The advancement in technology has led to the introduction of methods for enhancing the health care.  E-health has been used to enhance the health care and addressing the mental disorders issue through the use of online therapy. This discussion will analyze the evaluation of the efficacy of using telehealth in the mental disorders. It will also look at the integration of the evidence based practices in the telehealth sector. The professional issues that might be encountered and the benefits of the delivery methods will also be summarized in this discussion.
Telehealth has been an effective method of addressing the mild, moderate and the severe mental health disorders. This is because, through the use of evidence based online therapy, many disorders such as depression and anxiety have been addressed through the use of online platform website which contain information on standard diagnosis and treatment.  It also reduces the patients’ and the providers’ costs and increases the system coverage areas (Gros et. al, 2013). The evidence based treatment practices can be integrated into the telehealth trend through the use of cognitive behavioral therapy and online therapy where the patients’ thoughts are changed through acts such as storytelling and helping them to live in independence.
From the interactive assignment, he population targeted are the youths aged between 18-35 years. Being a clinical psychologist, I will use telehealth to address the psychological disorders faced by the clients. It will be appropriate to use telehealth platforms such as telephone, texts and virtual clinics because the youth in the modern generation are well versed with the technological advancement. They will therefore fully corporate and follow activity schedules and lessons stated in the telehealth treatment plans.
Through the use of using e-health there are some legal, ethical and professional issues that can be encountered during the delivery of the services. The psychologists need to ensure that they meet the ethical and professional standards (Baker, 2011). Some of the ethical issues include informed consent whereby they need to obtain informed consent of the patient before delivering the treatment plan. There should also be confidentiality of the data and the information in tele-psychology. When it comes to the legal considerations, the psychologists should comply and be familiar with the relevant federal and state laws when delivering the services to the patients across the jurisdiction and international borders. The effective use of the technology in accordance to the ethics and law will be beneficial as it will minimize the risks (Harris, 2011).  E-therapy will also promote new and improved ways of delivering the healthcare services thus overcoming risks such as breach of patient privacy and wrong diagnosis.  

Question Description

1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.2. What similarities and differences can you identify among the above interactions?3. Explain the concept of congruence between verbal and nonverbal communication.4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective?5. How have you seen ISBAR used during your clinical experiences?6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports.7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond?8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.10. Discuss the differences between direct delegation and indirect delegation.1. You have to observe delegation procedures in your assigned unit:A-What considerations does the RN take into account when delegating patient care?2-You have to look at the unit census and prioritize the patient care:A- Give the rationale foryour choices.3.Answer the following questions during your clinical experiences:a. What specific tasks did your patients require that you might have been able to delegate?b. How effective was your nurse/preceptor in delegating tasks to others?c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?

This discussion will allow you to generate content for your Final Project regarding your chosen healthcare organization’s customers and demographics. As mentioned in Chapter 7 of the course text, “marketing involves both the creation and distribution of goods and services” (Stevens, R., & Silver, L. S., 2015, section 7.1: “What is Marketing,” para. 4). Marketing departments should be concerned with customer needs and meeting those needs in the market place. The marketing concept for HCOs, therefore, is patient-centered. However, marketing concerns within a HCO should not be focused on patients in general, but on patients who are part of a pre-selected market segment (i.e., specific customers with specific needs). To prepare for this discussion, read Chapter 7 of the course text and the Rao (2012) article, “Generating Growth Through Patient-Centered Commercial Strategies.” Then read the scenario below and address the points that follow.

Scenario:
The Happy Valley long-term care director notes that past marketing directors and marketing teams made assumptions concerning patient expectations and offered a limited degree of amenities. However, current research indicates that the baby boomer generation will expect a far greater degree of amenities such as TVs in rooms and private bathrooms. In the future, HCOs and marketing teams will focus on analytical tools to gain a more accurate degree of knowledge concerning patients’ actual expectations and needs. The marketing director for Happy Valley long-term care facility decided to perform a qualitative analysis. The marketing team interviewed patients and their families as a means to determine patient needs and expectations. The outcomes of the analysis provided the marketing team with data that could be applied to the development of marketing objectives and strategies to support the strategic plan.

