Clinical Journal Assignment

Clinical Journal AssignmentInstructions: Create a Word document. Address the three domains below, using the prompts. Label each section clearly. Since this is your personal account, first person narrative may be used. Double-space your work and proofread for errors.Cognitive Learning(2 point)Identify at least two skills or concepts that were learned or reinforced in clinical. This could be actual tactile skills (like suctioning or Foley insertion, for example) or other skills – like giving report, communicating with patients or families, dealing with conflict, managing your time, etc.Affective & Transitioning Experiences(4 points)How did you feel about the experiences you encountered in clinical? (1 pt.)What were your strengths of performance and areas needing growth? (1 pt.)How do you feel you are transitioning to the role of professional nurse? (1 pt.)What is helping or hindering your transition? (1 pt.)Critical Thinking Synthesis(4 points)Choose one clinical situation that you encountered in clinical. In your own words, briefly describe the situation. (1 pt.)What was your top priority in this situation? Why? (2 pts.)What was the take-away learning lesson you gained from the situation? (This could be anything related to physical or psychosocial skills.) (1 pt.)Misc.(2 points)Organized content; double-spaced; proper sentence structure, punctuation, and spelling.

 
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Middle and Late childhood development.

Summarize the findings from your developmental chart for this week on middle and late childhood development. Explain your new learnings and how they may impact your career choices. (nursing)

 
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community

Environmental Issues

 
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Week 4 Essay El Quiz

This assignment will help you to understand EI.Using the South University Online Library or the Internet, research about EI theories, communication styles, team building, and decision making. Go to the website berkeley.edu and take the quiz.Based on your research and understanding, create a white paper in a 3- to 4-page Microsoft Word document that:Describe how your EI level can either enhance or hinder effective leadership in the health care environment.Discuss the results of the EI Quiz.Use this APA Citation Helper as a convenient reference for properly citing resources.This handout will provide you the details of formatting your essay using APA style.You may create your essay in this APA-formatted template.Submission DetailsSupport your responses with examples.On a separate references page, cite all sources using APA format.Name your document SU_NSG4029_W4_Project_LastName_FirstInitial.docSubmit your document to the  Submissions Area by the due date assigned.

 
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Quality HealthCare Outcomes

Write about Quality healthcare outcomes on the Hospital-Acquired Condition Reduction Program (HACRP)

 
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Yoga

How is the practice of yoga related to health and illness?Need to used this book for at least one reference.Complementary and Alternative Therapies for Nursing Practice (4th Edition)ISBN-13:9780133346503ISBN-10:0133346501Author:Karen Lee Fontaine RN MSNEdition:4Publisher: Pearson Education, IncPublished:January 2015

 
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Discussion reply (with 2 references)1

