Policy Analysis Brief
To analyze an issue is to understand the problem and context of the problem. Nurses engage in policy analysis through the creation of policy briefs, which promote awareness of the problem, and provide context of the problem, resolution options and their pros and cons, and a recommended solution. Nurses use policy briefs to communicate issues and solutions to government policy analysts. Policy Analysis Brief.
Read the 2016 National Healthcare Quality and Disparities Report on the Agency for Healthcare Research and Quality website
ORDER A CUSTOM-WRITTEN PAPER NOW
Review the updated data and identify a possible meaningful policy change to improve care, lower costs, and reduce health disparities in your current role and place of practice, or the role you are pursuing. You will use this issue as you complete your policy brief. Policy Analysis Brief.
Search the Internet for the Association of Rehabilitation Nurses Health Policy Tool Kit and explore the toolkit.
Research the policy change further and write 1,400-word paper in which you identify the following:
•Underlying issue
•Stakeholders
•Resolution
•At least 2 specific alternative resolutions
•Positive consequences of each resolution
•Negative consequences of each resolution
•Cost of each resolution
•Financial implications of each resolution
◦Economic. Policy Analysis Brief
◦Resources
◦Quality of care
◦Patient outcomes
•Ethical considerations of each resolution
•Legal and regulation considerations of each resolution
◦Include one legal case as supporting evidence for each resolution.
◦Include one existing regulation as supporting evidence for each resolution. Policy Analysis Brief.
Cite at least three scholarly articles, one of which can be Health Policy and Politics, to support your findings.
Format your paper according to APA guidelines. Policy Analysis Brief

compass icon-01.png Overview:

You have been reading about using counterarguments, concessions, and qualifiers as rhetorical tools to “account for positions outside of, or opposed to, their own claims” (258).
Chapter 17 in the CEL offers some helpful strategies for structuring counterarguments in your writing. Read the section on “Counterarguing” in CEL Ch. 17 (p. 524-526) as you prepare to practice making counterarguments for the issue that you have chosen to write about.

quill icon-01.png Assignment:

Write several short paragraphs explaining how you can use counterarguing to organize your writing for the Unit 3 assignment.
Use the questions below to discover what other perspectives you might want to address through counterargument (adapted from CEL Ch. 12, p. 386):

  • Who might not agree with my perspective on the issue I have chosen? Who defines the issue differently or imagines a different solution?
  • Why might my approach to the solution be misunderstood? What aspects of my approach are ineffectual, idealistic, or impractical?
  • What other insights do people already have into the issue I have chosen? Why are those insights popular or visible?
  • Why ultimately is my approach to the issue I have chosen worth pursuing?

You might choose to begin with

  • Opposing Point A
  • Your Counterargument
  • Opposing Point B
  • Your counterargument.

Or you might instead organize your ideas as

  • Opposing Point A
  • Opposing Point B
  • Your counterargument to A
  • Your counterargument to B

Submit all of your work to this assignment as your response. You do not have to answer each of these questions word for word in a separate paragraph, but your response overall should show that you are considering all of the questions above.

Escherichia coli (E. coli). Based on the above scenario, answer the following questions:

  • Why does she have bacteria and white blood cell casts in her urine? Include the pathophysiological response of body for your analysis.
  • What are the differences when comparing prerenal acute renal injury, intrarenal acute renal injury, and postrenal acute renal injury? Give examples of each and pathological processes related to each disease process.
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The Imperial Presidency
The critical tests of the imperial Presidency are threefold: the war making power; the secrecy system; and the employment against the American people of emergency authority acquired for use against foreign enemies.” – Arthur Schlesinger
In Unit 1 you read and analyzed the U.S. Constitution. Now, armed with a textual and nuanced understanding of the U.S. Constitution, including Article II, you may come to the conclusion that the founding fathers, leery of tyrannical monarchs, deliberately made vague the powers and responsibility of the president.
That said, many historians argue that the institution of the presidency has grown over time. In 1973, Arthur Schlesinger Jr. published The Imperial Presidency. Whereas the book examines the history of the presidency since inception, the author focuses on the increasingly expansive executive power of the Nixon presidency. Subsequent scholars have used the term “imperial presidency” to argue that since WWII, that expansion of presidential power and the growth of the federal bureaucracies is a dominant feature of the modern era. (Schlesinger, 1973)
Directions: Using the required, academic readings, and supplemental academic research, please address the following while adhering to the Discussion Board Rubric:

  • Identify the constitutional powers of the presidency.
  • Select two examples of the growth of presidential power during the 20th and 21st centuries.
  • Support your examples with information obtained from the text and at least two academic articles.
  • How does the dramatic growth of the federal bureaucracy affect public policy?
  • Based on your understanding of the U.S. Constitution, how do you understand the increase in presidential power?
    • Does this increase in executive power decrease the authority of the legislative or judicial branch? If so, please provide a specific rationale.

References:
The Constitution of the United States. (n.d.). Retrieved from https://www.archives.gov/founding-docs/constitution.
Schlesinger, A. M. (1973). The imperial presidency. Boston: Houghton Mifflin.

BLCN532 Lab 1
Set up your development environment
V2.0

Introduction

This course introduces students to blockchain development for enterprise environments. Before you can develop software applications, you need to ensue your development environment is in place. That means you’ll need all the tools and infrastructure installed and configured to support enterprise blockchain software development projects.
In this lab you’ll set up your own Hyperledger Fabric development environment and install the course software from the textbook. When you finish this lab, you’ll have a working development environment and will be ready to start running and modifying blockchain applications.
The instructions in your textbook are for Mac and Linux computers. However, there is no guarantee that your installation of MacOS or Linux is completely compatible with the environment in which the commands from the textbook work properly. For that reason, I STRONGLY SUGGEST that you acquire an Ubuntu 16.04 Virtual Machine (VM) for your labs. Using an Ubuntu 16.04 VM will make the labs far easier to complete.
The instructions in this course’s labs assume that your computer runs the Windows operating system. If you run MacOS or Linux, you can get Vagrant and VirtualBox for those operating systems and follow the gist of the “Initial setup for Windows computers”.

Lab Deliverables:

To complete this lab, you must create a Lab Report file and submit the file in iLearn. The Lab Report file must be a Microsoft Word format (.docx), and have the filename with the following format:
BLCN532_SECTION_STUDENTID_LASTNAME_FIRSTNAME_Lab01.docx
· SECTION is the section number of your current course (2 digits)
· STUDENTID is your student ID number (with leading zeros)
· LASTNAME is your last name, FIRSTNAME is your first name
To get started, create a Microsoft Word document (.docx) with the correct filename for this lab. You’ll be asked to enter text and paste screenshots into the lab report file.
NOTE: All screenshots MUST be readable. Use the Ubuntu Screen Capture utility (see the lab video.) Make sure that you label each screenshot (i.e. Step 2.1.3) and provide screenshots in order. For commands that produce lots of output, I only want to see the last full screen when the command finishes. Provide FULL screenshots, NOT cropped images.

SECTION 1: Initial setup for Windows computers (Chapter 3)

Step 1.1: Install Oracle Virtualbox (Windows, Linux, MacOS)

Oracle Virtualbox is an open source virtualization environment that allows you to run multiple virtual machines and containers on a single personal computer. Virtualbox is free and it is easy to install.
In your favorite web browser, navigate to: https://www.virtualbox.org/ and click the “Download Virtualbox” button. Click the “Windows hosts” link to download the main installation executable. You should also click the “All supported platforms” under the “Extension Pack” heading to download extra software support for devices.
After you download the two files, double click each one to run the install procedure.

Step 1.2: Install Vagrant (Windows, Linux, MacOS)

Vagrant is a free virtual environment management utility. It makes the process of starting, stopping, and managing virtual machines easier. In your web browser, navigate to https://www.vagrantup.com/ then click the “Download” button, and click the version of the Windows executable you’d like to install. (Most of you should select the “64-bit” version.)
Once you download the install program, double-click the file you just downloaded to install Vagrant.
If you want more information on Vagrant and tips on getting the most out of the software, navigate to:
https://www.sitepoint.com/getting-started-vagrant-windows/ .