Patient-centered marketing focuses on knowing what specific patients need and expect. Needs and expectations can vary, based on the type of care (e.g., long-term care, hospice, palliative care, renal care, and physical therapy).

In your initial post:

Discuss why patient-centered marketing is an important aspect of your chosen HCO’s marketing plan.  
Explain how patient-centered marketing would help support the goals of your chosen HCO’s marketing plan.
Support your claims with citations and references from the course text and at least one scholarly source.

Field: Nursing 

Length: 600 words 

Sources: Use 6 sources from the school library on ProQuest.

Here are the steps to access it:

1. Click www.unitekcollege.edu

2. Click on student portal 

3. login now: username; ekcollege.edu

                        Password: LOVEquan!

4. Click on student library 

5. Select program: Medical assistant 

                                  Campus: Fremont 

6. Click on the link to access programme resources

7. Select ProQuest

Required: Topic; Professionalism at workplace 

My major is: Medical Assisting 

Assignment: Philosophy of Nursing

What is your philosophy when it comes to nursing? Which aspects of your philosophy do you think reflect the philosophical influences that have shaped the profession and are likely shared by other nurses? Which aspects of your philosophy reflect your personal values, beliefs, experiences, and unique perspective? How is your philosophy demonstrated through your practice?

This Assignment provides an opportunity for you to examine your philosophy of nursing within the context of the information presented this week.

To prepare:

  • Review the information presented in the Learning Resources with your own philosophy of nursing in mind. Focus on any new insights you gained from the readings and how they influence your philosophy.
  • Reflect on how philosophy influences scientific approaches or knowledge development in nursing.
  • Examine how positivism and post-positivism have influenced approaches to nursing science (including research methods) and nursing practice. Conduct additional research as necessary using credible websites and the Walden library.

By Thursday 06/08/17, write a 6- to 7-page APA paper with a minimum of 5 references from the list of required readings below that include the level one headings as numbered below:

1)       Introduction (must end with a purpose statement e.g. “the purpose of this paper is…”)

2)       Articulates your philosophy of nursing identifying the philosophical influences and summarizing how this week’s readings influenced your views/beliefs.

3)       Explains how nursing’s philosophical foundations influence your nursing practice and provides at least two specific examples.

4)       Answers the question: What is the relationship between philosophy and knowledge development? How is this evidenced in your nursing philosophy or practice?

5)       Outlines how positivism and post-positivism influences approaches to nursing science (including research methods) and nursing practice as well as your own personal philosophy.

6)       Conclusion (Summary of the paper)

Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in-text citations and reference list are correct.

Required Readings

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 1, “Philosophy, Science, and Nursing”

 Chapter 1 introduces the scientific and philosophical foundations of nursing and how these contribute to knowledge development within the discipline of nursing.

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 1, “Discovering the World of Nursing Research”

 Chapter 1 introduces nursing research and discusses how science, theory, and philosophy all influence research.

Chapter 2, “Evolution of Research in Building Evidence-Based Nursing Practice”

 Chapter 2 reviews the history of nursing research beginning with the work of Florence Nightingale and examines the influence of nursing research today on evidence-based practice.

Moran, K., Burson, R., & Conrad, D. (2017). The doctor of nursing practice scholarly project: A framework for success (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 1, “Setting the Stage for the Doctor of Nursing Practice Scholarly Project”

Chapter 5, “The phenomenon of Interest”

Chapter 6, “Developing the Scholarly Project”

Isaacs, S., Ploeg, J., & Tompkins C. (2009). How can Rorty help nursing science in the development of a philosophical ‘foundation’? Nursing Philosophy, 10(2), 81-90. doi:10.1111/j.1466-769X.2008.00364.x

 Note: You will access this article from the Walden Library databases.

This article discusses the application of the Richard Rorty’s pragmatic philosophy to nursing practices and research.

Kinsella, E. A. (2010). Professional knowledge and the epistemology of reflective practice. Nursing Philosophy, 11(1), 3-14. doi:10.1111/j.1466-769X.2009.00428.x

 Note: You will access this article from the Walden Library databases.