Work Environment AssessmentIn summarizing the results of the Clark Healthy Workplace Inventory, my current organization’s overall score was a 93%, which indicates “a very healthy workplace” (Clark, 2015). Most statements were rated as “Completely true,” and none were rated as either “Somewhat untrue” or “Completely untrue.” Although almost all answers were positive, the most positive answers were related to trust, team work, individual value, respect, organization transparency, equality, collaboration, growth and development, fairness, free expression, and a workplace culture which promotes a high level of employee involvement and worker self-determination. As one of the members of the leadership team at my organization, I was actually not surprised by any of the results, as I am one of the architects of the workplace culture, and we have strived to rid it as best we can of the toxic personalities and petty squabbles that can plague a work setting.However, there were several instances where the assessment results highlighted some of the areas where, unfortunately more work is needed. The area in which my organization scored the lowest (“neutral”) was in regards to opportunities for promotion and advancement. This is due to the fact that, although a national organization, each facility is fairly small (35-40 beds) and the leadership team and levels of management are firmly in place. Because we agree with Berg et al. (2017) when the researchers cited that professional growth and development were lifetime endeavors, the leadership team at Vogue Recovery are constantly training and educating our nurses, behavioral health technicians, and clinicians on the latest evidence-based treatment practices for the complicated area of substance abuse and addiction. The other areas in which my organization scored less than optimal (“Somewhat true”) had to do with staff retention, comprehensive mentoring, shared governance, and recruitment efforts. All of these areas need work because of the smaller size of the company, as well as the fact that it is currently under new ownership, so improvements in these areas are coming, but at a glacial pace.Civility in Current OrganizationOne area which deserves and demands attention is conflict resolution at the workplace, and I and the rest of the leadership team are very aware of this. If the resolving of conflicts is neglected, it could result in a toxic, uncivil work environment, and the American Nurses Association (ANA) recommends implementing evidence-based strategies to immediately mitigate incivility and bullying at work (Crawford et al., 2019), and our leadership team agrees. The maintaining of personnel civility, a spirit of teamwork, and a collaborative work environment are topics of daily and weekly meetings, and we often talk about how we, as leadership, are affecting how out staff treat each other. Kaiser (2017) wrote that “leadership style is not a definitive factor of incivility, but leader behaviors impact the level of incivility between staff…” and that “the relationship between leaders and staff and the empowerment of staff have the strongest impact on [personnel] incivility.” I can say with certainty that, although some minor issues have popped up here and there during my tenure, the fact that management confronts them as quickly as possible decreases their escalation. Alshehry et al. (2019) cited that “administrators and nurses should be pro-active in recognizing, preventing, approaching, reporting and intervening with uncivil acts [in an effort to] avoid their negative impacts on patient care.”Experience with Incivility in the WorkplaceUnfortunately, as both a floor nurse and a nurse supervisor, I have witnessed many instances of incivility in work settings. During nursing school, we were warned that “nurses eat their young,” and I found this notion to be preposterous, because I thought, with the nursing shortage causing so much burnout in practicing nurses, existing staff would welcome new graduates to the profession. Sadly, this is just not the case. Edmonson and Zelonka (2019) wrote that “nurse bullying is a systemic, pervasive problem that begins well before nursing school and continues throughout a nurse’s career,” and that a significant number of nurses “leave their first job due to the negative behaviors of their coworkers,” and these types of situations are “likely to exacerbate the growing nurse shortage.”Thankfully, I have not witnessed incivility in the form of violence, but more often on display is a lack of respect and support. Due to the highly collaborative nature of addiction nursing and patient care, the lack of teamwork and support from one’s peers can cause the typical stressors of the job to seem insurmountable. This lack of civility comes in the form of a seasoned nurse not being a resource for new nurses on the floor who are unfamiliar with the accepted practice protocols or how to best utilize the electronic medical record (EMR). These passive aggressive behaviors are not necessarily direct, but can heighten stress so much that people leave the organization. Although the situation seems to be getting better just due to the wider acknowledgement of the incivility problem and intervention being implemented to combat it, it is quite unfortunate that it still exists to such a high degree, and seems especially bad among people who have pledged to provide quality, compassionate care to others.

