Change paper

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 In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession.

Response to peer D2 (3119)

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Please, write a response to the following discussion by using one reference from English peer-reviewed Journal that is not older than 5 years.

 

Hardiness Theory

It is of no surprise that many nurses who start working in the profession feel a sense of stress and burnout after working a long fast-paced shift in the hospital. The responsibility of making sure that every patient is receiving the highest level of care can be quite overwhelming when also being responsible for responding to the answers of concerned family members, receiving medical orders from doctors, delegating tasks to the patient care assistant, managing the pain of a trauma or post op patients, and ensuring the safety of a confused patient. Although this profession can be very satisfying, given that it involves helping patients in their most vulnerable state, the level of stress that nurses have to endure can be quite alarming. It is for this reason that many theorists have come into play when seeking to find a way to help individuals cope with difficult situations in the workplace. Susan Kobasa’s non-nursing theory known as Hardiness Theory, has been incorporated into a nursing theory when seeking to help nurses deal with the stresses of the profession (Henderson, 2015). 

            The theory of hardiness states that individuals must possess all three hardy attitudes, commitment, control, and challenge, in order to withstand any difficult life or professional situation and must learn how to turn any negative experience into an opportunity for personal and professional growth (Henderson, 2015). Commitment, being the first component of the theory of hardiness states that an individual must be active in every situation that comes in the way. In other words, the individual must never ignore the problem, but must instead be a participant in problem solving (Henderson, 2015). Control, is when an individual believes that his/her actions can result in a positive or negative outcome. The person has a sense of power over the situation (Henderson, 2015). Lastly, challenge is when an individual accepts the difficulties that comes along and uses them as opportunities to become a stronger and wiser (Henderson, 2015). 

            The components of this theory have been incorporated into a nursing theory because it has been used to provide nurses with effective strategies to manage the ongoing stresses that they face in the workplace. The humanistic nursing theory also includes the concept of authentic commitment, which means the nurse is actively present both personally and professionally in the decisions that are made when caring for a patient (George, 2011). It is highly important to implement the components of the theory presented because it serves as a tool to help reduce the incidence of developing any physical or mental illness (Henderson, 2015). 

Mapping Change

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You now have been tasked with mapping  out an organizational culture change Delta Pacific Company (DPC), another role  and responsibility as a change leader for the organization. It’s important to have a change plan set before the change actually occurs. This is for a few  reasons: Increases the probability of success Enables you to weigh options Provides knowledge so you can make an informed decision Allows for proper identification of the change and steps needed Allows for identification of what might occur during the change

Since you are the change leader, your  first step is to map the change using a change management model. You are aware  of the extensive change the organization is undertaking with a shift in production to consulting. However, profitability has still declined even with  training and resources in place.

As the change leader, select one  of the change management models and map out the organization’s goal of changing  the culture from the more traditional manufacturing environment to one of a  contemporary consulting environment.

Conduct academic research and create a proposal to the CEO and board in which you complete the following for approval of the change plan: Explanation for why the change model being used is most effective for this change. Description of the change map to include details for each step. Examples of what to expect during the change process. Explanation for each of your recommendations in each step of the change model. Remember that this is a proposal. Make sure to format your paper properly for your proposal. A proposal is a persuasive document, so make sure to use proper language and tone. Remember, you are the change leader and you are writing to the CEO. So use a tone in your proposal that is specific to your audience (the CEO).

Include your APA-formatted reference  page with at least two credible sources.

2/3 pages

1.Provides a detailed explanation of why change model being used is most effective for a change with organization culture.

2.Provides a detailed description of change map for changing the culture of the organization. Includes detailed information for most steps of the change model. Mostly uses correct terminology for change model.

3. Provides detailed examples of what to expect during the change process.

4. Provides a detailed explanation of recommendations in change plan.

post-Samantha

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 Respond to your colleagues by providing additional insights or alternative perspectives. 

Positive comment

                                Main Post

 

Mental  health disorders, even though suffered by many, remains stigmatized and  receives less attention than other health care issues (Swanton, 2016).   Many patients are not willing to disclose their mental health diagnosis  because of the fear of being looked down on or judged. There are also  limited mental health resources as well as some communities are not able  to gain some of these benefits due to insurance issues or the inability  to pay (Choi et al, n.d.).

             Two of the issues, that this writer believes need change are that of   the granting of FMLA leave to patients with diagnosed psychiatric  disorders and making treating options available to everyone. This writer  has worked with several clients who were having difficulties being  granted  FMLA or being denied. The FMLA is the Family and Medical Leave  Act. It works on behalf of those with medical and mental health  disorders who are unable to perform their job duties due to the  disability from the diagnoses (Wray et al., 2015).  Clients with  physical ailments may find it less difficult to be granted this paid  leave as their disorder is visible by the employer and those granting  the leave. When it comes on to mental health disorders, client tend to  run into several road blocks as their disorder is not readily visible. 

Many  clients explain that their request was denied or met several obstacles  as their diagnoses was not considered chronic or disabling. Many of the  clients argue that anxiety and depression make it difficult for them to  carry out their jobs that require them to come in contact with people.  The increased stress from interacting with others and trying to fit in  to the workplace can be debilitating but is rarely considered so by  employers. This is an area that needs attention and change. This writer  believes that Nurse Practitioners and other health care providers can be  an advocate for the client by providing thorough information on the  client’s illness that support the need for a leave.  The Nurse  Practitioner should be readily available to answer questions and educate  the employers on mental health disorders. In addition, the Nurse  Practitioner could advocate for change on a federal or state level by  writing congress or their elected leaders.

