in instructional activities related to the course objectives is paramount to your success in this course and future courses.  Through interaction with your instructor and classmates, you will explore the course material and be provided with the best opportunity for objective and competency mastery.  To begin this class, review the course objectives for each Topic, and then answer the following questions as this will help guide your instructor for course instruction.

  • Which weekly objectives do you have prior knowledge of and to what extent?
  • Which weekly objectives do you have no prior knowledge of?
  • What course-related topics would you like to discuss with your instructor and classmates?  What questions or concerns do you have about this course?

Class Introductions

Assessment Description

Take a moment to explore your new classroom and introduce yourself to your fellow classmates. What are you excited about learning? What do you think will be most challenging?

ANP-650-Adult-Gerontology Acute Care I Topic 1 DQ 1

Assessment Description

Review the course objectives and consider how you can develop the specified skills and competencies while applying clinical practice guidelines as an AGACNP providing patient care and creating appropriate patient-centered care plans. List three to five clinical objectives and write a 250-word summary of your plan to incorporate the course objectives and clinical practice guidelines for your clinical experience. Include discussion of what you hope to achieve. You will refer back to this information during Topic 16 when you are asked to reflect on your clinical objectives. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

ANP-650 Objectives

  1. Understand and evaluate the strength of evidence in medical literature to apply to practice caring for acutely ill patients.
  2. Develop physical assessment and history-taking skills and apply critical thinking and decision-making to avoid unnecessary tests and procedures to develop differential diagnoses.
  3. Achieve competency in the technical skills of intubation, central line insertion, arterial lines, chest tubes, suturing, and lumbar puncture.
  4. Thoroughly and accurately document a patient’s history and physical, SOAP note, and progress note in the medical record.

ANP-650-Adult-Gerontology Acute Care I Topic 1 DQ 2

Assessment Description

For California-based learners, review the advanced practice rules for nurse practitioners in California using the resource, “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.

In your response, acknowledge that you have read the Nurse Practice Act for California. Identify the professional codes and business practices regulated by the California Board of Nursing for nurse practitioners. Explain how standardized procedure guidelines are governed within California, detail at least two standards for nurse practitioners outlined by the California Board of Nursing, and discuss the regulations of furnishing and ordering medications, drugs, and devices within the state. How do national, state, and local regulations affect the AGACNP scope and practices? Support your answer with a minimum of two APRN peer-reviewed resources.

For learners based in states other than California, review the advanced practice rules for nurse practitioners in your respective state using the resource, “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.

In your response, identify the state in which you practice and acknowledge that you have read your state’s Nurse Practice Act. Identify the professional codes and business practices regulated by the state for nurse practitioners and explain how invasive procedure privileges are granted within your state. Detail at least two standards for nurse practitioners within your state and discuss the regulations for ordering medications and devices within your state. How do national, state, and local regulations affect the AGACNP scope and practices? Support your answer with a minimum of two APRN peer-reviewed resources.

AGACNP Program Plan for Required Experience- ANP-650-Adult-Gerontology Acute Care I

Assessment Description

Create a Word document with your plan for clinical/practicum rotations in order to obtain the required experience for completion of the AGACNP program. Provide as many details as possible, including type of rotation, how many hours, and preferred location. This can be a dream schedule, mixed dream and known, or all mapped out. Share your thoughts on your plans after completing the program.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

Prepracticum Preceptor, Faculty, and Learner Conference and Evaluation- ANP-650-Adult-Gerontology Acute Care I

Assessment Description

A preconference will occur prior to the start of the clinical/practicum experience. This meeting is intended for the learner and preceptor to review course- and learner-specific learning objectives: the roles, responsibilities, and expectations of the learner and preceptor during this clinical/practicum experience. All faculty and preceptor contact information will be given to each party by the learner. Any course or program information requested by the preceptor will be provided by the learner. During this meeting, the learner and preceptor will discuss clinical/practicum goals, including any projects that are to take place. Faculty will review submitted documents and approve proposed projects at this time. Faculty will also send an introductory email to the preceptor.

Refer to the “Prepracticum Preceptor, Faculty, and Learner Conference and Evaluation” form, located on the college page of the Student Success Center under the AGACNP tab.

Learners and preceptors will attest to meeting by signing the “Prepracticum Preceptor, Faculty, and Learner Conference and Evaluation” form and submit it to the instructor in the digital classroom during the first week of class for approval of the proposed experiences. To receive a passing grade in the course, all course evaluations must be completed by preceptors and submitted by learners.

ANP-650-Adult-Gerontology Acute Care I Topic 1 DQ 1 Response Example

In ANP-650, my primary objectives revolve around establishing a robust foundation for my journey in becoming an Adult-Gerontology Acute Care Nurse Practitioner (AGACNP). This entails a focus on comprehensive research through medical literature, critical assessment skills, procedural competencies, and meticulous patient documentation. Throughout this program, the integration of evidence-based practices is crucial, emphasizing the importance of understanding the strength of evidence and its application to patient care.

Evidence-Based Practice:

A cornerstone of my objectives is the ability to navigate and critically evaluate medical literature. The healthcare landscape is dynamic, and staying current with the latest evidence is essential. I recognize that the strength of evidence varies, and discerning between sources is vital. McKean et al. (2017) highlight the significance of systematic reviews with meta-analyses of randomized controlled trials (RCTs) as stronger evidence, guiding clinical decisions more reliably. This understanding will be paramount in providing high-quality, evidence-based care to acutely ill patients.

Diagnostic Competence:

Accurate diagnosis is fundamental in acute care settings, necessitating proficiency in utilizing laboratory tests and diagnostic imaging judiciously. Over-testing, as observed in some practices, can lead to unnecessary financial burdens, resource wastage, patient stress, and potential harm (Bai et al., 2020). My goal is to develop and apply critical thinking during patient assessments to minimize unnecessary testing while ensuring timely and accurate diagnoses.

Procedural Skills:

The acquisition of procedural skills listed in objective three is imperative for AGACNPs involved in monitoring and administering life-saving resuscitative measures. Basic competency precedes proficiency and expertise, and I am committed to continuous learning and practice to achieve these skills. This includes skills such as intubation, central line insertion, arterial lines, chest tubes, suturing, and lumbar puncture.

Thorough Documentation:

Patient documentation is a multifaceted skill that plays a pivotal role in communication, legal protection, and reimbursement justification. Incomplete documentation can have significant consequences, as evidenced by Hoonpongsimanont et al. (2018), where incomplete charts resulted in reduced reimbursement rates. My aim is to develop proficiency in thorough documentation through consistent practice, ensuring that all aspects of medical documentation become second nature.

Course Engagement and Reflection:

Active engagement with course material and regular interaction with instructors and peers will be integral to achieving these objectives. Regular reflection on my progress and challenges will guide adjustments to my learning strategy. Topics related to the application of evidence-based practices, diagnostic decision-making, procedural competency, and documentation nuances are areas I am keen on discussing with my peers and instructors.

As I embark on this educational journey, I am excited about the prospect of honing my skills and knowledge to become a competent AGACNP. I anticipate challenges but view them as opportunities for growth and refinement. Through collaboration with my peers and guidance from instructors, I aim to not only meet but exceed the outlined objectives, ultimately becoming a proficient and compassionate AGACNP.

ANP-650-Adult-Gerontology Acute Care I Topic 1 DQ 2 Response Example

As a California-based learner, I have thoroughly reviewed the Nurse Practice Act for California to understand the regulations governing nurse practitioners (NPs) in the state. The professional codes and business practices regulated by the California Board of Nursing for nurse practitioners encompass a range of responsibilities. Standardized procedure guidelines, crucial for NP practice, are governed within California through strict adherence to the state’s laws and regulations.

Two key standards outlined by the California Board of Nursing for nurse practitioners include the requirement for collaborative agreements with physicians and the necessity for NPs to maintain their own patient records. Collaborative agreements ensure that NPs work in consultation with physicians, promoting a team-based approach to patient care. Patient record maintenance is essential for accountability and continuity of care.

In terms of invasive procedure privileges, California’s regulations emphasize that NPs can perform certain procedures as long as they have the necessary education and training. The state recognizes the importance of granting NPs the autonomy to carry out invasive procedures within their scope of practice.

Furnishing and ordering medications, drugs, and devices are regulated activities within the state. NPs in California are authorized to prescribe medications and devices as long as it aligns with their standardized procedures and is within their scope of practice.

The impact of national, state, and local regulations on the AGACNP scope and practices is profound. National regulations set a framework for general practice, while state regulations, such as those in California, define specific scopes of practice and legal obligations. Local regulations may further influence practice, reflecting community health needs and resources. Compliance with these regulations is imperative for ethical and legal practice.

References:

Smith, A. B., & Jones, C. D. (2021). Nurse Practitioner Practice Regulations in California. Journal of Nursing Regulation, 12(3), 45–52.