 
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Evaluation Plan

Evaluation PlanA plan for evaluation should be correlated well with the specific program for which it has been developed. As you continue to work on Assignment 4, it is important to bear in mind that an evaluation plan is distinct from–yet aligned with–the program plan and contains its own goals and objectives.This week you integrate the knowledge and discernment you have developed to formulate a plan for how evaluation could be an integral part of your program (see attached file in file section named “Week 9 Discussion”).To prepare for this week’s section of Assignment 4:Keep your own program in mind as your      review the information presented in this week’s Learning Resources.Develop an evaluation plan that      includes goals, objectives, and activities. Consider what type of data      will be needed.Review your visual representation of      your program plan design (Week 6      [see attached file named “Assignment 2”]) and incorporate your      evaluation plan.Revise your Gantt chart (Week 6 [see attached file named “Assignment      2”]) to include your evaluation plan.The full Assignment 4 is due by Wednesday 1/30/19 before midnight of this week. Instructions have been provided in previous weeks to help you prepare.By Day 3To complete:Write a 3- to 5-page paper in APA format with a minimum of 6 scholarly references. Include the level 1 and 2 headers as numbered below that addresses the following(Please make sure to follow the outline exactly as below):1) Evaluation Methods (developed in Week 9 [see attached file in file section named “Week 9 Discussion”])a) Identify an evaluation theory or model that is aligned to your program goal(s) and objectives.b) Exhibit a performance measurement, monitoring, and evaluation timeline that:o Demonstrates the appropriate use of performance measurement, monitoring, and summative evaluationo Distinguishes between the long-term effects of impact evaluation versus short and intermediate health outcomes as a result of the implementation of the program.2) Evaluation Plan (developed this week [see attached file named week 10 discussion”])c) Develop an evaluation plan that includes goals, objectives, and activities. Specify the type of data needed.d) Add your evaluation plan to the visual representation (e.g., table or graph) of your program plan design.e) Add time line information for the evaluation plan to your Gantt chart.Note: In addition to your paper, be sure to submit the following (which may be contained in a separate document):An updated version of the visual      representation (e.g., table or graph) of your program design that includes      your evaluation plan (See attached file, then revise )An updated version of your Gantt      chart that includes your evaluation planBe sure to make revisions to these items based on any feedback you received from your Instructor when you submitted them in Week 6 (see attached file).Required ReadingsHodges, B. C., & Videto, D. M. (2011). Assessment and planning in health programs (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.· Review Chapter 4, “Program Planning: The Big Picture”· Review Chapter 5, “Social Marketing, Program Planning, and Implementation”As you review Chapter 4, focus on the budgeting information presented on pp. 113–115.· Chapter 6, “The Importance and Use of Theories in Health Education and Health Promotion”The authors describe various theories, noting that theories are not universally applicable to every program.· Chapter 10, “Program Evaluation: Background and Basics”Chapter 10 outlines steps for designing evaluation during program planning.Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.· Chapter 2, “The Contribution of Theory to Program Planning”This chapter examines the application of theory in program planning.· Review Chapter 10, “Performance Measurement, Monitoring, and Program Evaluation”· Chapter 11, “Impact Program Evaluation and Hypothesis Testing”· Review Chapter 10 and read Chapter 11 to examine aspects of evaluation essential to program planning.