Nursing Evidence-Based Practice: Research Evidence Appraisal Tool

Evidence Level and Quality:_______________________

Article Title:
 
 

Number: 
Author(s): 
 
PublicationDate:
Journal: 
 
Setting: 
 
Sample(Composition&size):
 Does this evidence address my EBP question?
 
 
£Yes  £NoDo not proceed with appraisal of this evidence
Level of Evidence (Study Design)
 
 
£Yes
 
£Yes
£Yes
 
£Yes
 
£No
 
£No
£No
 
£No
 
B.  Is this a summary of multiple research studies? If No, go to Non-Research Evidence Appraisal Form.
 
1.     Does it employ a comprehensive search strategy and rigorous appraisal method (Systematic Review)?  If No, use Non-Research Evidence Appraisal Tool; if Yes:
 
a.     Does it combine and analyze results from the studies to generate a new statistic (effect size)? (Systematic review with meta-analysis)
b.    Does it analyze and synthesize concepts from qualitative studies? (Systematic review with meta-synthesis)
 
If Yes to either a or b, go to #2B below.
 
2.     For Systematic Reviews and Systematic Reviews with meta-analysis or meta-synthesis:
a.     Are all studies included RCTs?
 
b.    Are the studies a combination of RCTs and quasi-experimental or
quasi-experimental only?
 
c.     Are the studies a combination of RCTs, quasi-experimental and
non-experimental or non-experimental only?
 
d.    Are any or all of the included studies qualitative?
 
 
complete THENEXT SECTION,STUDY FINDINGS THAT HELP YOU ANSWER THE EBP QUESTION”
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
£ LEVEL  I
 
 
£ LEVEL II
 
 
£ LEVEL IIl
 
£ LEVEL IIl
 
 
£Yes
 
 
 
£Yes
 
 
£Yes
 
£Yes
 
 
 
 
 
£No
 
 
 
£No
 
 
£No
 
£No
 
 
 
 

NOW COMPLETE THE FOLLOWING PAGE, “QUALITY APPRAISAL OF RESEARCH STUDIES”, AND ASSIGN A QUALITY SCORE TO YOUR ARTICLE

Quality Appraisal of Research Studies
·         Does the researcher identify what is known and not known about the problem and how the study will address any gaps in knowledge?·         Was the purpose of the study clearly presented?
·         Was the literature review current (most sources within last 5 years or classic)?
·         Was sample size sufficient based on study design and rationale?
·         If there is a control group:
o    Were the characteristics and/or demographics similar in both the control and intervention groups?
o    If multiple settings were used, were the settings similar?
o    Were all groups equally treated except for the interventiongroup(s)?
·         Are data collection methods described clearly?
·         Were the instruments reliable (Cronbach’s α [alpha]> 0.70)?
·         Was instrument validity discussed?
·         If surveys/questionnaires were used, was the response rate >25%?
·         Were the results presented clearly?
·         If tables were presented, was the narrative consistent with the table content?
·         Were study limitations identified and addressed?
·         Were conclusions based on results?
£Yes
£Yes
£Yes
£Yes
 
 
£Yes
£Yes
£Yes
£Yes
 
£Yes
£Yes
 
£Yes
 
£Yes
 
£Yes
 
£Yes
 
£Yes
 
£No
£No
£No
£No
 
 
£No
£No
£No
£No
 
£No
£No
 
£No
 
£No
 
£No
 
£No
 
£No
 
 
 
 
 
 
 
£NA
£NA
£NA
 
 
£NA
£NA
 
£NA
 
 
 
£NA
 
Quality Appraisal of Systematic Review with or without Meta-Analysis or Meta-Synthesis
·         Was the purpose of the systematic review clearly stated?·         Were reports comprehensive, with reproducible search strategy?
o  Key search terms stated
o  Multiple databases searchedand identified
o  Inclusion and exclusion criteria stated
·         Was there a flow diagram showing the number of studies eliminated at each level of review?
·         Were details of included studies presented (design, sample, methods, results, outcomes, strengths and limitations)?
·         Were methods for appraising the strength of evidence (level and quality) described?
·         Were conclusions based on results?
o    Results were interpreted
o   Conclusions flowed logically from the interpretation and systematic review question
·         Did the systematic review include both a section addressing limitations and how they were addressed?
£Yes£Yes
£Yes
£Yes
£Yes
 