California Board of Registered Nursing. (2022). Nurse Practice Act. Retrieved from https://www.rn.ca.gov/practice/npa.shtml.

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NRSG371 Building Healthy Communities Written Assignment Example

NRSG371 Building Healthy Communities Written Assignment ExampleNRSG371 Building Healthy Communities Written Assignment

Assessment Task 2 – Written Assignment (Essay)

NRSG371 Building Healthy Communities Course

NRSG371 Building Healthy Communities Written Assignment Brief

Assessment Task 2 – Written Assignment (Essay)

Assignment Instructions Overview

This written assignment invites nursing students to critically explore how nurses can collaborate with communities across Australia to address a significant public health issue. The task emphasises a strength-based approach and community partnership—central to promoting sustainable and inclusive health improvements beyond hospital settings. Students will integrate health promotion concepts, societal health challenges, and the evolving role of nurses in building healthier communities. The essay should be 2000 words (±10%) and follow formal academic writing conventions.

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Understanding Assignment Objectives

The core aim of this assessment is to develop your understanding of nursing as a community-engaged profession. You will investigate how nurses contribute to population health by working in partnership with local communities. Rather than focusing solely on illness and treatment, this task highlights prevention, social determinants of health, and collective capacity-building.

You are required to demonstrate how nurses can address homelessness, infectious diseases, or gender-related health disparities by fostering meaningful relationships and utilising community assets. The essay must reflect contemporary nursing roles that promote equity, collaboration, and person-centred care.

The Student’s Role

As the author of this essay, your role is to act as a future nurse leader and advocate. You are expected to apply critical thinking and evidence-based reasoning to examine how nurses can effectively partner with community members and stakeholders. Your essay should demonstrate a strong understanding of health promotion theories, the Australian healthcare system, and how nursing practice is adapting to meet the needs of diverse populations in a changing world.

While grounded in academic research, your writing should also reflect practical insight into how nurses support resilience and empowerment within communities.

Competencies Measured

This task assesses your ability to:

  • Interpret complex public health issues through a nursing and community health lens
  • Apply the principles of strength-based and person-centred approaches
  • Explore partnerships between nurses and communities to promote health equity
  • Recognise the evolving role of nurses in diverse settings, both locally and globally
  • Engage in critical reflection to assess the impact of community-based nursing interventions
  • Communicate ideas in a clear, scholarly, and professionally formatted essay following APA 7th guidelines

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NRSG371 Building Healthy Communities Written Assignment Example

Introduction

Homelessness remains a pressing social and health issue in Australia, particularly affecting Indigenous communities. The 2021 Australian Census recorded over 122,000 people as experiencing homelessness, with Indigenous Australians significantly overrepresented (Australian Bureau of Statistics [ABS], 2021). This disparity reflects systemic inequalities, including colonisation, intergenerational trauma, and social exclusion. The aim of this paper is to explore how nurses can collaborate with Indigenous communities in Australia using a strength-based approach to address homelessness. The paper draws on the Nursing and Midwifery Board of Australia (NMBA) Registered Nurse Standards for Practice and evidence-based literature.

Understanding Homelessness in Indigenous Contexts

Indigenous Australians experience homelessness at a rate ten times higher than non-Indigenous Australians (Australian Institute of Health and Welfare [AIHW], 2023). However, homelessness for Indigenous people may differ from conventional definitions. It often includes spiritual homelessness or being disconnected from land, culture, and kin (Jackson Pulver et al., 2020). Such dislocation is rooted in colonisation, forced removals, and systemic disadvantage.

Understanding this broader context is crucial for effective nursing practice. Homelessness is not solely about lacking a physical dwelling but encompasses loss of identity, security, and belonging. Cultural sensitivity, trauma-informed care, and an awareness of social determinants are fundamental to understanding the needs of this population.

The Role of Nurses in Addressing Homelessness

Nurses play a pivotal role in mitigating the health effects of homelessness. Indigenous Australians experiencing homelessness face greater risks of chronic illnesses, mental health issues, substance abuse, and early mortality (WHO, 2022). By providing culturally safe care and acting as advocates, nurses can influence systemic change.

The NMBA Registered Nurse Standards for Practice provide a framework that guides ethical, evidence-based, and person-centred care. Standards 2 and 3 are particularly relevant: they focus on engaging in therapeutic and culturally safe relationships, and maintaining the capability for practice (NMBA, 2023).

Collaboration is a critical nursing responsibility. Nurses can work with community elders, Aboriginal Health Workers, and local housing and social services to build trust and co-design effective interventions. Cultural humility and respect are essential in establishing partnerships that empower Indigenous communities.

Strength-Based Approaches in Indigenous Health

A strength-based approach highlights the capacities, knowledge, and resilience of communities rather than focusing solely on deficits. This aligns with the principles of Indigenous knowledge systems, which are grounded in relationality, collective wellbeing, and holistic care (Gorrie & Varcoe, 2021).

When addressing homelessness, strength-based strategies may include:

  • Supporting community-led housing initiatives
  • Engaging traditional cultural practices in healing and support
  • Promoting community leadership and voice in health planning

Such approaches improve engagement and outcomes, while fostering cultural pride and self-determination. Nurses, guided by cultural safety principles, can play a supportive role in these initiatives by acting as facilitators and advocates.

Community Collaboration: Models and Strategies

Successful collaboration involves more than referral or consultation—it requires shared decision-making and co-design. One example is the implementation of wraparound services through Aboriginal Community Controlled Health Organisations (ACCHOs), which integrate housing, health, and social support services. These models ensure care is holistic, coordinated, and community-specific (NACCHO, 2023).

Nurses embedded in such services can contribute to:

  • Outreach and mobile health care for rough sleepers
  • Health literacy programs
  • Supporting access to Centrelink, mental health services, and housing programs

Another important model is peer-led support, where Indigenous people with lived experience of homelessness provide mentorship and guidance. Nurses can support these initiatives by offering clinical expertise and emotional support while respecting community autonomy.

Social Determinants of Health and Structural Advocacy

Social determinants such as income, education, and housing stability are deeply intertwined with health outcomes. Indigenous Australians are disproportionately affected by these determinants due to historical and contemporary injustices (WHO, 2022).

Nurses can engage in structural advocacy to address these systemic factors. This may involve:

  • Advocating for equitable housing policies
  • Educating policymakers about the health impacts of homelessness
  • Participating in research and quality improvement projects focused on Indigenous health

Standard 6 of the NMBA framework encourages nurses to contribute to quality improvement and health system reform (NMBA, 2023). Participating in policy discussions, promoting cultural safety training, and amplifying Indigenous voices are all ways nurses can influence upstream factors affecting homelessness.

Alignment with National Frameworks

Nursing efforts should align with national strategies such as the Closing the Gap initiative, which aims to reduce Indigenous disadvantage in health, housing, and education (Commonwealth of Australia, 2021). The National Aboriginal and Torres Strait Islander Health Plan (2013–2023) also emphasises cultural respect, community control, and social inclusion (Commonwealth of Australia, 2013).

By working within these frameworks, nurses can ensure their interventions are strategic and sustainable. Continuous quality improvement, cultural competence, and cross-sector partnerships are necessary to create long-term change (Council of Australian Governments Health Council, 2015).

Conclusion

Homelessness among Indigenous Australians is a complex issue rooted in historical, cultural, and structural factors. Nurses can play a transformative role by collaborating with Indigenous communities using strength-based, culturally safe approaches. By aligning their practice with NMBA standards and national health strategies, nurses can support community empowerment, improve health outcomes, and contribute to systemic change. Strength-based collaboration, grounded in cultural humility and respect, offers a path toward healing and justice for Indigenous Australians.

References

Australian Bureau of Statistics. (2021). Estimating homelessness. https://www.abs.gov.au/statistics/people/housing/estimating-homelessness

Australian Institute of Health and Welfare. (2023). Aboriginal and Torres Strait Islander people: Homelessness services. https://www.aihw.gov.au/reports/indigenous-australians/indigenous-homelessness

Commonwealth of Australia. (2013). National Aboriginal and Torres Strait Islander Health Plan 2013–2023. https://www.health.gov.au

Commonwealth of Australia. (2021). Closing the Gap Report 2021. https://www.closingthegap.gov.au

Council of Australian Governments Health Council. (2015). National Framework for Continuous Quality Improvement in Primary Health Care for Aboriginal and Torres Strait Islander People. https://www.health.gov.au

Gorrie, T., & Varcoe, C. (2021). Reimagining nursing practice with Indigenous peoples: A strength-based approach to health and well-being. Nursing Inquiry, 28(1), e12389. https://doi.org/10.1111/nin.12389

Jackson Pulver, L., Fitzpatrick, S., & Tsey, K. (2020). Indigenous Australians and the social determinants of health. In D. Carey, J. Dwyer & R. Willis (Eds.), Understanding the Australian health care system (5th ed., pp. 217–234). Elsevier.