Step 1.3: Set up your Vagrant project

After installing all the pre-requisite pieces, you need to set up your Vagrant project. A Vagrant project defines your virtual machine environment and helps you organize your collection of VMs into a group that is easy to manage.
We’ll use the Windows PowerShell as our Windows command prompt environment. PowerShell is a very powerful command line interface that is available on all Windows computers.
To launch PowerShell, click the Windows key, type PowerShell, then click the Windows PowerShell menu entry. The figure below shows a portion of the Windows PowerShell command prompt window.
 
PowerShell uses your user’s home directory as its starting directory. In my case, C:\Users\micha is my home directory. For the rest of the lab, I’ll refer to this a %HOME%. Your %HOME% will be different.

1.3.1: Remove existing Vagrant projects

Follow these steps ONLY if you already have a previous Vagrant project you want to remove: (Assume the project you want to remove is located in the %HOME%\vagrant\Hyperledger directory.)
If you DO NOT have an existing Vagrant project that you need to remove, skip to section 1.3.2.
1. PS %HOME%\vagrant\Hyperledger> vagrant global-status
Note the id of the listed VM(s). You’ll use this id in the next command, in place of xxxxxxx.
2. PS %HOME%\vagrant\\Hyperledger> vagrant destroy xxxxxxx
3. PS %HOME%\vagrant\\Hyperledger> vagrant box remove ubuntu/xenial64

1.3.2: Create a new Vagrant project for Hyperledger

Launch PowerShell and enter the following commands: (Don’t type ‘PS %HOME%>’, that’s just the PowerShell prompt. Just type the characters in bold.)
1. PS %HOME%> mkdir vagrant
2. PS %HOME%> cd vagrant
3. PS %HOME%\vagrant> mkdir Hyperledger
4. PS %HOME%\vagrant> cd Hyperledger
5. PS %HOME%\vagrant\Hyperledger> vagrant init kelly219design/ubuntu-xenial-16.04-gui-desktop-base
Make sure that you enter the line above as ONE LINE at the PowerShell prompt 
6. Go to the Blackboard site (ucumberlands.blackcoard.com) and login.
7. Navigate to this course (BLCN532) -> Content for this week, Lab01.
a. Download the Vagrantfile file and copy it to the %HOME%\vagrant\Hyperledger directory. (This will overwrite the Vagrantfile that was already there.)
8. PS %HOME%\vagrant\Hyperledger> vagrant up
NOTE: To stop your VM type vagrant halt in PowerShell

Section 2: Install Pre-requisites (Chapter 3)

Once you have an operating Linux VM, you can start to install the Hyperledger Fabric pre-requisites. In this section you’ll install all the software and configuration pieces necessary to run the class enterprise blockchain application in Hyperledger Fabric.

Step 2.1: Install pre-reqs

2.1.1: Install dev tools

1. If you haven’t started your VM, do the following:
a. Open Windows PowerShell, then navigate to your Hyperledger project directory.
b. PS %HOME%\vagrant\Hyperledger> vagrant up
2. Login to your VM using the username: vagrant and password: vagrant
3. Click “Search your computer” (upper left corner icon), then type terminal.
4. Click on the Terminal icon to launch a terminal with a shell prompt.
You type all the following commands in your Linux VM (at the Terminal command prompt.)
Don’t type the ‘$’ character. That is the prompt character of a regular user to remind you that this is a command you should enter in Linux. When you see a ‘#’ character, that indicates you are in an elevated privilege shell. And the ‘>’ character indicates you’re in PowerShell. Pay attention to the prompt characters – they give you valuable information about your current context.
5. $ sudo apt-get update
6. $ sudo apt-get install libltdl-dev

2.1.2: Install Docker-CE

You can find complete Docker-CE instructions/docs at: https://docs.docker.com/install/linux/docker-ce/ubuntu/
1. $ curl -fsSL https://download.docker.com/linux/ubuntu/gpg | sudo apt-key add –
2. $ sudo add-apt-repository “deb [arch=amd64] https://download.docker.com/linux/ubuntu $(lsb_release -cs) stable”
Make sure that you enter the line above as ONE LINE in Linux 
3. $ sudo apt-get update
4. $ sudo apt-get install docker-ce docker-ce-cli containerd.io

2.1.3: Install Docker compose

1. $ sudo curl -L “https://github.com/docker/compose/releases/download/1.23.2/docker-compose-$(uname -s)-$(uname -m)” -o /usr/local/bin/docker-compose
2. $ sudo chmod +x /usr/local/bin/docker-compose
3. $ docker-compose version
4. $ date
5. Create a screenshot of the results of steps 1 – 4 and paste it into your Lab Report File.