£Yes
 
£Yes
 
£Yes
 
£Yes
£Yes
£Yes
 
£Yes
£No£No
£No
£No
£No
 
£No
 
£No
 
£No
 
£No
£No
£No
 
£No

Quality Rating Based on quality appraisal

AHigh quality:  consistent, generalizable results; sufficient sample size for the study design; adequate control; definitive conclusions; consistent recommendations based on comprehensiveliterature review that includes thorough reference to scientific evidence
BGood quality: reasonably consistent results; sufficient sample size for the study design; some control, and fairly definitive conclusions; reasonably consistent recommendations based on fairly comprehensive literature review that includes some reference to scientific evidence
C  Low quality or major flaws: little evidence with inconsistent results; insufficient sample size for the study design; conclusions cannot be drawn

Due date 11/23/2016?   Please see instructions below:     Assignment 3: Concept Synthesis Paper on Personal Nursing Philosophy   Overview   You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.   This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.   Your paper should follow a format that includes:   Nursing Autobiography: A brief (1 page) discussion of your background in nursing.   my background :   In regards to the professional field, I received my BSN degree in Habana Cuba in 1996 and received my RN license in the State of Florida on October 13, 2014. My nursing practice was as emergency care nursing and internal medicine unit at “Calixto Garcia Hospital”, Cuba for three years, where provide care for patients with life-threatening medical conditions and look after patients who have experienced invasive surgery, accidents and/or trauma. Careful assessment and monitoring of patient progress in order to watch for sudden or subtle changes in a patient’s medical condition that might require emergency intervention and heart monitoring as well as treatment adjustments.   Moreover,  I have been in the medical field in United State for more than 13 years working in Home Health Service and Rehabilitation Center in Miami. In my work experience I have been required to demonstrate many of the skills for the Family Nurse Practitioner. I have also undertaken leadership role during my career monitoring nursing students. I have done so successfully and have enjoyed this experience.      

  • The Four Metaparadigms:Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.
 
  • Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.
 
  • List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.
  Consider the following questions as you complete your various tasks related to this assignment.  
1. How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?
2. What are the major concepts I employ that are unique to my professional practice?
3. What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?
4. How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice?
5. What research supports these theories and concepts?
6. How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?
  The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APAManual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 9 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately. References have to be peer review less than 5 years old   Due date 11/23/2016   Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.   Grading of the paper will be based on the following:  
Grading Criteria: Maximum Points
Nursing Autobiography
The nursing autobiography included personal experiences in the field of nursing. 8
Provided an account of the current professional role of the student. 8
Included factors that guided decision making. 8
Quality of Essay
Enlisted the four metaparadigms. 8
The essay included a definition of the four metaparadigms of nursing with reference to professional practice. 8
The essay mentioned how the metapardigms were employed in nursing practice. 8
The essay enlisted two practice-specific concepts. 8
The essay included clinical examples for each of the chosen concepts. 8
The clinical examples illustrated the concepts in a manner, which further clarified the students’ use of the conceptual material. 8
The essay demonstrated consistency between concepts, assumptions, and clinical application. 8
 
The essay identified and discussed students’ perspective on two other concepts specific to their practice. 8
The essay included a numbered list of at least 5 propositions or assumptions. 8
The concepts were connected and integrated to reveal a meaningful sequence. 8
The essay demonstrated clarification and organization of the students’ professional foundation. 8
The essay demonstrated evidence of critical thinking in analysis and response. 8
The essay demonstrated understanding and integration of lecture material, reading assignments, and sources consulted. 8
Essay was well written, well organized, and articulate. 8
Presentation Criteria
The paper clearly demonstrated understanding of theoretical principles (i.e., concept development, definitions, assumptions, etc.) 3
The paper revealed clarity, organization, and articulation of ideas. 3
The paper showed that ideas were well-documented. 3
The paper revealed the breadth of research effort. 2
The paper demonstrated appropriate use of APA format in references and citations. 3
Total 150
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Marriage and Family Counselor’s Role in Pharmacological Treatments
Write a 700- to 1,050-word paper that addresses critical aspects of the marriage and family counselor’s role relationship to the prescription and monitoring of pharmacological treatments for mental health issues. Address the following issues:
•Communication practices between marriage and family therapists and prescribers of pharmacological treatments for shared clients
•Sociocultural concerns and issues related to psychopharmacology for diverse populations
•Ethical concerns and issues in the provision of counseling for clients undergoing pharmacological treatments for mental health issues
•Necessary competencies for marriage and family therapists in providing services to clients undergoing pharmacological treatments for diagnosed mental health conditions
Include a minimum of 3 peer-reviewed references.
Format your paper according to APA guidelines.