 This article examines the philosophical underpinnings and epistemological assumptions of reflective practice in an effort to advance understanding for application in professional healthcare settings.

Mackay, M. (2009). Why nursing has not embraced the clinician-scientist role. Nursing Philosophy, 10(4), 287-296. doi:10.1111/j.1466-769X.2009.00416.x

 Note: You will access this article from the Walden Library databases.

 In this article, the role of the clinician-scientist and importance of clinical research for nursing is examined.

Persson, J. (2010). Misconceptions of positivism and five unnecessary science theoretic mistakes they bring in their train. International Journal of Nursing Studies, 47(5), 651-661. doi:10.1016/j.ijnurstu.2009.12.009

 Note: You will access this article from the Walden Library databases.

 This article discusses misconceptions of positivism and the implications of these misconceptions for nursing researchers.

Pesut, B., & Johnson, J. (2008). Reinstating the ‘Queen’: Understanding philosophical inquiry in nursing. Journal of Advanced Nursing, 61(1), 115-121. doi: 10.1111/j.1365 -2648.2007.04493.x

 Note: You will access this article from the Walden Library databases.

 This article provides an analysis of the use of philosophical inquiry within nursing research. The article identifies characteristics of philosophical inquiry as well as common tools used in this methodology.

Porter, S. (2001). Nightingale’s realist philosophy of science. Nursing Philosophy, 2(1), 14-25. doi:10.1046/j.1466-769X.2001.00029.x

Note: You will access this article from the Walden Library databases.

 In this article, Florence Nightingale’s realist philosophy of science is compared to today’s dominant philosophy of positivism.

Optional Resources

Connor, M.J. (2004). The practical discourse in philosophy and nursing: An exploration of linkages and shifts in the evolution of praxis. Nursing Philosophy, 5(1), 54-66. doi:10.1111/j.1466-769X.2004.00159.x

 Note: You will access this article from the Walden Library databases.

Chou, M., & Lee, L. (2007). Initial formation of nursing philosophies following fundamental clinical practice: The experience of male nursing students. Journal of Nursing Research, 15(2), 127-137.

 Note: You will access this article from the Walden Library databases.

Effken, J. (2007). The informational basis for nursing intuition: Philosophical underpinnings. Nursing Philosophy, 8(3), 187-200.

 Note: You will access this article from the Walden Library databases.

Mantzoukas, S., & Jasper, M. (2008). Types of nursing knowledge used to guide care of hospitalized patients. Journal of Advanced Nursing, 62(3), 318-326. doi: 10.1111/j.1365-2648.2007.04587.x

 Note: You will access this article from the Walden Library databases.

Mills, J., Chapman, Y., Bonner, A., & Francis, K. (2007). Grounded theory: A methodological spiral from positivism to postmodernism. Journal of Advanced Nursing, 58(1), 72-79. doi: 10.1111/j.1365-2648.2007.04228.x

 Note: You will access this article from the Walden Library databases.

Persson, J., & Sahlin, N. (2008). A philosophical account of interventions and causal representation in nursing research. International Journal of Nursing Studies, 46(4), 547-556. doi: 10.1016/j.ijnurstu.2008.11.008

 Note: You will access this article from the Walden Library databases.

 Trochim, W. (2006). Research methods knowledge base: Positivism & post-positivism. Retrieved from http://www.socialresearchmethods.net/kb/positvsm.php

Go to Section III: Cases and Discussion Questions and read the case: High Blood Pressure: A Public Health and Healthcare Success.
Answer all five questions listed below:
1. How does the history of high blood pressure demonstrate the problem description and etiology components of the P.E.R.I.E. process? What different types of studies were used to establish etiology or contributory cause?
2. How does the history of high blood pressure illustrate the evidence-based recommendations and implementations and evaluation components of the P.E.R.I.E. process?
3. Explain the justification for updating the definition of what is considered a “healthy” blood pressure level.
4. How does the history of high blood pressure demonstrate the application of the four criteria for a successful screening program? Explain.
5. Using the four quadrants of costs and effectiveness, how would you classify treatment of hypertension for the average person? For those with diabetes? Explain.
Your report should be no less than two pages, double-spaced, Times New Roman, 12 font. (500 words). Use supporting sources as necessary. Make sure to use proper in text citations.