2.1.4: Install business network pre-reqs

1. $ curl -O https://hyperledger.github.io/composer/latest/prereqs-ubuntu.sh
2. $ chmod u+x prereqs-ubuntu.sh
3. $ ./prereqs-ubuntu.sh
4. $ date
5. Create a screenshot of the results of steps 1 – 4 and paste it into your Lab Report File.
>>> Logout (use the gear icon in the upper right corner) and log back in before continuing.

2.1.5: Install GO language

The next step is to install the GO programming language. You’ll use GO to write and modify source code files for the class blockchain application.
1. $ sudo apt-get update
2. $ wget https://dl.google.com/go/go1.12.1.linux-amd64.tar.gz
3. $ tar xvf go1.12.1.linux-amd64.tar.gz
4. $ nano ~/.profile
5. In the nano editor, add the following 2 lines after the last line in the file:
export GOPATH=$HOME/go
export PATH=$PATH:$GOPATH/bin
6. Save your file and exit nano
7. $ source .profile
8. $ go version
9. $ date
10. Create a screenshot of the results of steps 1 – 9 and paste it into your Lab Report File.

Step 2.2: Install source code and set up business network

In this step you download and install the class application source code and set up the business network.

2.2.1: Forking and Cloning the trade-finance-logistics repository

1. In a browser (in Windows) go to: https://github.com/HyperledgerHandsOn/trade-finance-logistics
2. Sign up or log in
3. Click Fork
You type all the following commands in your Linux VM (at the command prompt.)
4. $ cd $GOPATH/src
5. $ git clone https://github.com/YOUR_GIT_ID/trade-finance-logistics.git
6. $ cd $GOPATH/src
7. $ mkdir -p github.com/hyperledger
8. $ cd github.com/hyperledger
9. $ git clone https://github.com/hyperledger/fabric.git -b release-1.1
10. $ cd fabric
11. EDIT FILES *****
a. $ nano Makefile
b. Find the line starts with CHAINTOOL_RELEASE (hint: use CTRL W to search)
c. Change the line you just found to this: CHAINTOOL_RELEASE=1.1.3
d. Find the line that starts with CHAINTOOL_URL (hint: use CRTL W to search)
e. Change the line you just found to this: CHAINTOOL_URL ?= https://hyperledger.jfrog.io/hyperledger/fabric-maven/org/hyperledger/fabric-chaintool/$(CHAINTOOL_RELEASE)/fabric-chaintool-$(CHAINTOOL_RELEASE).jar
NOTE: The line above should be on a SINGLE LONG LINE (don’t break up the line into multiple lines)
f. Save the file (hint: use CRTL O to write the file)
g. Exit the nano editor (hint: use CTRL X to exit)
h. $ nano images/javaenv/Dockerfile.in
i. Find the line that starts with && curl -fsSL https://nexus.hyperledger.org
j. Change the line you just found to this: && curl -fsSL https://repo1.maven.org/maven2/org/apache/maven/apache-maven/$MAVEN_VERSION/apache-maven-$MAVEN_VERSION-bin.tar.gz \
NOTE: The line above should be on a SINGLE LONG LINE (don’t break up the line into multiple lines)
k. Save the file (hint: use CRTL O to write the file)
l. Exit the nano editor (hint: use CTRL X to exit)
12. $ make docker
13. $ make configtxgen cryptogen
14. $ git clone https://github.com/hyperledger/fabric-ca.git
15. $ cd fabric-ca
16. $ make docker
17. $ date
18. Create a screenshot of the results of steps 1 – 17 and paste it into your Lab Report File.