             Another issue that this writer believes need special attention is that  of making special procedures available to everyone. When treating mental  health disorders there are many treatments that would be beneficial for  a client, but the client will end up not receiving the treatment due  their inability to pay or insurance coverage (Wang & Xie, 2019).  This writer has worked with several client suffering with depression who  have exhausted the use of antidepressants but were not qualified for  ECT due to monetary reasons. The client is simply placed back on the  antidepressants with limited hope to treat their disorder. This issue is  also another social change issue that we as Nurse Practitioners could  propose to our elected leaders. The mental health community on a whole  is stigmatized and separated and this only separates them more by  causing a separation amongst themselves.

                                              References

Choi, N. G., DiNitto, D. M., & Marti, C. N. (n.d.). Relationship Between the Types of Insurance 

Coverage and Outpatient Mental Health Treatment Use Among Older Adults. JOURNAL 

OF APPLIED GERONTOLOGY, 35(12), 1343–1362.

Swanton, M. (2016). Mental Distress. InsideCounsel, 16(181), 26–28. Retrieved from 

ebscohost. com.ezp.waldenulibrary.org/login.aspx?direct=true&db=bth&AN=

23498644&site=eds-live&scope=site

Wang, N., & Xie, X. (2019). Associations of health insurance coverage, mental health problems, 

and drug use with mental health service use in US adults: An analysis of 2013 National 

Survey on Drug Use and Health. Aging & Mental Health, 23(4), 439–446.

Wray, T. B., Dvorak, R. D., & Martin, S. L. (2015). Demographic and economic predictors of 

mental health problems and contact with treatment resources among adults in a low-

income primary care setting. Psychology, Health & Medicine, 18(2), 213–222.

need a 6 page paper on Dorothea Orems self care

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i will pay bonus if you can supply me a turn it in report. 

 

Criteria for Content Introduction 

       The introduction substantively presents all the following elements:  Identifies the role of concept analysis within theory development. Identifies the selected nursing concept. Identifies the nursing theory that addresses the selected concept. Names the sections of the paper. Scholarly support is required. Definition/Explanation of the selected nursing concept

This section includes: Defines/explains the concept using scholarly literature (a  dictionary maybe used for this section ONLY, and additional scholarly  nursing references are required). A substantive discussion of this section with support from nursing literature is required. Literature review

This section requires: A substantive discussion of at least 3 (three) scholarly nursing literature sources on the selected concept. Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion. Support from nursing literature is required. Please Note: Primary research articles about the selected nursing concept are the most useful resource for the literature review. Defining attributes, for this section:  A minimum of THREE (3) attributes are required. A substantive discussion of this section with support from nursing literature is required

Explanation:  An attribute identifies characteristics of a  concept.  For this situation, the characteristics of the selected  nursing concept are identified and discussed. Antecedent and Consequence

This section requires the identification of: 1 antecedent of the selected nursing concept. 1 consequence of the selected nursing concept. A substantive discussion of the element with support from nursing literature is required.

Explanation:  An antecedent is an identifiable occurrence that  precedes an event.  In this situation, an antecedent precedes a  selected nursing concept. A consequence follows or is the result of an  event.  In this situation a consequence follows or is the result of the  selected nursing concept.  Empirical Referents

This section requires the identification of: 2 (two) empirical referents of the selected nursing concept. A substantive discussion of the element with support from nursing literature is required.

Explanation:  An empirical referent is an objective ways to measure or determine the presence of the selected nursing concept. Construct Cases 

Explanation: hypothetical or real-life situations demonstrating the use or absence of the concept.

This section requires the creation of a model case, borderline case, and contrary case. 1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas:  Definition All identified attributes

Explanation:  A model case is an example of a hypothetical or  real-life situation that demonstrates all of the attributes noted  previously in this assignment. 1 Borderline Case is created by the student in which one or two of the previously identified attributes are missing. 1 Contrary Case is created by the student that  demonstrates the opposite of the selected nursing concepts. All  identified attributes of the concept are absent in this cas Explanation:  Borderline case is a created case where one or two  of the previously identified attributes are missing. Contrary case is a  created case that demonstrate the complete opposite of the selected  nursing concept – all identified attributes are missing. Theoretical Applications of the Concept  Discuss the purpose of a concept analysis in relationship to theory. Explain how the concept applies to the selected nursing theory. A substantive discussion of the element with support from nursing literature is required. Conclusion

This section requires: Summarization of key information regarding:  Selected nursing concept. Selected nursing theory. Application of concept analysis findings to advanced practice  nursing (specific to selected specialty track professional role and/or  area of practice). The concluding statements include self-reflection on the new  knowledge gained from conducting a concept analysis. (Self-reflection  may be written in first-person.)

For Essays Guru – Asthma

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Write a one page paper informing a person about Asthma. The person knows nothing about the condition or how it is treated so be a specific and knowledgeable as possible. Title and reference page should not be counted in pages.

redo

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I need you to redo your care plan 1. Do only these sections:  1. List of 5 nursing diagnoses with 3 parts(Not medical diagnoses). 2. Nursing Interventions: follow the table given. Use any 3 of your nursing diagnoses to complete the table. Please use your assessment data and consult your nursing diagnoses textbook.

public health or community health

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hello

it is an assignment need to be resolved in 2 hours . 

50 multiple choice 

the class is nursing public health or nursing community health 

what +1 7318198021 

Watch Video Teenagers and Drugs –

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  Watch Video   

       Teenagers and Drugs – Two Things That Don’t Go Well Together: Julien Finn at [email protected] 

Then you must write comments on one (1) of the videos  provided (8-12 sentences)

Research Article Critique Paper

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Attached is Assignment