Death With Dignity Scenario and Reflection
To complete each scenario assignment:
Complete the entire scenario.
Compose your reflection in a Word document and be sure to address, at a minimum, the following questions:
Why do you feel the way you do about the issue presented?
Of the four responses offered in the scenario, which do you feel is the most ethical and why?
Support your conclusions with evidence and specific examples from the textbook, as well as other sources as needed.
Your reflection must be 1-2 pages in length and follow APA formatting and citation guidelines as appropriate.
Need Turnitin report to ensure that no plagiarism.
  • attachment

    DeathwithDignityscenarioconversation.docx

Exercise 1

Using the data above in Table 1, make a plot of right ascension versus declination on your printed out Milky Way Globular Clusters Distribution Graph (Diagram 1-the top plot). RA is along the x-axis and goes from 0 to 24 hours, Dec is on the y-axis and goes from +90 to 0 to –90 degrees.) Insert the plot into your lab report with your signature and date.
You will type your answers to the below questions in your lab report and then scan/photo your graph(s) and insert them into your lab document. Again, it would be helpful to review the Exploration from Module 1: “Math Primer for Astronomy” (note this contains link for a free online scientific calculator). There are also good math examples in the Appendix of our eText.

  1. Would you describe the distribution of clusters on the plot as random, or is there a pattern (explain your answer)?
  2. Now look at your plot and point in the direction in which you see most of the globular clusters. This is the general direction of the Galactic Center. Estimate the center of the distribution of the globular clusters. Also estimate (no calculation required — just an educated estimate) the accuracy of determining this center. You have now determined the rough center of our Galaxy!

RA = ____________________ ± ________________
Dec = ____________________ ± ________________
Shapely was correct in thinking that the distribution of globular clusters could reveal something about the Galaxy as a whole. He went one step further. He used the locations of the globular clusters to determine the distance to the Galactic Center. His result was surprisingly accurate and differed from the modern value by less than 10%. So, let’s follow in his footsteps.
The next step is to determine the distance to the clusters. Shapely did this by using RR Lyrae stars. These are variable stars, which have a relatively narrow range of luminosities. From the difference between the apparent magnitudes (measured from his photographic plates) and the absolute magnitudes (calculated from the luminosities), he calculated the distances in parsecs to the star (via: m – M = 5log10(d) + 5). So now we have the distances and the directions of the globular clusters and we can determine the 3-dimensional distributions of the globular clusters relative to us.
However, we will use a different coordinate system that is based on galactic latitude and longitude rather than RA and Dec. The plane of the Galaxy is designated as “0 latitude”. Why would we want to do this? RA and Dec is a messy coordinate system that depends on our orientation in space and the earth’s rotation around its axis. The system based on galactic latitude and longitude is therefore simpler. However, it means that we have to transform the measured RA and DEC positions of the globular clusters and galactic latitude and longitude. To simplify things even further, let’s express the galactic latitude and longitude in terms of x, y, and z coordinates. The advantage of this is that x, y, and z have units of parsecs (rather than angles which is the case with galactic latitude and longitude).
So now the z-coordinate tells us how far above or below the galactic plane we are, and the x-coordinate tells us how far away from the origin (in this case from the Galactic Center) we are! The y-coordinate tells us where in the x-y plane (in the Galactic Disk) we would be found. But since we assume that the disk is a round circle (i.e., it is symmetric), we only need to worry about the distance from the center in the disk. Basically, we are only concerned about two quantities: x and z, i.e., how far above and below the Galactic Disk the globular clusters can be found and how far away from the Galactic Center they are.
x, y, z axis disk of Galaxy
Using the data given in Table 1 plot “x” against “z” on your printed copy of the X-Z Plot (Diagram 2).  In this graph the x-axis points towards the Galactic Center, the z-axis is perpendicular to that, with positive numbers pointing up, and negative numbers pointing down.
On your X-Z Plot identify the disk, the bulge, and the halo of the Galaxy. Clearly label each component. [Remember that this is a two-dimensional drawing: the y-axis is collapsed into the plane of the Galaxy (i.e., the y-axis has been eliminated); you are only looking at the x-z plane].
Assume that the center of the Galaxy is in the center of the distribution of the globular clusters. Figure out where you could draw a line parallel to the z-axis (the vertical axis) such that equal numbers of clusters fall on each side of the line. So then, the z-coordinate of the center should be set to 0. Using a pen of a different color mark the new scale in your plot. Insert the plot into your lab report with your signature and date.
Type out your answers to the below questions in your report.