2.2.2: Generate network cryptographic material

1. $ cd $GOPATH/src/trade-finance-logistics/network
2. $ nano ~/.profile
change last line to this (all on 1 line, not 2):
export PATH=$PATH:$GOPATH/bin:$GOPATH/src/github.com/hyperledger/fabric/build/bin:$GOPATH/src/github.com/hyperledger/fabric/build/docker/bin
3. Save file and exit nano
4. $ source ~/.profile
5. $ cryptogen generate –config=./crypto-config.yaml
6. $ date
7. Create a screenshot of the results of steps 1 – 6 and paste it into your Lab Report File.

2.2.3: Generate channel artifacts

1. $ cd $GOPATH/src/trade-finance-logistics/network
2. Execute the follow commands OR run the trade.sh script (AFTER step 9)
3. $ mkdir -p channel-artifacts
4. $ configtxgen -profile FourOrgsTradeOrdererGenesis -outputBlock ./channel-artifacts/genesis.block
5. $ configtxgen -profile FourOrgsTradeChannel -outputCreateChannelTx ./channel-artifacts/channel.tx -channelID tradechannel
6. $ configtxgen -profile FourOrgsTradeChannel -outputAnchorPeersUpdate ./channel-artifacts/ExporterOrgMSPanchors.tx -channelID tradechannel -asOrg ExporterOrgMSP
7. $ configtxgen -profile FourOrgsTradeChannel -outputAnchorPeersUpdate ./channel-artifacts/ImporterOrgMSPanchors.tx -channelID tradechannel -asOrg ImporterOrgMSP
8. $ configtxgen -profile FourOrgsTradeChannel -outputAnchorPeersUpdate ./channel-artifacts/CarrierOrgMSPanchors.tx -channelID tradechannel -asOrg CarrierOrgMSP
9. $ configtxgen -profile FourOrgsTradeChannel -outputAnchorPeersUpdate ./channel-artifacts/RegulatorOrgMSPanchors.tx -channelID tradechannel -asOrg RegulatorOrgMSP
OR (Instead of typing the commands above, the author provides a script to do it all)
1. $ ./trade.sh generate -c tradechannel
Troubleshooting help:
· If you encounter problems with your blockchain network in this lab or future labs, the ./trade.sh script may help you resolve them. If you are getting errors when trying to launch or interact with your network, try these commands at the Ubuntu command prompt:
./trade.sh down # If your network is up and running
./trade.sh clean
./trade.sh generate -c tradechannel 
./trade.sh up

2.2.4: Launch the sample trade network

There are two ways to launch the sample trade network, using the docker-compose command directly, or by using the author-supplied trade.sh shell script. We’ll use the shell script in most of our activities.
1. $ cd $GOPATH/src/trade-finance-logistics/network
2. $ ./trade.sh up
3. $ date
4. Create a screenshot of the results of steps 1 – 3 and paste it into your Lab Report File.

Step 2.3: Verifying your business network

The last step in this lab is to verify that your business network is up and running.
1. Open a new terminal window in your Vagrant Hyperledger VM. Click “Search your computer” (upper left corner icon), then type terminal, then click the Terminal icon.)
2. Enter the following command:
3. $ docker ps -a
4. $ date
5. Create a screenshot of the results of steps 2 – 4 and paste it into your Lab Report File.
6. The first column in the previous output is the “container-ID”. Find the container-ID for the orderer process, and use it for the following command: (Don’t type the “<” or “>” characters)
7. $ docker logs <container-ID>
8. Create a screenshot of the results of step 7 and paste that screenshot into your Lab Report File.

