Good Citizenship

 

 review Chapter 16, Figure 16-1, page 406 of Purtilo & Doherty’s textbook. What does that figure mean to you? How do you as a professional nurse demonstrate good citizenship?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.

 

Read

Purtilo, R. & Doherty, R. (2016). Ethical Dimensions in the Health Professions (6th ed.). St. Louis, MO: Elsevier. ISBN: 9780323328920
Chapters 14, 15, and 16

 
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Group Management For Just Culture

 

Discu 

Discussion: Making the Case for Capital  

Discussion: Group Management for Just Culture

The concept of a fair and just culture refers to the way an organization handles safety issues. Humans are fallible; they make mistakes. In a just culture, ‘hazardous’ human behavior such as staff errors, near–misses and risky actions are identified and discussed openly in hopes of finding ways to improve processes and systems—not to identify and punish the individual.
—Pepe & Caltado, 2011

This Discussion examines the opportunities of managers in working with groups to promote change that facilitates the delivery of safe, high–quality care.

To Prepare

  • Review the information on just culture presented in the Learning Resources.
  • For this discussion, you will use the Regulatory Decision Pathway found in Russell, K. A. & Radtke, B. K. (2014).
  • Examine an adverse event at the unit level in your organization or one with which you are familiar and apply the Regulatory Decision Pathway.
  • Compare the findings of the Regulatory Decision Pathway  to what actually happened at the unit in your organization. Was the event deemed: bad intent, reckless, at risk, or human error? According to the pathway, do you now think it was the correct action?
  • Think about how a nurse leader–manager may use just culture as a framework to create or maintain a focus on accountability and outcomes throughout a group. What actions could be taken if a systems–related error was made or if an error resulted from risky behavior?
  • How might role conflict and/or ambiguity have contributed to the situation?
By Day 3

Postdescription of an adverse event in your organization and your analysis of the issue using the Regulatory Decision Pathway. Explain how role conflict or ambiguity might have influenced this situation. Apply the principles of just culture as you explain how you, as the group’s manager, would handle the situation.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Reference
Pepe, J., & Cataldo, P. J. (2011). Manage risk, build a just culture. Health Progress. Retrieved from http://www.outcome–eng.com/wp–content/uploads/2012/01/manage–risk.pdf
Russell, K. A. & Radtke, B. K. (2014). An evidence–based tool for regulatory decision–making: regulatory decision pathway. Journal of Nursing Regulation, 5(2), 5–9.

Marquis & Huston, Leadership roles and management functions in nursing, 2015

 
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Group B Post

Respond  using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Group B

Inferential Statistics- Based on probability; used to draw conclusions or make generalizations about a given population or problem.  

Example: “What can I infer about 5-minute Apgar scores of premature babies (the population) after calculating a mean Apgar score of 7.5 in a sample of 300 premature babies?” (McGonigle & Mastrain, p. 376, 2017). 

Sampling Distributions- A sampling distribution is the frequency distribution of a statistic over many random samples from a single population. 

Sampling Distribution of the Mean – as an example we randomly draw test scores from 25 students out of a total group of 5,000. We then calculate the mean, then draw a new group and repeat; each mean will serve as one datum, or data point. 

Hypothesis Testing- is the use of statistics to determine the probability that a given hypothesis is true. 

Null Hypothesis- the hypothesis that there is no significant difference between specified populations; or differences can be attributed to sampling or experimental error 

Type 1 Error- This error occurs when we reject the null hypothesis when we should have retained it.  

Type 2 Error- This error occurs when we fail to reject the null hypothesis. In other words, we believe that there isn’t a genuine effect when actually there is one.  

Parametric statistics – A class of statistical tests that involve assumptions about the distribution of the variables and the estimation of a parameter. 

Nonparametic statistics – A class of statistical tests that do not involve stringent assumptions about the distribution of variables. Between-subject design – A research design in which separate groups of people are compared (e.g. smokers and nonsmokers; intervention and control group subjects). Within-subject design – A research design in which a single group of participants is compared under different conditions or different points in time (e.g. before and after surgery).

Two classes of Statistical Tests:

Parametric tests – tests involving an estimation of a parameter, the use of interval or ratio-level data, and the assumption of normally distributed variables. Include t-tests and ANOVA. 

Nonparametric tests – used when the data are nominal or ordinal or when a normal distribution cannot be assumed. Include the Mann-Whitney U test, Wilcoxon signed – rank test, and Kruskal – Wallis test. 

Statistical Tests

 

T-test parametric procedure identifying mean differences for two independent groups, like experiment versus control or dependent groups, like pretreatment and post-treatment scores.

One – way ANOVA – tests the relationship between one categorical independent variable, such as different interventions, and a continuous dependent variable.

 

Independent t-test – used to compare mean values of a single group to a hypothesized value.

Two- way ANOVA – tests multiple hypotheses with two independent variables

Paired t -test – Obtaining two measurements from the same people or from a paired set of participants. This measures the difference between two related groups. Used when the means for two sets of scores are not independent.

Repeated – measures ANOVA – tests the same group using three or more measures of the same dependent variable. 

 

ANOVA – parametric procedure for testing differences between means when there are more than three groups.

 

Chi-Square test – used to test hypothesis about group differences in proportions. It is computed by comparing observed frequencies and expected frequencies, in which there was no relationship between variables.

 

One-tailed test – A statistical test in which only values in one tail of distribution are considered in determining significance. A one-tailed test allots all of your alpha to testing the statistical significance in the one direction of interest. 

 

Two-tailed test – Statistical tests in which both ends of the sampling distribution are used to determine improbable values. A two-tailed test allots half of your alpha to testing the statistical significance in one direction and half of your alpha to testing statistical significance in the other direction.