  1. Most globular clusters are located in a narrow range above and below the galactic plane. Roughly how many kiloparsecs above and below the galactic place are those globular clusters (i.e., how thick is the disk of the Galaxy in kilo-parsecs)? Estimate the uncertainty in that number.

Thickness of Galactic Disk = ___________ ± ___________ kpc

  1. Measure the distance in kiloparsecs from you to the central point in the distribution of the globular clusters. How many kiloparsecs away is the center? Estimate the uncertainty in that number.  (NOTE: this value will also be used for Part 2 of this lab)

Distance to Galactic Center = ___________ ± ___________ kpc

  1. From that plot, what diameter would you infer for the disk of the Galaxy?

Diameter of disk of Galaxy = ___________ ± ___________ kpc

  1. What diameter would you infer for the halo of the Galaxy?

Diameter of Halo of Galaxy = ___________ ± ___________ kpc

  1. Look at your answers in questions 3, 4, 5, 6 and 7. Which of those quantities have the largest uncertainty, which one’s the least? Explain your answer.
  2. How far above or below the Disk of The Galaxy would you place our Solar System?

Distance to Disk of the Galaxy = ___________ ± ___________ kpc
Let’s compare the data on globular clusters to data on novae. The work has been done for you and the distribution of the novae have been plotted on the Milky Way Novae Distribution (Diagram 3). Your task is to understand and interpret this plot. Compare diagrams 3 and 1 — the distribution of globular clusters to the distribution of novae – then sketch the Milky Way onto your printed out Milky Way Globular Clusters Distribution Graph (Diagram 3 – the bottom plot), the plot of the novae.

  1. Determine the position of the Galactic Center from Diagram 3.

RA = ____________________ ± ____________________
Dec = ____________________ ± ____________________

  1. Diagram 3 seems to have an additional “arc” of points for right ascensions ranging from 0 to 12 hours. What is this? Is this some type of illusion, or was that omitted in Diagram 1?  Explain your answer.
  2.  Compare the distributions of globular clusters and novae. Is the bulge equally big (give the numbers behind your answer)?
  3. Is the disk equally thick (give the numbers behind your answer)?
  4. Would you expect to derive the same overall shape of the Galaxy from both data? Explain your answer.

Part 2: Calculating the Mass of the Milky Way

Orbital Velocity formula
The enclosed equation is the Orbital Velocity Law which allows us to use the orbital speed (v) and radius (r) of an object on a circular orbit around the galaxy to tell us the mass (Mr{“version”:”1.1″,”math”:”<math xmlns=”http://www.w3.org/1998/Math/MathML”><msub><mi>M</mi><mi>r</mi></msub></math>”}) within the orbit of the object. For our calculations the object will be our sun in its orbit through the Milky Way Galaxy.
In this formula v equals the velocity of the Sun in its orbit around the galaxy and G is the value of the gravitational constant. Use the following values for your calculations. Show all calculations with your submitted lab.
r = ____________ kpc (kiloparsecs)  (this value is from Part 1, Question #4 of this lab)
v = 250,000 m/s
G = 6.67 x 10-11 m3 / kg s2
For all measured values of this equation to be equal you r value in kiloparsecs (kilo = 103) must be converted into meters since the distance value for the Gravitational Constant, G,  is given in meters. Use the following conversion value to convert your r value, in kiloparsecs, to an r value in meters:   3.08 x 1019 m / 1 kpc

Exercise 2

  1. Convert your r value in kiloparsecs to an r value in meters (display your answer in scientific notation)

Now that you’ve converted this distance to meters all terms are alike for the remainder of the calculation & will cancel out leaving your final value in terms of mass (kilograms or kg).