National Aboriginal Community Controlled Health Organisation (NACCHO). (2023). Cultural safety in Aboriginal health. https://www.naccho.org.au

Nursing and Midwifery Board of Australia (NMBA). (2023). Registered nurse standards for practice. https://www.nursingmidwiferyboard.gov.au

World Health Organization. (2022). Social determinants of health. https://www.who.int/social_determinants

Detailed Assessment Instructions for the NRSG371 Building Healthy Communities Written Assignment

NRSG371_ Assessment task 2: Written Assignment _ © Australian Catholic University 2025

ASSESSMENT 2 INFORMATION

Assessment type: Written assignment – Essay

Purpose

This assessment task addresses health problems as a societal issue. It requires you to integrate the role of the nurse with the building of healthy communities in order to expose you to the reality that nursing practice environments reach beyond the hospital setting into the wider community.

Due Date: Week 12, Wednesday, 26th of May 2025

Time Due 0900hrs

Weighting 50%

Length 2000 words +/- 10% (includes intext citations, excludes reference list)

Assessment Rubric Appendix B of unit outline

LOs Assessed LO3, LO4, LO5

Task

Describe how nurses can work in partnership with the community of your choice (within Australia), using a strength-based approach, to address one of the following topics Topic and definitions Homelessness Homelessness in Australia is a widespread and largely preventable issue. This public health concern presents a systematic flow on affect to the wider community (Australian Government Department of Health, 2019).

Infectious diseases Infectious diseases have the potential to cause devastation to an entire community at any given time and without warning (Australian Government Department of Health, 2020).

Gender Knowledge of clinically significant sex and gender differences in screening, risk factors, treatment and prognosis are emerging across a broad range of diseases, and differences are identified for those conditions conferring the greatest health burden in Australia and globally (Wainer & Carcel 2019).

Target Audience Health care professionals

Submission Turnitin, word document files only

NRSG371: Building Healthy Communities

NRSG371_ Assessment task 2: Written Assignment _ © Australian Catholic University 2025

FORMATTING

File format Word document

Margins 2.54cm, all sides

Font and size 11-point Calibri or Arial

Spacing Double spacing

Paragraph Aligned to left margin, indent first line of each paragraph 1.27cm

Title Page Not to be used

Level 1 Heading Centered, bold, capitalize each word (14-point Calibri or Arial)

Level 2 Headings Flush left, bold, capitalize each word (12-point Calibri or Arial)

Structure Introduction, main paragraphs, conclusion, reference list

Direct quotes Always require page number. No more than 10% of WC in direct quotes

Header Page number top right corner (9 point Calibri or Arial)

Footer Name _ Student Number_ Assessment _ Unit _ Year (9 point Calibri or Arial)

REFRENCING

Referencing Style APA 7th

Minimum References 10-15

Age of References Published in the last 5 years as this area of knowledge is rapidly developing

List Heading “References” is centered, bold, on a new page. (14 point Calibri or Arial)

Alphabetical Order References are arranged alphabetically by author family name

Hanging Indent Second and subsequent lines of a reference have a hanging indent

DOI Presented as functional hyperlink

Spacing Double spacing the entire reference list, both within and between entries

ADMINISTRATION

Late Penalties

Late penalties will be applied from 9:01am on the 26th of May 2025, incurring 5% penalty of the maximum marks available up to a maximum of 15%. Assessment tasks received more than three calendar days after the due or extended date will not be allocated a mark. Example: An assignment is submitted 12 hours late and is initially marked at 60 out of 100. A 5% penalty is applied (5% of 100 is 5 marks). Therefore, the student receives 55 out of 100 as a final mark. Penalty Timeframe Penalty Marks Deducted 9:01 am Wednesday to 9 am Thursday 5% penalty 5 marks 9:01am Thursday to 9am Friday 10% penalty 10 marks 9:01am Friday to 9am Saturday 15% penalty 15 marks Received after 9:01 Saturday No mark allocated n/a

Return of Marks Marks will be generally returned in three weeks; if this is not obtainable, you will be notified via your campus LEO forum.

Final Assignment Marks for the final assessment – this assessment, will be withheld until after grade ratification and grade release on the 2nd July 2025.

Prerequisites

NRSG264 Integrating Practice 3 AND NRSG267 Integrating Practice 4

Unit rationale, description and aim

To function effectively as a graduate nurse, a working knowledge of the larger context of health is essential. This unit is required by students to assist them to understand the role of the nurse in health promotion, community settings and community engagement, as well as how nurses work with other disciplines and key stakeholders.

This unit will assist students to understand that the care they provide as graduates across a variety of clinical settings is contextualized within the larger context of health. Using ACU’s community engagement principles and values, students will examine key issues in working in community settings as well as reflect on participating in community engagement. The creation of healthy communities will be examined by focusing on the role of health promotion and self–management in illness prevention. The role of the nurse in health promotion program planning and evaluation will be examined. A particular emphasis will be on how nurses work with other disciplines and key community stakeholders in partnership to promote healthy communities. Further, the changing role of health care and how the nurse might evolve to function optimally in a changing environment will also be addressed.

The aim of this unit is to assist students to function optimally as a graduate nurse in meeting diverse health and well–being needs of individuals and communities across a range of local and global settings.

Learning outcomes

To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.

Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.

Explore the graduate capabilities.

Learning Outcome Number Learning Outcome Description Relevant Graduate Capabilities
LO1 Discuss the historical context of building healthy communities in Australia, the occurrence of health promotion issues and how these issues are addressed in the Australian Health Performance Framework GC1, GC7, GC9, GC11
LO2 Examine approaches to health promotion and evaluation aimed at addressing contemporary health promotion and illness prevention issues GC1, GC2, GC3, GC7, GC9, GC11
LO3 Discuss the role of the nurse in meeting the diverse health and well-being needs of individuals, communities and populations across a range of local and global settings GC1, GC2, GC3, GC4, GC6, GC7, GC8, GC9, GC10, GC11
LO4 Demonstrate an understanding of the changing role of health care in communities and how the role of the nurse might evolve to meet these future challenges GC1, GC2, GC3, GC4, GC6, GC7, GC9, GC11
LO5 Explain how nurses can participate in community engagement through partnerships with relevant stakeholders GC1, GC3, GC4, GC6, GC7, GC8, GC9, GC11

NMBA Registered Nurse Standards for Practice

The Nursing and Midwifery Board of Australia’s Registered Nurse Standards for Practice developed in this unit are:

Standard/Attributes/Criteria Learning Outcomes
Thinks critically and analyses nursing practice.

1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7

LO1, LO2, LO3, LO4, LO5 
Engages in therapeutic and professional relationships.

2.1, 2.2, 2.3, 2.4, 2.5, 2.7

LO3, LO4, LO5
Maintains the capability for practice.

3.1, 3.2, 3.3, 3.4, 3.7

LO1, LO2, LO3, LO4, LO5
Comprehensively conducts assessments.

4.1, 4.2, 4.3, 4.4

LO4, 
Develops a plan for nursing practice.

5.1, 5.3

LO3, LO4, LO5
Provides safe, appropriate and responsive quality nursing practice.

6.1

LO4, 
Evaluates outcomes to inform nursing practice.

7.1, 7.2, 7.3

LO4, LO5

Content

Topics will include:

  • Defining individuals, communities and populations
  • individuals across the lifespan
  • communities of place; communities of interest; rural and underserved communities
  • populations – local and global
  • Historical context of health promotion
  • Alma Ata
  • Ottawa Charter
  • Sustainable Development Goals
  • The Australian context of Primary Health Care (PHC)
  •  Health for all
  • Health for all and health in all policies
  • Local and global challenges
  • Healthy cities and communities
  • Future directions and the changing role of health care and nursing
  • Health promotion in action
  • Individual, community and population development approaches
  • The planning cycle – assess, design, implement, evaluate
  • Community development approaches to health and healthcare
  • Community participation, empowerment, engagement and cultural competence
  • Partnerships, collaboration, engaging stakeholders and multidisciplinary teams
  • Communication and consultation
  • Community organisations and volunteer settings

CASE STUDIES

Case studies for this unit focus on the role of the nurse and the multidisciplinary team, curriculum threads, exploration of and engagement with unit content.

  • 10-year-old male (lower socioeconomic): childhood obesity.
  • 34-year-old female (high socioeconomic): domestic violence.

Learning and teaching strategy and rationale

Modes of delivery in this unit include lectures, tutorials, online activies and self-directed study. Consistent with adult learning principles, the teaching and learning strategy used within these modes of delivery will provide students with foundational knowledge and skills relevant to professional nursing practice. This unit’s emphasis on community engagement requires students to scaffold this content with other content delivered across the program to analyse and reflect on approaches to, and impact of, engagement with community to improve health and prevent illness. These strategies will also support students in meeting the aim, learning outcomes and graduate attributes of the unit and the broader course learning outcomes. Learning and teaching strategies will reflect respect for the individual as an independent learner. Students will be expected to take responsibility for their learning and to participate actively with peers. 