 

 

 

 There are different types of statistical methodologies, inferential statistics are based on probability. Ali and Bhaskar (2016) define probability as “the likelihood that an event will occur” (para. 21). According to Hyatt, Powell, Johnson, and Caldwell (2017) a working knowledge of inferential statistics is needed to understand, interpret, and critically evaluate research studies. The basic premise of inferential statistics is to generate data from random samples and use it to describe or make inferences about an entire population (Ali & Bhaskar, 2016). A basic understanding of inferential tests will help nurses implement research into evidence-based pracitce.

            While there are various inferential tests, it is important to understand that they all use probability to infer meaning; that meaning is subsequently applied mathematically to a larger population. For example, Polit and Beck (2017) report that the T-tests is a hypothesis testing tool which compares two groups of data sets to find the difference between them. In nursing research, this test can be utilized to determine if there is causality or any relationship between data sets. Analysis of variance (ANOVA) involves mathematically analyzing data. This test is useful in comparative analysis. For example, the efficacy of interventions, such as different ambulation protocols can be compared with through ANOVA. Inferential statistics also facilitate comparisons of proportions; this is achieved with the Chai Square test. This test is often used to compare differences between the interventional and the control groups (Polit, Beck 2017). While it is unlikely that non-researchers will retain knowledge of the various statistical tests, being able to identify the statistical methodology will help them to better interpret research results.  

References

Ali, Z., & Bhaskar, S. B. (2016). Basic statistical tools in research and data analysis. Indian journal of anaesthesia, 60(9), 662–669. doi:10.4103/0019-5049.190623

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for Nursing practice (10th Ed.). Philadelphia, PA: Wolters Kluwer.Chapter 17, “Inferential Statistics”

Hayat, M. J., Powell, A., Johnson, T., & Cadwell, B. L. (2017). Statistical methods used in the public health literature and implications for training of public health professionals. PloS one, 12(6), e0179032. doi:10.1371/journal.pone.0179032

 
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Greek Cuban And Hindu Health Care System

1.  Greek and Hindu heritage are base on the oriental culture and the Cuban heritage in occidental.  Please discuss the beliefs of these three cultures and how they influence the delivery of health care.  

2.  Compare these three culture and how disease and prevention it is influence by the cultural practices.

APA word Arial 12 font attached to

A maximun of 500 words are required.

A minimum of 2 evidence based references are required.

 please include header ++ cover page 

 
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Graves Disease

2 Slides Only

Pathophysiology Assignment-2 slides of power point only

1. U tube video link on power point2.

 2 Slides  power point. only.

3. Pictures and be creative

4. Please use Advanced pathophysiology

5. Power point samples attached

  1. Keep it simple and make sure that the content that your are covering demonstrates to me that you understand the impact of the pathophysiological process that you are trying to educate your ‘patient about”. As a Nurse Practitioner you will on a daily basis be explaining complex diseases for your patients and it is imperative that you educate the patient with the underlying cause, outcomes and impact on their lives using the foundation pathophysiology as your guide.

BEFORE SUBMITTING the make absolutely certain that your that your work contains:

  1. Some information of interest about the disorder could historical facts
  2. A description of the manifestations of the disorder with an explanation as to the cause of these manifestations (MAKE SURE THAT YOUR EXPLANATION OF THE CAUSE OF THE MANIFESTATIONS IS PRESENTED USING PATHO TO EXPLAIN WHY!!!).
  3. A description of the abnormal diagnostic testing with a discussion of the causes of the abnormal test results (MAKE SURE THAT THE CAUSES OF THE ABNORMAL DIAGNOSTIC TESTING IS PRESENTED USING PATHO TO EXPLAIN WHY!!!)

A discussion of the treatment plan and/alternative therapies with potential expectations of the treatment plan etc.

  1. A discussion of the specific information patients who have the selected disorder need to know (make sure this is evidence-based information where applicable)
 
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Graphing And Describing Data In Everyday Life

Consider two different data sets and then for each data set, propose your idea of what graph would best represent the key information. For each, be sure to include the type of graph along with what would be shown on each axis. The key data in the first data set is a list of all the injuries that a clinic saw in a month. The other data set has key data on the number of minutes that each patient spent in the waiting room of a doctor’s office. You can make assumptions about other information or variables that are included in each data set.

 
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Grand Rounds Power Point

my topic is anxiety

 
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Grand Nursing Theorist Assignment Theorist Identification And Rationale

  

The purpose of this assignment is to have a clear understanding of the elements of a theory and to apply a theory to practice. The CLC group must use a grand theory or a high-level mid-range theory.

The group will create a report for a practice committee at a health care institution. The objective is to convince your peers of the value of using a specific theory to guide practice and evaluate care.

Since the text does not provide adequate information on any one theory for the purpose of this assignment, further research through nursing theory websites (general and specific), as well as theory texts specific to individual theories, will be required.

Begin the assignment by identifying a theorist and providing the rationale for the group’s selection.

 
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Group Therapy With Children And Adolescents

  

In 1 to 2 page paper addresses the following:

  

Describe a child and adolescent group you are counseling.

Describe a client from the group who you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client’s actual name.

 

Explain your therapeutic approach with the group, including your perceived effectiveness of your approach with the client you identified.

Identify any additional information about this group and/or client that may potentially impact expected outcomes.

 
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Grand Canyon University Information Sheet For Gcu Volunteer Placement

Complete the “Grand Canyon University Information Sheet for GCU Student Volunteer Placement” and submit it to your site supervisor and the instructor.

 
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