  1. Now, use the Orbital Velocity Formula to calculate the mass of the Milky Way Galaxy (again, show each step of your work displayed in scientific notation)

Your answer for Question #2 is a very large number that no one has the ability to comprehend so let’s try to put it into terms of something we do understand, – our Sun.  The Sun has a solar mass that is signified by M (or the Sun’s mass = 1
M In kilograms 1M equals 2 x 1030 kg.)

  1. Convert the mass of the Milky Way Galaxy calculated in Question #2 into solar masses, or M⊙.   (again, show each step of your work displayed in scientific notation)

screenshot of the Milky Way Rotational Velocity Explorer
Use this hyperlink, Milky Way Rotational Velocity to find the actual mass of the Milky Way Galaxy and compare your calculation to the actual mass. (you will need to move the shaded red region down to the diameter of the Sun) This is a screenshot of the Milky Way Rotational Velocity Explorer.

  1. How do the two measurements for mass of the Galaxy compare? Identify any sources that would make your calculation inaccurate.
  2. Calculate your percent error in for calculations with the following formula. (show your work)

(m actual – m calculated / m actual)  x 100 = ________

Part 3. Additional Research on Dark Matter.

Find a scientific article that talks about the evidence for the existence of Dark Matter. Write a short paragraph (about 50 words) summarizing the findings of the article.

  • attachment

    MilkyWayGalaxy.docx

Discussion
The instabilities in Africa, the Middle East, and Latin America have triggered an unprecedented migratory flow throughout the world. Recent national and international border management measures are affecting migration patterns and posing different challenges to the health systems response to large influxes of refugees and migrants to both the United States and European Union Member States. Countries have had to respond to massive influxes of transiting migrants in the last years, and all are faced with populations staying in the country for longer periods. International adoptions have also contributed to the permanent relocation of significant numbers of children from a variety of countries especially to the United States. Refugees and migrants are a heterogeneous group and health care systems must be prepared to respond to their diverse needs.
The first background paper explaining current migration statistics to the European Union is an analysis from the BBC World Service. The second paper by Darr and Conn reviews the importation and transmission of infectious diseases resulting from human movement and migration. The third and fourth papers attempt to assess the spectrum of imported diseases likely to accompany migrants. A background paper is also included which discusses the impact of climate change on human infectious diseases.
DISCUSSION PROMPTS
· Distinguish between the terms emerging and re-emerging infectious diseases.
· What types of endemic diseases might come from the areas of the world contributing to the current migration patterns? Be sure to name both the specific areas and describe the diseases.
· What types of public health interventions might such groups need in order to address the issues of emerging and re-emerging disease?
· 1.5 page. Follow the APA format.

Reading:

· https://elearn.une.edu/bbcswebdav/pid-236274-dt-forum-rid-15646326_1/courses/1015-201900-BIOL-1020L-06N/Emerging%20and%20Reemerging%20Neglected%20Tropical%20Diseases%20-%20a%20Review%202014.pdf
· https://elearn.une.edu/bbcswebdav/pid-236274-dt-forum-rid-15646327_1/courses/1015-201900-BIOL-1020L-06N/Emerging%20infectious%20diseases%20with%20cutaneous%20manifestations%202016.pdf
· https://elearn.une.edu/bbcswebdav/pid-236274-dt-forum-rid-15646334_1/courses/1015-201900-BIOL-1020L-06N/Impact%20of%20climate%20change%20on%20human%20infectious%20diseases%20-%20Empirical%20evidence%20and%20human%20adaptation%202016.pdf
· https://elearn.une.edu/bbcswebdav/pid-236274-dt-forum-rid-15646335_1/courses/1015-201900-BIOL-1020L-06N/Importation%20and%20Transmission%20of%20Parasitic%20and%20Other%20Infectious%20Diseases%20-%20Review%202015.pdf
· https://elearn.une.edu/bbcswebdav/pid-236274-dt-forum-rid-15646341_1/courses/1015-201900-BIOL-1020L-06N/Strategies%20in%20Infectious%20Disease%20Prevention%20and%20Management%20Among%20US-Bound%20Refugee%20Children%202014.pdf

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

  1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
  4. What health promotion activities are often practiced by this group?  
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required