Section 3: Wrapping up

Once you have your network up and running, the only step to complete is to learn how to properly shutdown your business network.
1. Shut down the business network in Linux:
2. $ ./trade.sh down
3. Exit from your Linux Terminal command prompt(s) (i.e. close any open Terminal windows.)
4. $ exit
5. In Windows PowerShell, shut down your Hyperledger virtual machine:
9.  PS %HOME%\vagrant\Hyperledger> vagrant halt
10. Create a snapshot (NOT A SCREENSHOT) of your Ubuntu VM in VirtualBox. This allows you to easily restore to this point if you ever need to “undo” subsequent steps and return to a known point.
a. PS %HOME%\vagrant\Hyperledger> vagrant snapshot EndOfLab01
You should have 8 screenshots in your Lab Report File. Save your file and submit it in iLearn as a file attachment for the Lab 1 assignment.
Congratulations! You have complete lab 1.

Course Project: Part 3—Translating Evidence Into Practice

In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.
Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.
To prepare:
· Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?
· With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
· Explore possible consequences of failing to adopt the evidence-based practice that you identified.
· Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?
To complete:
In a 3- to 4-page paper:
· Restate your PICOT question and its significance to nursing practice.
· Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.
· Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.
· Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?

Week 4 Assignment Instructions

Tutor MUST have a good command of the English language

Please read all the instructions and requirements

Sources need to be less than five years old and journal/scholarly articles. 

No textbook or direct quotes 

All the Rubric requirements listed MUST be met.

***I have attached the  DPI Project Milestone: 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project Assignment with the instructor’s corrections/comments. This needs to be revised as well meeting the instructor’s expectations. 

Details:

 

Empirical research is the foundation of scholarly research and scholarly writing. An empirical article is defined as one that reports actual results of a research study. An empirical article includes a description of the study, an introduction, a research question, an explanation of the study’s methodology, a presentation of the results of the study, and a conclusion that discusses the results and suggests topics for further study.

As you search the library for scholarly research, you should limit your search to identify empirical articles. (You can use the “Empirical Research Checklist” from DNP-801 to assist in this determination.) After finding an empirical study, begin to assess the validity of the conclusion by determining if the conclusion answers the proposed research question and if the methodology is appropriate.

As you move forward in your doctoral journey, you will read research papers that will require you to assess the validity of the studies in question. To accomplish this, qualitative assessments about the research must be made by comparing, contrasting, and synthesizing what the research says.

In this assignment, you will continue to develop the skill of writing, by reviewing 15 research articles associated with your chosen topic and using the content to identify at least five major concepts and subthemes related to your topic.

General Requirements:

Use the following information to ensure successful completion of this assignment:

  • Use      the “Empirical Research Checklist” to assist in the      determination of empirical articles.
  • Use      the “Research Article Chart” to provide a summary review of each      component of your assignment.
  • Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the Student Success Center.
  • This      assignment uses a rubric. Please review the rubric prior to beginning the      assignment to become familiar with the expectations for successful      completion.
  • You      are required to submit this assignment to Turnitin. Please refer to the      directions in the Student Success Center.

Directions:

Part 1: Selection of 15 Articles 

Select 15 empirical articles related to your PICOT question. Use the “Empirical Research Checklist” worksheet to ensure that each article you select meets all of the established criteria. At least one article must demonstrate a quantitative methodology.

Clinical/PICOT Question: 

In Patients > 65 years of age with central line catheters, how does staff training of key personnel and reinforcement of central line catheter hub hygiene after its insertion, along with the apt cleansing of the insertion site, reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections) at a level two trauma facility compared to standard care over a one-month period? 

P: Patients > 65 years of age with a central line

I: Staff training and reinforcement of central catheter, hub hygiene 

C: Compared to standard care 

O: Reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections)

T: A period of one-month

Part 2: Research Article Chart

Using the articles acquired in Part 1, provide a summary review of each component using the “Research Article Chart” template.

Part 3: Synthesis of Research Studies

Based upon your review of the 15 research articles, identify at least five major concepts that relate to your project topic, and three subthemes related to each concept.  

Using the information from the completed “Research Article Chart,” and the major concepts and subthemes you have identified, write a 2,000-3,000 word paper that synthesizes the content of the 15 research studies.

Summarize each major concept and focus on providing a detailed synthesis of the three identified subthemes that support that concept by addressing the following.