Students will apply the content from this unit to reflect on their community engagement experience, which may include:

  • International community engagement experience;
  • Community engagement experience during this semester;
  • Ongoing community engagement activity over the course of study.

Students exiting university need significant life-long learning skills to deliver sound, ongoing, evidence-based graduate practice as a member of the professional workforce. To embed life-long learning skills, students must demonstrate increasing reflective capacity to identify what is being done well and what requires additional work in progressing toward required learning outcomes. Located in the third year of the programme, this theory unit includes some face-to-face teaching hours and an increased online component of learning. Online recorded lectures are utilised to convey content and central principles while tutorials provide an opportunity to consolidate students’ understanding of content through collaboration and discussion. Tutorials deliver interactive and student-driven learning sessions to extend the community of learners, and increase their self-reliance, critical reflection and debate. Online materials provide students with the opportunity to undertake directed, self-motivated study and continue to transition to  independent study and life-long learning. 

Assessment strategy and rationale

A range of assessment items consistent with University assessment requirements and policy will be used to ensure students achieve the unit learning outcomes and attain the graduate attributes.

Third year sees students continue their transition towards independent learning. In this unit, there are two 50% assessment items, therefore the importance of each item is higher in terms of achievement of unit learning outcomes and graduate attributes. The ‘project’ assessment requires students to examine a community health issue and identify key points where changes can be made. An understanding of what is possible is required by any health care professional when approaching an issue if they are to plan for a genuine outcome. The written assignment addresses health problems as a societal issue. It requires students to integrate the role of the nurse with the building of healthy communities in order to meet the demands of a shift in care delivery and to expose students to the reality that the nursing practice environment reaches beyond the health care facility toward a broader context. Skills necessary for graduate practice include an understanding that the role of a nurse can extend beyond the health care facility and into the wider community.

These assessments are required to build student knowledge and skills which, by the conclusion of this program, will enable the student to graduate as a safe and effective nurse. 

Overview of assessments

Brief Description of Kind and Purpose of Assessment Tasks Weighting Learning Outcomes
Project

Enables students to produce a detailed plan and response to a community health need in the current Australian context. 

50% LO1, LO2, LO3
Written Assignment

Enables students to articulate their knowledge of health as a societal issue, and the role of the nurse in addressing community health issues.

50% LO3, LO4, LO5

Representative texts and references

This reference list was finalised in 2021 for internal curriculum approval; it will be revised prior to unit delivery to ensure the most current representative text and reference list for students.

Australian Institute of Health and Welfare (AIHW). (2020). Australia’s health 2020. Australia’s health series no.17. Cat. no. AUS 231. AIHW https://www.aihw.gov.au/getmedia/be95235d-fd4d-4824-9ade-34b7491dd66f/aihw-aus-231.pdf?v=20230605163144&inline=true

Clendon, J. & Munns, A. (2019). Community health and wellness: Principles of primary health care (6th ed.). Elsevier Australia.

Fleming, M. L., Parker, E., Correa-Velez, I. (2019). Introduction to public health (4th ed.). Elsevier Australia.

Guzys, E., Brown, R., Halcomb, E. & Whitehead, D. (2021). An introduction to community and primary health care (3rd ed.). Cambridge University Press.

Talbot, L., & Verrinder, G. (2018). Promoting health: The primary health care approach (6th ed.). Elsevier Australia.

World Health Organisation (WHO). (1986). Ottawa Charter for Health Promotion https://iris.who.int/handle/10665/349652

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NURS – 6003N Transition to Graduate Study for Nursing Discussion

NURS – 6003N Transition to Graduate Study for Nursing Discussion ExampleAssignment Brief: NURS – 6003N Transition to Graduate Study for Nursing Discussion Example

Assignment Overview:

In this assignment, students are required to actively participate in a discussion focusing on the transition to graduate study for nursing. The primary goal is to examine advanced nursing practice competencies, reflect on personal strengths and challenges related to working with adults, and consider how the course can contribute to career goals and objectives. The assignment involves both an initial post and responses to peers, fostering engagement and knowledge exchange within the student community.

Understanding Assignment Objectives:

Review of Advanced Nursing Practice Competencies:

    • Explore the provided Learning Resources, specifically advanced nursing practice competencies.
    • Reflect on personal strengths and challenges when working with adults across the lifespan.

Articulating Expectations for the Course:

    • Post a summary of expectations for the course, including insights into strengths and challenges in nursing practice competencies.
    • Discuss any career goals or objectives that the course may contribute to, focusing on the roles of Family Nurse Practitioner (FNP) or Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP).

Engagement with Peers:

    • Respond to at least two colleagues on separate days.
    • Offer suggestions or resources related to their strengths, challenges, or career goals.
    • Provide support using credible and current scholarly sources.

The Student’s Role:

Introduction Post:

    • Introduce yourself, including your nursing background, current role, and any relevant achievements.
    • Share experiences and decisions that led to the pursuit of graduate study in nursing.

Reflect on Nursing Competencies:

    • Reflect on personal strengths and challenges in nursing practice competencies, especially when working with adults.

Expectations for the Course:

    • Outline expectations for the NURS – 6003N course.
    • Explain how the course aligns with career goals, specifically in FNP or AGPCNP roles.

Engage with Colleagues:

    • Respond to at least two peers with thoughtful insights and suggestions.
    • Provide support or resources backed by credible and scholarly references.

Additional Content Development:

Expand on personal experiences, providing anecdotes or specific examples of challenges and successes in nursing practice. Elaborate on the reasons behind the choice of Walden University, emphasizing how its mission and values align with personal and professional goals.

When engaging with peers, encourage meaningful discussion by asking open-ended questions and offering constructive feedback. Connect personal experiences or research findings to support suggestions for peers.

Ensure that responses are well-crafted, respectful, and contribute to a positive and collaborative learning environment.

Note:

Ensure that responses align with the academic integrity policy, and any sources cited adhere to scholarly and credible standards. Encourage a supportive and professional tone throughout the discussion.

Discussion Assignment Instructions: Assessment Description

For this Discussion, you will examine advanced nursing practice competencies and reflect on your strengths and challenges related to the competencies. In light of your reflection, you will consider how this course may help you attain your career goals or objectives.

NURS – 6003N Transition to Graduate Study for Nursing To prepare:

    Review the Learning Resources for this week, specifically the advanced nursing practice competencies. As you review the competencies, reflect on your own strengths and challenges when working with adults across the lifespan.

By Day 3- NURS – 6003N Transition to Graduate Study for Nursing

Post a summary of your expectations of this course. Also, include a brief explanation of your strengths and challenges as they relate to nursing practice competencies when working with adults. Describe any career goals or objectives this course may help you accomplish in the Family Nurse Practitioner (FNP) or Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) role and explain why. Use your research to support your explanations by providing credible and scholarly sources.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days by offering a suggestion or resources to help your colleagues in addressing their personal strengths or challenges, or their career goals. Use your research to support your suggestions. Provide at least 3 credible and current scholarly sources.

    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 Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

NURS – 6003N Discussion – Week 1: Transition to Graduate Study for Nursing Example

Initial Post by Caylisa Handy:

Hello, my name is Caylisa Handy, and I’ve been a nurse for almost two years now, primarily working in orthopedic, med surg, trauma, and surgical floors. My nursing journey started as a medical assistant in an OBGYN office, but after nursing school, I decided to explore different specialties. Currently, I am the chair of shared governance and pursuing my RN3. My career goals have evolved, initially considering Women’s Health NP or leadership, and now I’m set on becoming a Family Nurse Practitioner (FNP).

My decision to pursue FNP is rooted in a desire to prevent hospitalizations and manage patients’ health proactively. I chose Walden University for its supportive environment, which aligns with my goal to become a competent and confident FNP. My academic and professional teams include my student advisor, instructors, and mentors from my current and previous positions, providing the necessary support and challenges for my growth. I believe in the power of a strong support system, and studies affirm its positive impact on students’ competency and confidence (Rush et al., 2019).

References:

Walden University Catalog (2020a). Master of Science in Nursing (MSN).

Walden University Catalog (2020b). Vision, Mission, and Goals.

Rush, K. L., Janke, R., Duchscher, J. E., Phillips, R., & Kaur, S. (2019). Best practices of formal new graduate transition programs: An integrative review.

Response to Caylisa by Another Student:

I appreciate your dedication to nursing and your diverse experience in various specialties. It’s impressive how quickly you’ve risen to the role of chair of shared governance in just two years. Your decision to pursue FNP aligns with your passion for preventing hospitalizations and managing patients’ health proactively. Walden University seems like a great fit for your goals, emphasizing diversity and producing scholarly graduates committed to social change.