Summative Assessment

The Summative Assessment for this course will involve the application of professional presentation skills in preparing a Power Point presentation and a narrative summary that might be used in an oral presentation related to communication in the human services field. This Final Project will focus on one group in need that is served by human service professionals, taking into account all of the learning outcomes identified throughout the course. Note: The Final Project requires the submission of both the Power Point presentation and the narrative summary.
Imagine that you are a human service professional interviewing clients from a particular group and select one of the following groups:

  • Children and families
  • Elderly
  • Homeless
  • People with mental illness
  • People with disabilities

Upon selecting a group of interest, prepare a six- to eight-slide presentation (excluding title and reference slides) that includes the following:

  • A description of the group’s challenges and specific communication needs (one slide)
  • A description of at least two communication theories applicable within the human services field. Discuss how you, in the capacity of a human services professional, might use each theory to effectively engage with your clients. (one to two slides)
  • Examples of three verbal and three nonverbal communication techniques/skills you might use when working with clients from within the health and human services workplace setting (three to four slides)

In addition to your Power Point presentation, prepare a four- to six-page narrative summary (excluding title and reference pages) that further explains your selected methods. Use the Week 5 Assignment templatePreview the document as a guide for formatting. Specifically, your summary will

  • Describe your selected communication theories as applied to the health and human services setting, including your reasoning for selecting them, as well as benefits and limitations of their use when working with your selected group.
  • Identify active listening skills you might use in interpersonal (e.g., one-on-one interactions) and group (e.g., group sessions) settings within the workplace.
  • Identify empathy skills you might use in interpersonal (e.g., one-on-one interactions) and group (e.g., group sessions) settings within the workplace
  • Describe how family, culture, and gender issues impact communication.
  • Consider your proposed approach to interviewing clients from your selected group and identify some of your personal communication strengths and growth.

Writing the Narrative Summary
The Narrative Summary:

  1. Must be four to six double-spaced pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.). The Power Point presentation must be at least six to eight slides in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.
  2. Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  3. Must use at least five scholarly sources in addition to the course text.
  4. Must document all sources in APA style as outlined in the Ashford Writing Center.
  5. Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.

 

Required Resources

Required Text

1. DeVito, J.A. (2016). The interpersonal communication book (14th ed.). Retrieved from https://content.ashford.edu

  1. Chapter 11: Interpersonal Conflict and Conflict Management (pp. 283-304)
  2. Chapter 12: Interpersonal Power and Influence (pp. 305-326)

Website

1. National Organization for Human Services. (n.d.). Ethical standards for human service professionals (Links to an external site.). Retrieved from http://www.nationalhumanservices.org/ethical-standards-for-hs-professionals

  • This link from the National Organization for Human Services provides an overview of ethical standards related to the human services field, and is provided to facilitate discussion on this week’s second discussion forum on power and influence.

Part II: Now that the difference between financial and managerial accounting has been established, do you think both types of accounting are necessary to make strategic business decisions? Why, or why not? 

6564 Topic: Response to teacher pahophysiology
Number of Pages: 1 (Double Spaced)
Number of sources: 3
Writing Style: APA
Type of document: Essay
Academic Level:Master
Category:   Nursing VIP Support: N/A
Language Style: English (U.S.)
Order Instructions: ATTACHED

#776564 Topic: Response to teacher pahophysiology Number of Pages: 1 (Double Spaced) Number of sources: 3 Writing Style: APA Type of document: Essay Academic Level:Master Category: Nursing VIP Support: N/A Language Style: English (U.S.) Order Instructions: Thanks for your detailed post on the different types of pain. One factor to take into consideration with pain is age. With older adults, the most common causes of pain are musculoskeletal disorders. Pain may be chronic and is often multifactorial. The cause of pain may not always be clear. Treatment of pain in the elderly can be complicated. NSAIDs pose a risk for ulcers & GI bleed. The risk depends on drug dose and duration of therapy. When elderly patients are treated with NSAIDs the concomitant use of cytoprotective drugs, such as a proton pump inhibitor, may help reduce risk of ulcer or GI bleed. Indomethacin should be avoided in elderly since it may cause confusion in the elderly patient. Opioids have a longer half-life and may have a greater analgesic effect on older adults. Other problems with opioids includes constipation and urinary retention. What are some safe treatment options for pain in older adults?