  1. Introduction      of the identified subtheme
  2. Summary      of the research questions posed by the studies
  3. Summary      of the sample populations used
  4. Summary      of the limitations of the studies
  5. Summary      of the conclusion and recommendations for further research

NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

Week 1: Legal and Ethical Considerations for Group and Family Therapy

Members of a cohesive group feel warmth and comfort in the group and a sense of belongingness; they value the group and feel in turn that they are valued, accepted, and supported by other members.

—Irvin D. Yalom, The Theory and Practice of Group Psychotherapy

Laureate Education (Producer). (2017). Introduction to psychotherapy with groups and families [Video file]. Baltimore, MD: Author.
 
Note: The approximate length of this media piece is 2 minutes.
 


–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Group and family therapy offers a unique sense of community and support that may not be achieved through other therapeutic approaches. As you help clients effect change within themselves, they are able to in turn help others within the group change. Although many clients thrive in this environment, it is important to recognize that group and family therapy is not appropriate for everyone. Like any other therapeutic approach, group and family therapy has limitations that must be considered.
This week, as you begin exploring group and family therapy, you examine legal and ethical considerations of this therapeutic approach. You also prepare for your practicum experience by examining counseling theories and developing goals to guide your practice. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

ORDER A PLAGIARISM-FREE PAPER HERE

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

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

  • Chapter 11, “Group Therapy” (pp. 407–428)

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

  • Chapter 1, “The Foundations of Family Therapy” (pp. 1–6)
  • Chapter 2, “The Evolution of Family Therapy” (pp. 7–28)

Khawaja, I. S., Pollock, K., & Westermeyer, J. J. (2011). The diminishing role of psychiatry in group psychotherapy: A commentary and recommendations for change. Innovations in Clinical Neuroscience, 8(11), 20–23. Retrieved from http://innovationscns.com/
Note: You will access this article from the Walden Library databases.

Koukourikos, K., & Pasmatzi, E. (2014). Group therapy in psychotic inpatients. Health Science Journal, 8(3), 400–408. Retrieved from http://www.hsj.gr/medicine/group-therapy-in-psychotic-inpatients.php?aid=2644
Note: You will access this article from the Walden Library databases.

Lego, S. (1998). The application of Peplau’s theory to group psychotherapy. Journal of Psychiatric & Mental Health Nursing, 5(3), 193–196. doi:10.1046/j.1365-2850.1998.00129.x
Note: You will access this article from the Walden Library databases.

Document: Practicum Journal Template (Word document)

Document: Midterm Exam Study Guide (Word document)

Document: Final Exam Study Guide (Word document)

Required Media

Laureate Education (Producer). (2015). Microskills: Family counseling techniques 1 [Video file]. Baltimore, MD: Author. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy.
 
Note: The approximate length of this media piece is 32 minutes.
 


–Downloads–
Download Video w/CC
Download Audio
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Laureate Education (Producer). (2015). Microskills: Family counseling techniques 2 [Video file]. Baltimore, MD: Author.
 
Note: The approximate length of this media piece is 32 minutes.
 


–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2015). Microskills: Family counseling techniques 3 [Video file]. Baltimore, MD: Author.
 
Note: The approximate length of this media piece is 24 minutes.
 


–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008a). Legal and ethical issues for mental health professionals, volume 1: Confidentiality, privilege, reporting, and duty to warn [Video file]. Mill Valley, CA: Psychotherapy.net.
 
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 140 minutes.

Optional Resources

Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008b). Legal and ethical issues for mental health professionals, volume 2: Dual relationships, boundaries, standards of care and termination [Video file]. Mill Valley, CA: Psychotherapy.net. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 191 minutes.

Considering the Health Insurance Portability and Accountability Act (HIPPA), the idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. For this Discussion, consider how limited confidentiality and other legal and ethical considerations might impact therapeutic approaches for clients in group and family therapy.

Learning Objectives

Students will:
  • Compare legal and ethical considerations for group and family therapy to legal and ethical considerations for individual therapy
  • Analyze the impact of legal and ethical considerations on therapeutic approaches for clients in group and family therapy
  • Recommend strategies to address legal and ethical considerations for group and family therapy

To prepare:

  • Review this week’s Learning Resources and consider the insights they provide on group and family therapy.
  • View the media, Legal and Ethical Issues for Mental Health Professions, Volume I, and reflect on legal and ethical considerations for group and family therapy and individual therapy. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

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!