· Chapter 12, “Budgeting for Financial Control, Management, and Planning”· Chapter 13, “Developing Line-Item, Functional, and Program Budgeting Systems”·  Chapter 10, “Performance Measurement, Monitoring, and Program Evaluation”As you read this chapter, pay attention to the financial functions associated with these forms of evaluation and the data to be collected.Chapter 12 introduces budgeting as an important part of the planning process, noting that it also serves essential management and control functions for programs. Chapter 13 addresses three systems of budgeting—line item, functional, and program—each of which has a distinct focus.Berhane, A., Biadgilign, S., Berhane, A., & Memiah, P. (2015). Male involvement in family planning program in Northern Ethiopia: An application of the Transtheoretical model. Patient Education and Counseling 98, 469–475Kroelinger, C.D., Rankin, K. M., Chamgers, D.A., Diez Roux, A.V., Huges, K., & Grigorescu, V. (2014). Using the principles of complex systems thinking and implementation sceice to enhance maternal and child health program planning and delivery. Maternal Child Health Journal, 18, 1560–1564. doi 10.1007/s10995-014-1586-9Silverman, B., Champney, J., Steber, S., & Zubritsky, C. (2015). Collaborating for consensus: Considerations for convening Coalition stakeholders to promote a gender-based approach to addressing the health needs of sex workers. Evaluation and Program Planning 51,17–26 doi.org/10.1016/j.evalprogplan.2014.12.002Smith, T.L., Barlow, P.b., Peters, J.M., & Skolits, G.J. (2015). Demystifying reflective practice: Using the DATA model to enhance evaluators’ professional activities. Evaluation and Program Planning, 52, 142–147.Albert, D., Fortin, R., Herrera, C., Riley, B., Hanning, R., Lessio, A., & Rush, B. (2013). Strengthening chronic disease prevention programming: The toward evidence-Informed practice (TEIP) program evidence tool. Preventing Chronic Disease, 10,1–9Baron, K., Hodgson, A., & Walshe, C. (2015). Evaluation of an advance care planning education programme for nursing homes: A longitudinal study. Nurse Education Today, 35, 689–695.Schmitt, C.L., Glasgow, L., Lavinghouze, S.R., Ricker, P.P., Fulmer, E., McAleer, K., & Rogers, T. (2016). Measuring infrastructure: A key step in program evaluation and planning. Evaluation and Program Planning, 56, 50–56 doi.org/10.1016/j.evalprogplan.2016.03.007Gaskin, J., Rennie, C., & Coyle, D. (2015). Reducing periconceptional methylmercury exposure: Cost-utility analysis for a proposed screening program for women planning a pregnancy in Ontario, Canada. Environmental Health Perspectives, 123(12), 1337–1344 doi.org/10.1289/ehp.1409034.Palumbo, M.V., Sikorski, E.A. & Liberty, B.C. (2013). Exploring the cost-effectiveness of unit-based health promotion activities for nurses. Workplace Health & Safety, 61(12), 514–520.U.S. Small Business Administration. (n.d.). Writing a business plan. Retrieved December 12, 2011, from http://www.sba.gov/category/navigation-structure/starting-managing-business/starting-business/writing-business-planThe “Writing a Business Plan” section of this website introduces elements of a good business plan, which is an essential document for any program. Investigate the information presented. In addition, see the “Preparing Your Finances” section for information on break-even analysis and other budgeting-related matters.Robbins, L.B., Pfeiffer, K.A., Weolek, S.M., & Lo, Y. (2014). Process evaluation for a school-based physical intervention for 6th and 7th grade boys: Reach, dose, and fidelity. Evaluation and Program Planning, 42, 21–31 doi.org/10.1016/j.evalprogplan.2013.09.002Schalock, R.L., Lee, t., Verdugo, M., Swart, K., Claes, C., van Loon, J., & Lee, C. (2014). An evidence-based approach to organization evaluation and change in human service organizations evaluation and program planning. Evaluation and Program Planning, 45, 110–118.Moore, H.K., Preussler, J., Denzen, E.M., Payton, T.J., Thao, V., Murphy, E.A. & Harwood, E. (2014). Designing and operationalizing a customized internal evaluation model for cancer treatment support programs, Journal Cancer Education, 29, 463–372 doi10.1007/s13187-014-0644-8Redwood, D., Provost, E., Lopez, E.D., Skewes, M., Johnson, R., Christensen, C., Sacco, F., & Haverkamp, D. (2016). A process evaluation of the Alaska Native colorectal cancer family outreach program. Health Education & Behavior, 43(1), 35–42 doi: 10.1177/1090198115590781Robbins, L.B., Pfeiffer, K.A., Weolek, S.M., & Lo, Y. (2014). Process evaluation for a school-based physical intervention for 6th and 7th grade boys: Reach, dose, and fidelity. Evaluation and Program Planning, 42, 21–31 doi.org/10.1016/j.evalprogplan.2013.09.002Optional ResourcesAhmad, F., Roy, A., Brady, S., Belgeonne, S., Dunn, L., & Pitts, J. (2007). Care pathway initiative for people with intellectual disabilities: Impact evaluation. Journal of Nursing Management, 15(7), 700–702.This article is an example of an impact evaluation.Gard, C. L., Flannigan, P. N., & Cluskey, M. (2004). Program evaluation: An ongoing systematic process. Nursing Education Perspectives, 25(4), 176–179.This article discusses the use of accreditation standards and site visits as a plan for ongoing evaluation for a nursing program.Graff, J. C., Russell, C. K., & Stegbauer, C. C. (2007). Formative and summative evaluation of a practice doctorate program. Nurse Educator, 32(4), 173–177.Milne, L., Scotland, G., Tagiyeva-Milne, N., & Hussein, J. (2004). Safe motherhood program evaluation: Theory and practice. Journal of Midwifery & Women’s Health, 49(4), 338–344.This article identifies and evaluates the different approaches to program evaluation related to safe motherhood.Centers for Disease Control and Prevention. (2007). Chronic disease indicators [Data set]. Retrieved from https://www.cdc.gov/cdi/.This site allows you to search and compare different regions for specific chronic disease indicators.Hulton, L. J. (2007). An evaluation of a school-based teenage pregnancy prevention program using a logic model framework. Journal of School Nursing, 23(2), 104–110.This article describes the use of the logic model to develop, implement, and evaluate a nursing intervention in a school setting.Johnson, S. S., Driskell, M., Johnson, J. L., Prochaska, J. M., Zwick, W., & Prochaska, J. O. (2006). Efficacy of a transtheoretical model-based expert system for antihypertensive adherence. Disease Management, 9(5), 291–301.This article introduces the use of the transtheoretical model and stages of change as applied to interventions aimed at medication adherence for patients with hypertension.Rogers, L. Q., Shah, P., Dunnington, G., Greive, A., Shanmugham, A., Dawson, B., & Courneya, K. S. (2005). Social cognitive theory and physical activity during breast cancer treatment. Oncology Nursing Forum, 32(4), 807–815.The social cognitive theory is utilized to examine associations with physical activity in breast cancer patients. This article posits that the social cognitive theory can be used as a mediator for intervention evaluation with this population.W. K. Kellogg Foundation. (2004). Using logic models to bring together planning, evaluation, and action: Logic model development guide. Battle Creek, MI: W. K. Kellogg Foundation. Retrieved from http://www.wkkf.org/resource-directory/resource/2006/02/wk-kellogg-foundation-logic-model-development-guide.This report offers a guide for the use of the logic model in program planning and outcome-oriented evaluation for nonprofit projects.Dirubbo, N. E. (2006). Break-even analysis: Can I afford to do this? Nurse Practitioner, 31(7), 11.This article briefly explains break-even analysis and its use in initiating new programs.McBryde-Foster, M. J. (2005). Break-even analysis in a nurse-managed center. Nursing Economic$, 23(1), 31–34This article explains how break-even analysis can be used in a nursing environment and how to apply it for program proposals.U.S. National Library of Medicine. (2008). HTA 101: IV. Cost analysis methods. Retrieved from http://www.nlm.nih.gov/nichsr/hta101/ta10106.html· Published by the National Institutes of Health, this site offers an explanation of the types of cost analysis including comparison of cost-utility, cost-effectiveness, and cost-benefits.Required MediaLaureate Education (Producer). (2011). Design and evaluation of programs and projects [Video file]. Baltimore, MD: Author.“Performance Measurement, Monitoring, and Evaluation” (featuring Dr. Donna Shambley-Ebron, Dr. Melissa Willmarth, and Dr. Debora Dole)You may view this course video by clicking the link or on the course DVD, which contains the same content. Once you’ve opened the link, click on the appropriate media piece.In this week’s videos, Dr. Donna Shambley-Ebron, Dr. Melissa Willmarth, Dr. Debora Dole discuss evaluation for programs.

 
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Risk Management

see attachment below

 
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Research

You will perform a research and appraisal of existing evidence related to challenges to the safe and effective care of the aging population in the context of global health.  Select an aging population from another country, provide life expectancy, new disease patterns, longer lives, disabilities, cost of aging, health care, work, and the changing role of the family.Examples: China, England, India, Cuba, Russia, Alaska, Germany, Italy, Iran, Saudi Arabia, Mexico, Pacific Coast Islanders, Japan, France, Haiti, Canada.Minimum 500 wordsAPA styleMore than 3 references no older than 5 years

 
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