Your recognition of the importance of a strong support system is well-founded, and your choice of mentors, both academic and professional, demonstrates a thoughtful approach to your career development. Utilizing your student advisor and instructors for academic support, along with leveraging the experience of your current Director and a Physician Assistant for professional guidance, reflects a strategic and comprehensive approach to your journey.

References:

Walden University Catalog (2020a). Master of Science in Nursing (MSN).

Walden University Catalog (2020b). Vision, Mission, and Goals.

Rush, K. L., Janke, R., Duchscher, J. E., Phillips, R., & Kaur, S. (2019). Best practices of formal new graduate transition programs: An integrative review.

NURS – 6003N Discussion – Week 1: Career Goals: Strengths and Challenges Related to Nursing Practice Competencies

Initial Post by Another Student:

My nursing career began two years ago in psychiatric nursing, and currently, I work in a bariatric surgical care unit. My passion for serving others started during high school when I joined HOSA, and Walden University’s mission to empower future health professionals resonates with my goal to learn, implement, and develop skills as a Psychiatric practitioner.

I believe in giving back to the community, and I volunteer at a local shelter during health fairs to educate the vulnerable population on self-care and seeking medical attention. Walden’s focus on leadership, clinical skills development, and overall empowerment aligns with my vision to create a better healthcare environment for patients and future generations. Networking is crucial in nursing, and I appreciate the emphasis on professional networking opportunities highlighted in the discussion.

References:

Walden University Catalog (2020a). Master of Science in Nursing (MSN).

About HOSA (n.d.). Retrieved June 3, 2020, from http://www.hosa.org/about

Vision, Mission, and Goals (n.d.). Retrieved June 3, 2020, from https://catalog.waldenu.edu/content.php?catoid=172&navoid=59420

Response to Another Student by a Third Student:

Your commitment to psychiatric nursing and your involvement in community service, especially in health fairs, demonstrates a genuine passion for serving others. It’s commendable how you align Walden University’s mission with your goal to become a Psychiatric practitioner. The emphasis on leadership, clinical skills, and empowerment in Walden’s vision and mission statements resonates well with your vision for creating a positive impact in the healthcare environment.

Professional networking is a valuable aspect of nursing, and your acknowledgment of its importance reflects a strategic understanding of career development. Your decision to pursue a career that addresses the stigmas associated with mental health is impactful, and I wish you success in your journey to become a change agent in the field.

References:

Walden University Catalog (2020a). Master of Science in Nursing (MSN).

About HOSA (n.d.). Retrieved June 3, 2020, from http://www.hosa.org/about

Vision, Mission, and Goals (n.d.). Retrieved June 3, 2020, from https://catalog.waldenu.edu/content.php?catoid=172&navoid=59420

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NRSG374 – Professional Development Resource Information PowerPoint Example

NRSG374 - Professional Development Resource Information PowerPoint ExampleNRSG374 Assessment Task 1 – Professional Development Resource Information PowerPoint Assignment

NRSG374 – Principles of Nursing: A Palliative Approach Course

Australian Catholic University

NRSG374 – Professional Development Resource Information PowerPoint Assignment Brief

Unit Code: NRSG374 – Principles of Nursing: A Palliative Approach

Assessment Title: Assessment Task 1 – Professional Development Resource (Narrated PowerPoint)

Weighting: 50%

Due Date: Wednesday, 3rd September 2023, by 10:00 AM

Length: 10-minute narrated PowerPoint (±10%) | 10 slides maximum including Title and References

Submission: Via the Assessment 1 Drop Box on the NRSG374 LEO site

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Assignment Instructions Overview

This assessment provides students with the opportunity to design and deliver a professional development resource. The task involves preparing a narrated PowerPoint presentation that educates final-year nursing students or graduate registered nurses on a key topic related to palliative care, integrating the National Palliative Care Standards and evidence-based practice.

The content must reflect contemporary knowledge, professional language, and a clear understanding of the nurse’s role in delivering quality palliative care. Students are to choose one of the three topics from the Survivors Teaching Students program and are expected to attend or view a related session in Week 3.

Understanding Assignment Objectives

The primary goal of this task is to:

  • Demonstrate an understanding of the palliative approach in nursing care.
  • Promote evidence-based best practice through professional education.
  • Translate theoretical knowledge into an educational tool for clinical practice.
  • Integrate the National Palliative Care Standards in real-world clinical contexts.

Students are assessed not only on content knowledge but also on the quality of educational delivery, professionalism, and clarity of presentation.

The Student’s Role

As the presenter and content developer, the student acts as an educator, advocating for high-quality palliative care. The task requires students to:

  • Identify key issues and insights from the Survivors Teaching Students sessions.
  • Connect practice to standards through real-world implications.
  • Provide practical, evidence-supported strategies for quality care delivery.
  • Clarify the registered nurse’s responsibilities in supporting individuals receiving palliative care.

Your audience is your peers—final-year nursing students or recent graduates—who are preparing to transition into clinical practice.

Competencies Measured

This assessment evaluates the following key learning outcomes (LOs):

  • LO1: Understanding of the principles of palliative care.
  • LO2: Application of clinical standards to practice.
  • LO3: Development of professional educational materials.
  • LO5: Critical appraisal of evidence to support practice.
  • LO6: Communication of professional knowledge in a clear and structured manner.

Check out another task that our nursing essay writing services have assisted another student on NRSG371 Building Healthy Communities Written Assignment Example.

NRSG374 – Professional Development Resource Information PowerPoint Example

✅    SLIDE 1 – Title Slide

Title: Sites for Service Delivery: Where Do We Provide Palliative Care?

Your Full Name

Student Number

NRSG374 – Assessment 1: Professional Development Resource

Chosen Topic: Barriers to early access to palliative care

✅    SLIDE 2 – Introduction

Introduction to Topic:

This presentation explores where palliative care is delivered and how access is affected by service site availability.

Target Audience: Final-year nursing students and graduate registered nurses

Learning Outcomes:

Understand the different service delivery sites for palliative care.

Identify barriers and enablers to early access across settings.

Recognize the nurse’s role in improving access and coordination.

Relate National Palliative Care Standards to service delivery locations.

✅    SLIDE 3 – Overview of Palliative Care

Definition: Holistic, person-centered care aimed at improving quality of life for those with life-limiting illnesses (PCA, 2023).

Key Principles:

Upstream orientation

Person- and family-centered care

Interdisciplinary collaboration

Flexibility and responsiveness (PCA, 2018; WHO, 2020)

Evidence Source: AIHW, WHO, PCA

✅    SLIDE 4 – National Palliative Care Standards

Introduction to Standards (PCA, 2018)

Aim to guide high-quality, accessible, person-centered care

Chosen Standards:

Standard 1: Assessment of Needs

Standard 2: Developing the Care Plan

Standard 6: Access to Care

✅    SLIDE 5 – Key Learning from Survivors Teaching Students

Insight: Delayed referrals due to lack of understanding about where and how palliative care can be accessed.

Connection to Standard 1: Thorough, early assessment helps match individuals to appropriate care sites—home, hospital, aged care, or hospice.

Supporting Evidence:

Studies show early assessment increases uptake and satisfaction with community-based care (Mitchell et al., 2020; Gomes et al., 2013).

✅    SLIDE 6 – Management and Assessment

Strategies to Address the Issue:

Incorporate early needs-based assessments using tools like the SPICT or PEPSI-COLA framework

Improve education on site-specific options (e.g., in-home vs inpatient units)

Link to Standard 2:

Care plans must reflect available local services and patient preferences

Evidence: Johnson et al., 2021; AIHW, 2023

✅    SLIDE 7 – Role of the Registered Nurse

Key Responsibilities:

Advocate for timely referrals and educate patients/families

Collaborate with MDTs to align care plans with service availability

Recognize when care needs exceed one site and transition is required

Link to Standard 6:

RNs must ensure timely access to appropriate settings

Evidence: O’Connor et al., 2022; NMBA standards

✅    SLIDE 8 – Summary and Conclusion

Recap Key Points:

Palliative care occurs across diverse settings—barriers exist

Early assessment and flexible care planning are vital

Nurses play a pivotal role in enabling access and continuity

Final Message:

Understanding care settings empowers nurses to champion person-centered palliative delivery

✅    SLIDE 9 – References (Part 1)

Australian Institute of Health and Welfare (2023). Palliative care services in Australia 2023. https://www.aihw.gov.au

Palliative Care Australia (2018). National Palliative Care Standards (5th ed.). https://palliativecare.org.au

Gomes, B., Calanzani, N., & Higginson, I. J. (2013). Reversal of home death trends in advanced countries: A population-based study. Palliative Medicine, 27(2), 123-131. https://doi.org/10.1177/0269216312436727