By Day 3

Post an explanation of how legal and ethical considerations for group and family therapy differ from those for individual therapy. Then, explain how these differences might impact your therapeutic approaches for clients in group and family therapy. Support your rationale with evidence-based literature. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy.

By Day 6

Respond to at least two of your colleagues by suggesting strategies to address the legal and ethical considerations your colleagues discussed. Support your responses with evidence-based literature.

Submission and Grading Information

Grading Criteria

To access your rubric:
Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 1 Discussion


Assignment 1: Practicum – Week 1 Journal Entry

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

Learning Objectives

Students will:
  • Analyze nursing and counseling theories to guide practice in psychotherapy*
  • Summarize goals and objectives for personal practicum experiences*
  • Produce timelines for practicum activities*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.
In preparation for this course’s practicum experience, address the following in your Practicum Journal:

  • Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.
    Note: For guidance on nursing and counseling theories, refer to this week’s Learning Resources.
  • Explain why you selected these theories. Support your approach with evidence-based literature.
  • Develop at least three goals and at least three objectives for the practicum experience in this course.
  • Create a timeline of practicum activities based on your practicum requirements.
  • NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

By Day 7 of Week 4

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. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy
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 legal and ethical considerations for group and family therapy
  • Prepared for your practicum experience by examining counseling theories and developing goals to guide your practice

Next week, you will:

  • Explore family assessment and therapy as you assess client families presenting for psychotherapy
  • Develop diagnoses for clients receiving family psychotherapy and consider legal and ethical implications of counseling these clients

Looking Ahead 1: Didactic Assignments

Week 3 Discussion: In a 3- to 5-minute Kaltura video, you will discuss a client family you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 3 Discussion for additional guidance.
Week 10 Discussion: In a 3- to 5-minute Kaltura video, you will discuss a child or adolescent group you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 10 Discussion for additional guidance.
Week 11 Discussion: In a standard Discussion thread, you will discuss an older adult group you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 11 Discussion for additional guidance. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy.


Looking Ahead 2: Practicum Assignments

Each week, you will complete practicum-related Assignments. It is highly recommended that you review the practicum assignments for Weeks 2–11 before Day 7 of Week 1. This will give you time to meet with your preceptor so that you can fulfill the requirements of each Assignment.

  • Week 2:You will write about two clients from a family you observed or counseled. (Assignment to be submitted by Day 7 of Week 4)
  • Week 3: You will complete a comprehensive client family assessment. (Assignment to be submitted by Day 7 of Week 4)
  • Week 5: You will write about two clients from a family you observed or counseled and explain whether solution-focused or cognitive behavioral therapy would be effective with the family. (Assignment to be submitted by Day 7 of Week 7). NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy.
  • Week 7: You will write a progress note and privileged psychotherapy note for the client family you assessed in Week 3 for the comprehensive client family assessment. (Assignment to be submitted by Day 7 of Week 7.)
  • Week 8: You will write about two clients you observed or counseled during a group therapy session and explain whether cognitive behavioral therapy would be effective with the group. (Assignment to be submitted by Day 7 of Week 10)
  • Week 10: You will write about two clients you observed or counseled during a group therapy session for children and adolescents. (Assignment to be submitted by Day 7 of Week 10)
  • Week 10: You will write a client termination summary for a client who is ready to complete group therapy. (Assignment to be submitted by Day 7 of Week 11). NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

Four page position essay on “The Metamorphosis” by Franz Kafka.
Prompt:  With what character do you sympathize and/or identify most from ? Why? Does your response conform to or contradict the text’s overall argument or purpose? With what character are you supposed to sympathize and/or identify most? How and why does the text manipulate your response to this character?
REQUIRED: 
– Four pages and a works cited page with at least two sources OTHER than the story itself. Sources must come from an academic source such as a library database. 
– No summary of the story within the text. Assume the reader already knows what you’re talking about. 
– Minimal to no use of first person. 
– Reference the text at least 4-5 times throughout the writing. 

Document attached