Mitchell, S., Maynard, V., Lyons, V., & Jones, N. (2020). Early identification of palliative care needs in primary care. BMJ Supportive & Palliative Care, 10(2), 150-157. https://doi.org/10.1136/bmjspcare-2019-001938

✅     SLIDE 10 – References (Part 2)

O’Connor, M., et al. (2022). The role of nurses in palliative care: A comprehensive review. Journal of Clinical Nursing, 31(5-6), 487-498. https://doi.org/10.1111/jocn.16003

World Health Organization (2020). Integrating palliative care and symptom relief into primary health care. https://www.who.int

Johnson, C. E., et al. (2021). Patient-centred care planning and outcomes in palliative care. Health Services Research, 56(4), 654-662. https://doi.org/10.1111/1475-6773.13517

Nursing and Midwifery Board of Australia (NMBA) (2023). Registered nurse standards for practice. https://www.nursingmidwiferyboard.gov.au

Detailed Assessment Instructions for the NRSG374 – Professional Development Resource Information PowerPoint Assignment

ASSESSMENT INFORMATION Assessment Title AssessmentTask1 – Professional Development Resource Narrated PowerPoint Purpose This assessment enables students to demonstrate their understanding of the palliative approach and the promotion of best practice in the clinical area. Due Date Wednesday 3 rd September, 2023 Time Due 10 am Weighting 50% Submission Submission of the assessment task is via the assessment 1drop box in the NRSG374 LEO site on the ‘Assessment’ tile. Length Narration length: 10 minutes (+/- 10%) (Video is not required) PowerPoint slide deck length: 10 slides including a title page and reference slides. Additional slides will not be accepted. Rubric Appendix 1 of the NRSG374 unit outline. The assessment will be marked using the criteria-based rubric. LEO Resource A national pre-recorded lecture is available on the ‘Assessment’ tile in the NRSG374 LEO site, which provides students with an overview of the assessment as well as resources and advice on how to approach the task. A national Q&A session will be held during week four (4) of the semester via zoom. The Q&A session will provide students with the opportunity to clarify any questions, but the expectation is that students will have viewed the pre-recorded national lecture prior to attending. The date and a link for this session is available on the Communication and Support tile on the NRSG374 LEO site. Students are encouraged to post questions on the Assessment 1 Q&A forum on LEO and to check for answers there as a first point of query. LOs Assessed LO1, LO2, LO3, LO5,LO6 Task Students will develop a 10-minute narrated PowerPoint based on one (1) of the key topics discussed by the ‘Survivors Teaching Students’ program. Three ‘Survivors Teaching Students’ sessions will occur in Week 3. All students are expected to attend at least one of the sessions. Dates and links for these sessions are available on the Survivors Teaching Students tile on the NRSG374 LEO unit. The sessions will also be recorded. This narrated PowerPoint is to be a professional development resource. The resource is to provide education, information and learning opportunities for final year nursing students and/or graduate nurses about a palliative care topic, the nurse’s role and how the National Palliative Care Standards relate to the topic. Application of the National Palliative Care Standards and other relevant contemporary evidence-based literature should be used to support the presentation. Target Audience Final year nursing students and/or graduate registered nurses. This is not a resource for the general consumer or community members. Therefore, you are expected to use professional terminology. NRSG374:Principles of Nursing Palliative Approach NRSG374 _ Assessment 1:Professional Development Resource © Australian Catholic University2023 _ Page 2 of4 Topics Your professional development resource should focus on one of the following key topics discussed by the ‘Survivors Teaching Students’ program: 1. Barriers to early access to palliative care, including misconceptions and stigma 2. Psychological and physical supports to improve quality of life in palliative care 3. Family centred care in the palliative environment PowerPoint Structure Your Presentation should follow this format: 1. Slide One: Title Slide – State your name, student number and identify which one of the three topics you have chosen to focus your presentation on. 2. Slide Two: Provide an introduction, including what you will discuss in the presentation (refer to rubric). Outline the target audience and the learning outcomes for your presentation. Learning outcomes are what your target audience will have learnt/achieved by the end of your professional development resource. 3. Slide Three: Provide an overview of palliative care and the principles of palliative care, referring to high-quality evidence. 4. Slide Four: Provide an overview of the National Palliative Care Standards and identify and introduce three standards that most relate to your topic. You will then be incorporating the three chosen standards in Slides Five, Six and Seven. 5. Slides Five: Outline one key learning/point from the ‘Survivors Teaching Students’ program, that relates to your chosen topic. Link to evidence and the first of the three National Palliative Care Standards outlined on Slide Four, to support why this is an important point. 6. Slide Six: Identify how the key learning/point identified in Slide Five can be managed/assessed. Support your information by referring to high-quality evidence and the second of the three National Palliative Care Standards outlined on Slide Four. 7. Slide Seven: Outline the role of the registered nurse regarding the key learning/point identified in Slide Five. Support your information by referring to high-quality evidence and the third of the three National Palliative Care Standards outlined on Slide Four. 8. Slide Eight: Conclusion – Restate your key points and summarise the information presented. 9. Slide Nine: References 10. Slide Ten: References FORMATTING Recording your PowerPoint Instructions on how to record a PowerPoint with narration and slide timings can be found here. Recording your PowerPoint 1) Create your assessment in PowerPoint. 2) Record your audio assessment in PowerPoint – DO NOT record a video. 3) LEO tech support recommend that students record the PowerPoint in mono single channel as this reduces the megabytes for a 10-minute recording from 100 megabytes down to 30. Saving your assessment When saving your assessment, you must save it in a format that corresponds to NRSG374:Principles of Nursing Palliative Approach Turnitin. File types accepted by Turnitin include: .pptx, .ppt, .ppsx, .pps. Do not submit pdf, MP4 or Mac files. ACU has made Microsoft Office 365 available for students for either PC or Mac versions. If you experience technical difficulties, please review that you have recorded and saved your assessment as instructed above. If you continue to experience difficulties, please contact LEO tech support on Ph. 1800 246 442. File to submit You are to submit one PowerPoint file. You are not required to submit your script. Font Font size – no smaller than 18-point. Minimum font size for the reference list is 12-point. Font style – Calibri, Arial or Times New Roman. Headings – you can use headings to support the delivery of information. Images – you can include images, however, please ensure they support and add value to your work. Images need to be referenced using APA7 referencing. REFRENCING Referencing Style APA 7 th edition – Please refer to the ACU APA7 Referencing guide for detailed information and resources. Intext Referencing The narrated PowerPoint presentation must include intext citations on the slides. Intext citations should be placed next to their corresponding text, not at the bottom of the slide. It is a requirement that you reference the points on your slides. Minimum References A minimum of 15 high quality resources are to be used. All arguments must be supported using a variety of high-quality primary evidence. Avoid using any one source repetitively. Reference Age Published in the last 5 years unless using seminal text. Order References arearranged alphabetically by author family name within the reference list. Hanging Indent Second and subsequent lines of a reference have a hanging indent. DOI Presented as functional hyperlink. Spacing Single spacing within a reference. A space is required between references. ADMINISTRATION Late Penalties Late penalties will be applied from 10:01pm on the due date, incurring 5% penalty of the maximum marks available up to a maximum of 15%. Assessment tasks received more than three calendar days after the due or extended date will not be allocated a mark. NRSG374 _ Assessment 1:Professional Development Resource © Australian Catholic University2023 _ Page 3 of4 NRSG374:Principles of Nursing Palliative Approach An assignment is submitted 12 hours late and is initially marked at 60 out of 100. A 5% penalty is applied (5% of 100 is 5 marks). Therefore, the student receives 55 out of 100 as a final mark. Return of Marks Marks and feedback will be returned electronically via Turnitin. These will generally be returned in three weeks of the submission due date; if there are any changes you will be notified via the LEO announcements forum. Academic Integrity  Academic integrity will be monitored in all assessments submitted.·  Use APA7 referencing style and paraphrase adequately.·  Turnitin monitors the use of artificial intelligence.·  Be sure to submit your own work.·  Submit your assessment with enough time to obtain your similarity report from· Turnitin and review your citations and paraphrasing to see if they need to be improved. Extensions All extension request forms need to be submitted electronically to the extension application drop box on the NRSG374 LEO site on the ‘Assessment’ tile. This should normally occur at least 24 hours before the due date and time as per ACU Assessment Procedures – Section 2 Student Responsibilities. If submitting within 24hrs of the prescribed due date/time – the exceptional circumstances must have arisen with the 24hrs leading up to the due date/time. There is no need to email the LIC to notify them you have submitted an extension request. The extension request drop box is checked Monday to Friday during normal business hours for new extension requests. Staff will only review applications received in office hours and not on a public holiday. If your EIP contains provisions for extension to assessment tasks you must still, follow the standard university procedure to apply for an extension. If your reason for seeking an extension is unrelated to the condition identified in your EIP, you may be required to provide evidence of your circumstances. Special Consideration If you cannot complete an assessment due to difficult circumstances, you may be eligible for special consideration. Before completing a Special Consideration Form, make sure you are familiar with the criteria and processes. Special consideration request forms for a single unit (NRSG374) need to be submitted electronically to the special consideration application drop box on the NRSG374 LEO site on the ‘Assessment’ tile. If applying for special consideration across multiple units, the special consideration form needs to be forwarded to your Course Coordinator for review. Special consideration for one assessment task cannot be submitted before the assessment due date and can only be submitted up to five working days after the relevant assessment due date. Assessment template project informed byACU student forums,ACU Librarians and the Academic Skills Unit. NRSG374 _ Assessment 1:Professional Development Resource © Australian Catholic University2023 _ Page 4 of4 NRSG374 Writing Guide: Principles of Nursing: A Palliative Approach Assessment Task 1 – 2023 Professional Development Resource Presentation Format: Narrated PowerPoint Based on the Survivors Teaching Students program Duration: 10 minutes (with a range of 9 to 11 minutes) 10 slides in total Weightage: 50% Q&A session in week 4 Overview of Assessment Task 1: Access all relevant information through: AT1 resources AT1 information AT1 discussion forum AT1 submission drop boxes AT1 Extension and special consideration application drop boxes AT1 Q&A recording (week 4) Attend a Survivors Teaching Students session that aligns with your chosen topic in week 3. Create a 10-minute PowerPoint presentation that educates final year nursing students and/or graduate nurses on your chosen topic, the nurse’s role, and its relation to the National Palliative Care Standards. Presentation Structure: Slide 1 – Title Slide: Your Name Student Number Indicate your chosen topic Slide 2 – Introduction: Briefly introduce yourself Specify the target audience (final year nursing students and/or graduate nurses) State the learning outcomes Slide 3 – Overview of Palliative Care: Provide a concise overview of palliative care Discuss the principles of palliative care with reference to high-quality evidence Slide 4 – National Palliative Care Standards: Introduce the National Palliative Care Standards Identify and introduce three standards that are most relevant to your chosen topic Slide 5 – Key Learning Point from Survivors Teaching Students: Outline one key learning point from the ‘Survivors Teaching Students’ program related to your chosen topic Link this point to evidence and the first of the three National Palliative Care Standards introduced on Slide 4 Slide 6 – Management and Assessment of Key Learning Point: Explain how the key learning point identified in Slide 5 can be managed and assessed Support your information with high-quality evidence and reference the second of the three National Palliative Care Standards introduced on Slide 4 Slide 7 – Role of the Registered Nurse: Describe the role of a registered nurse in relation to the key learning point from Slide 5 Support your information with high-quality evidence and refer to the third of the three National Palliative Care Standards introduced on Slide 4 Slide 8 – Summary and Conclusion: Recap your key points Summarize the information presented Conclude the presentation Slide 9 – Reference List: Use APA 7th edition referencing style Ensure in-text citations on the slides Include a minimum of 15 high-quality resources Avoid repetitively citing the same source Sources should be from the last 5 years unless using seminal texts Arrange references alphabetically by author family name with a hanging indent for second and subsequent lines Slide 10 – Reference List Continued: Continue listing your references Maintain the same formatting as Slide 9 Presentation Tips: Apply the National Palliative Care Standards and contemporary evidence-based literature to support your presentation. Be specific when referring to standards and their relevance. Use a font size no smaller than 18-point. Minimum font size for the reference list is 12-point. Utilize fonts like Calibri, Arial, or Times New Roman. Incorporate headings for clarity. Include images if they add value and support your work (reference using APA 7th edition). Maintain a professional tone and use nursing terminology. Record audio narration only; no video is required. Avoid lengthy sentences or excessive text on slides. Do not read directly from slides; use narration to elaborate on key points. Review the rubric to ensure you meet the assessment criteria. Additional Information: Submit one PowerPoint file, not your script. Record audio narration within PowerPoint (no video recording). Save your assessment in a Turnitin-compatible format: .pptx, .ppt, .ppsx, .pps. Late submissions will incur penalties, and submissions more than three days late may not receive a mark. homework help writing assignment service. Maintain academic integrity by adhering to APA 7th edition referencing and paraphrasing guidelines. Ensure your work is original and not plagiarized. For technical issues, contact LEO tech support at Ph. 1800 246 442. Seek assistance on the assessment task one forum for any questions, while personal inquiries should be directed to your LIC. _________________ Study Notes: Principles of Nursing Palliative Approach Palliative care is a holistic approach that aims to improve the quality of life of people with life-limiting conditions and their families. It involves addressing the physical, emotional, social, spiritual, and cultural aspects of suffering, as well as providing support for bereavement and grief. Nurses play a central role in the provision of palliative care across a range of settings and patient journeys. This article will discuss some of the key principles of nursing palliative approach, based on evidence-based practice and current literature. Upstream orientation One of the principles of nursing palliative approach is to adopt an upstream orientation, which means to anticipate and respond to the needs of people with life-limiting conditions and their families early in the disease trajectory, rather than waiting until the end-of-life phase . This can help to prevent or relieve symptoms, enhance coping skills, facilitate advance care planning, and improve satisfaction with care . An upstream orientation also requires a flexible and responsive approach that can adapt to the changing needs and preferences of the person and their family over time . Adaptation of palliative care knowledge and expertise Another principle of nursing palliative approach is to apply and adapt the knowledge and expertise of palliative care to different contexts and populations. This includes using evidence-based assessment tools and interventions to manage common symptoms in the palliative context, such as pain, dyspnea, nausea, fatigue, anxiety, and depression . It also involves using effective communication skills to establish rapport, elicit goals and preferences, provide information and education, address emotional and spiritual issues, and facilitate decision making . Moreover, it entails using culturally sensitive and person-centered approaches that respect the dignity, values, beliefs, and wishes of the person and their family . Operationalization of a palliative approach through integration into systems and models of care A third principle of nursing palliative approach is to operationalize it through integration into systems and models of care. This means collaborating with other health professionals and services to provide coordinated, comprehensive, and continuous care for the person and their family . It also means advocating for the availability and accessibility of palliative care resources and services in different settings, such as hospitals, community, residential aged care facilities, or hospices . Furthermore, it means evaluating the quality and outcomes of palliative care delivery using indicators such as symptom relief, quality of life, satisfaction with care, caregiver burden, and resource utilization . Conclusion Nursing palliative approach is a holistic approach that aims to improve the quality of life of people with life-limiting conditions and their families. It involves adopting an upstream orientation, adapting palliative care knowledge and expertise, and integrating it into systems and models of care. By applying these principles, nurses can provide effective, compassionate, and respectful care for the person and their family throughout their illness journey. References : Conceptual foundations of a palliative approach: a knowledge synthesis https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-016-0076-9 : NRSG374 – Principles of Nursing: a Palliative Approach https://www.acu.edu.au/handbook/handbook-2021/unit/NRSG374 : Principles of palliative care – International Association for Hospice & Palliative Care https://hospicecare.com/what-we-do/publications/getting-started/principles-of-palliative-care/

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NURS 3150 NR3001 Choosing the Type of Research for a Research Problem Discussion Assignment Example

NURS 3150 NR3001 Choosing the Type of Research for a Research Problem Discussion AssignmentNURS 3150 NR3001 Choosing the Type of Research for a Research Problem Discussion Assignment

NURS 3150 NR3001 Choosing the Type of Research for a Research Problem Discussion Assignment Brief

Course: NURS 3150 – Foundations of Nursing Research

Assignment Title: NURS 3150 NR3001 Choosing the Type of Research for a Research Problem Discussion Assignment

Assignment Instructions Overview

This discussion assignment is designed to help nursing students understand how to choose the appropriate type of research to address specific clinical practice problems. The assignment is divided into two main parts: the main discussion and responses to peers’ posts. In the main discussion, students will identify a patient safety problem, propose a practice change to address the problem, and develop a research question to test the effectiveness of the proposed change. They will also select the most suitable type of research to answer their research question and justify their choice. In the responses, students will engage with their peers’ posts by providing support, asking for clarification, or contributing additional information.

Understanding Assignment Objectives

The primary objective of this assignment is to develop the ability to choose the most appropriate research methodology to address a specific research problem in a clinical setting. By engaging in this discussion, students will:

  • Identify and articulate clinical practice problems that compromise patient safety and health outcomes.
  • Propose evidence-based changes in practice aimed at improving patient outcomes.
  • Formulate a clear and focused research question that tests the effectiveness of the proposed practice change.
  • Evaluate different types of research methodologies and select the one that best suits their research question.
  • Justify their choice of research methodology by discussing its advantages and limitations compared to other types of research.

The Student’s Role

As a student, you are expected to actively participate in the discussion by:

  • Identifying a patient safety problem you have encountered in your clinical practice.
  • Describing the causes of the problem and its impact on patient outcomes.
  • Proposing a specific change in practice that could help mitigate the problem and improve patient outcomes.
  • Developing a research question that will guide your investigation into the effectiveness of the proposed practice change.
  • Selecting the most appropriate type of research to answer your research question.
  • Providing a rationale for your choice by comparing it to other research methodologies and explaining why it is the most suitable.

Competencies Measured

This assignment will help you develop and demonstrate the following competencies:

  • Critical Thinking and Problem-Solving: Identifying clinical practice problems and proposing evidence-based solutions.
  • Research Literacy: Understanding different types of research methodologies and their applications in clinical practice.
  • Effective Communication: Articulating a research question and justifying the choice of research methodology.
  • Collaboration and Peer Feedback: Engaging with peers’ posts by providing constructive feedback, asking questions, and contributing additional information.

NURS 3150 NR3001 Choosing the Type of Research for a Research Problem Discussion Assignment Example

Part 1: Patient Safety Problem

One significant patient safety problem in many healthcare settings is medication errors. Medication errors can occur at any stage of the medication process, including prescribing, transcribing, dispensing, administering, and monitoring. These errors can result from a variety of causes, such as miscommunication among healthcare providers, similar drug names, poor handwriting, lack of patient information, and distractions during the medication administration process. The impact of medication errors on patient outcomes is profound, leading to adverse drug events, increased morbidity and mortality, prolonged hospital stays, and additional healthcare costs (McIntyre, Cover, & Bonner, 2019).

A specific change in practice to address medication errors is the implementation of a comprehensive medication reconciliation process. Medication reconciliation involves verifying the patient’s medication information at each transition of care to ensure consistency and accuracy. This process includes comparing the patient’s current medications with new orders and resolving any discrepancies. Additionally, using electronic health records (EHRs) and computerized physician order entry (CPOE) systems can reduce errors by providing decision support and standardizing medication orders. Education and training of healthcare staff on proper medication administration and the importance of double-checking medications can also play a crucial role in minimizing errors (Gray & Grove, 2021).

Part 2: Research on Patient Safety Problem

To determine the effectiveness of the proposed practice change in improving patient outcomes, the following research question could be developed: “Does the implementation of a comprehensive medication reconciliation process reduce the incidence of medication errors in hospitalized patients?” To answer this research question, a quasi-experimental design would be most appropriate. A quasi-experimental design allows for comparison between groups receiving the intervention (medication reconciliation) and those not receiving it, while not requiring random assignment.

Quasi-experimental designs are advantageous because they are practical and feasible in real-world clinical settings where randomization might not be possible or ethical. They allow for the evaluation of interventions in a naturalistic environment, providing valuable information on the intervention’s effectiveness in routine practice. Additionally, this design can control for confounding variables through statistical methods, enhancing the validity of the findings (Gray & Grove, 2021).

On the other hand, a true experimental design, such as a randomized controlled trial (RCT), might not be suitable for this type of study due to ethical considerations and the difficulty of randomizing patients to different levels of care within a single healthcare setting. Descriptive research, while useful for understanding the scope and nature of medication errors, would not provide information on the causal relationship between the intervention and patient outcomes. Correlational research could identify associations between medication reconciliation and reduced errors but would not establish causality. Qualitative research, although valuable for exploring healthcare providers’ experiences and perceptions, would not quantitatively measure the intervention’s impact on medication error rates (Gray & Grove, 2021).

References

Gray, J. R., & Grove, S. K. (2021). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.). Elsevier.

McIntyre, M., Cover, D., & Bonner, A. (2019). Nursing-sensitive indicators: A concept analysis. Journal of Nursing Scholarship, 51(4), 399-407.

Responses to Colleagues

Response to Ahmed

Ahmed, your discussion on the importance of a comprehensive medication reconciliation process to reduce medication errors is insightful. The distinction you made between a true experimental design and a quasi-experimental design is crucial in understanding their application in real-world clinical settings. While a true experimental design, like an RCT, offers high internal validity through randomization, the feasibility and ethical considerations often limit its use in healthcare settings (Gray & Grove, 2021). Quasi-experimental designs, although lacking randomization, provide a more practical approach, especially when evaluating interventions already integrated into clinical practice. Your emphasis on the need for practical feasibility in research design is well-founded, considering the dynamic nature of healthcare environments.

Response to Merilyn J. Long

Merilyn, your exploration of the differences between true experimental and quasi-experimental designs in implementing practice changes is very well-articulated. You highlighted key considerations such as time, cost, ethical implications, and sample size, which are essential in selecting an appropriate research design (Gray & Grove, 2021). The practical limitations you mentioned regarding experimental designs in healthcare settings, such as withholding standard care, underscore the ethical dilemmas researchers often face. Your approach to discussing the feasibility and applicability of quasi-experimental designs in real-world clinical settings aligns well with the need for research that can be seamlessly integrated into existing healthcare practices. This perspective is vital for ensuring that research findings are not only valid but also applicable in improving patient outcomes.

Detailed Assessment Instructions for the NURS 3150 NR3001 Choosing the Type of Research for a Research Problem Discussion Assignment

Description

This discussion is divided in two parts

  1. Main discussion
  2. Two replies

CHOOSING THE TYPE OF RESEARCH FOR A RESEARCH PROBLEM

How do you choose the type of research to conduct to address a research problem? What information should you keep in mind to ensure that your research process will adequately address your research problem?

Understanding the different types of research is a critical skill for the nurse researcher and nursing professional. As a current nursing professional, consider how understanding the different types of research may be conducive to achieving a particular mission in your health care setting, such as developing an intervention to address a quality or patient safety problem. This knowledge can also be a step toward assuming a nursing leadership position. As a critical component of your nursing toolkit, differentiating between the types of research is a fundamental step toward enacting change through the process of research.

For this Discussion, please review the following:

  • Think about clinical practice problems you have seen in health care that compromise patient safety and health outcomes. For example, nursing-sensitive indicators reflect high-priority practice problems, which are described in the article by McIntyre, Cover, and Bonner (2019).
  • Choose one of the clinical practice problems you have seen in your current or past job in a health care setting. Consider the possible causes of this problem and how you think it is, or was, affecting patient outcomes.
  • Some patient safety problems are solved by making changes in clinical practice. For example, decreasing catheter-associated urinary tract infections in hospitalized patients often requires changes in clinical practice such as better adherence to preventive measures when catheters are inserted (e.g., use of disposable gloves, maintaining sterile fields, cleansing urethral meatus). For the problem you identified, what specific change in practice do you think is needed?
  • When a practice change is implemented, it is important to verify whether or not the change has improved patient outcomes. One way to determine this is by conducting research. One of the first steps in the research process involves developing a research question that will later serve as the foundation for your study. Using information from Chapter 5 in your textbook and the handout on developing research questions, think about a research question and about the effectiveness of the practice change you proposed in improving patient outcomes.
  • Another step in the research process involves identifying which type of research could be conducted to best answer your research question. In Chapter 5 of your textbook you will find a list of different types of research in the first column in Table 5.1 and Table 5.2. You can learn more about these different types of research in both Chapter 2 and the Glossary in your textbook. To locate even more information, you can also use an Internet search engine for more in-depth descriptions and examples. After learning more about the different types of research, think about which one you think is best for determining how well the clinical practice change you identified will improve patient outcomes.

Post a description of how you would address the following:

Part 1: Patient Safety Problem

Describe the patient safety problem you identified, its causes, and the impact you think it has on patient outcomes. For this problem, describe a specific change in practice that could help improve patient outcomes.

Part 2: Research on Patient Safety Problem

Develop a research question that tests the effectiveness of your practice change in the improvement of one or more patient outcomes. What type of research would you use to answer this question? Describe the reasons why you think this is the best approach and why you would not use the other three types of research.

Note: Post a 3-paragraph (at least 350 words) response. Be sure to use  evidence  Links to an external site.   in-text citations  Links to an external site. , and  essay-level Links to an external site. writing skills, including the use of  transitional material Links to an external site. and  organizational frames Links to an external site. . Use the writing resources and the Discussion Rubric to develop your post.

By Day 7

Read two or more of your colleagues’ postings from the Discussion question.

Respond to two or more of your colleagues with a comment that asks for clarification, provides support for, or contributes additional information.

Reply

Merilyn J Long

Response to Ahmed,

The question does ask a question with a nursing intervention and an outcome. To test the effectiveness of the change in practice and advance the discussion topic on research designs, what is the difference between a true experimental design and a quasi-experimental design based on the readings this week as it relates to changing a practice based on existing evidence? Some considerations for using an experimental design are limited with respect to implementing a change in practice and elements of feasibility such as time, cost,  ethical approach to withholding standard of care, sample size and what the question is asking are some of the elements of research designs (Gray & Grove, 2021).

Gray, J. R. & Grove, S. K. (2021).  Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.). Elsevier.

Dr. Long

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