Your final Case Assignment deals with health communication goals and objectives by Healthy People 2020 from the U.S. Department of Health and Human Services. Healthy People 2020 provide 10-year goals and objectives to improve the nation’s health. One specific goal is to use health communication strategies and health information technology to improve health care quality, health outcomes for the population, and to attain health equity (U.S. Department of Health and Human Services, 2012). Using the U.S. Department of Health and Human Services (2012) resource provided, write a paper addressing the following: Identify 3 different health communication objectives listed by Healthy People 2020 (Use the summarized list under the overview section on the direct link from your required reading. Note: they are listed in bullets under the provided link.) Discuss the importance of the health communications objectives you selected. Using personal experience, how would you address the objectives you selected? (Note: Feel free to use your military or other job related experiences that relate to your selected objectives.) Length:  2-3 pages.

Implementation of Strategy

click here for more information on this paper

Healthcare organizations require astute handling of strategy implementation. The processes must be followed with a contingency plan in place for failed strategic objectives leading to the goal.

  • Review the stages of implementation in Chapter 13 of your textbook.
  • Review “340B Drug Pricing Program Oversight” case in your textbook (Chapter 13).
  • Provide a written analysis of the implementation phases that were used/excluded in the “340B Drug Pricing Program Oversight” case.
  • Explain what the literature (external scholarly source) suggest(s) regarding health implementation strategy regarding drug pricing.
  • Conclude with a summary of your research.

Your paper

  • Must be 4 to 6 double-spaced pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.
  • Must include a separate title page with the following:

Personal Philosophy of Nursing Paper

Use the questions in the table (BOX 3-2) in chapter 3 on page 101 of your textbook as a guide as you write your personal philosophy of nursing. The paper should be three typewritten double-spaced pages following APA style guidelines. The paper should address the following: 
1.         Introduction that includes who you are and where you practice nursing 
2.         Definition of Nursing 
3.         Assumptions or underlying beliefs 
4.         Definitions and examples of the major domains (person, health, and environment) of nursing 
5.         Summary that includes: 
1. 
a.         How are the domains connected? 
b.         What is your vision of nursing for the future? 
c.         What are the challenges that you will face as a nurse? 
d.         What are your goals for professional development?

Grading criteria for the Personal Philosophy of Nursing Paper:

Introduction                                                                            10% 
Definition of Nursing                                                                20% 
Assumptions and beliefs                                                         20% 
Definitions and examples of domains of nursing                        30% 
Summary                                                                               20% 
Total              100%

Your paper must be written in APA style; the last day to turn in this assignment is March 26, 2018 by midnight. 
The paper will be checked for plagiarism by turnittin. This paper must be original. 
Paper submitted after due date won’t be accepted. No exceptions. 
BOX 3-2 GUIDE FOR WRITING A PERSONAL PHILOSOPHY OF NURSING 
1-Introduction 
a-Who are you? 
b-where do you practice nursing?

2-Define nursing. 
a-What is nursing? 
b-Why does nursing exist? 
c-Why do you practice nursing?

3- What are your assumptions or underlying beliefs about: 
a-Nurses? 
b-Patients? 
c-Others health care providers? 
d-Communities?

4-Define the major domains of nursing and provide examples: 
a-Person 
b-Health 
c-Environment

5- Summary 
a-How are the domains connected? 
b-What is your vision of nursing for the future? 
c-What are the challenges that you will face as a nurse? 
d-What are your goals for professional development?

Question Description

  1. Once you have completed Chapter 11 – Assignment, do the following:
    • Observe the professors own page.
    • What do you think?
    • Is this something that is a good idea?
    • Do you think that this could help your career?
    • How could one use this to advance your career?
    • Do you feel like the union is beneficial? Or do you feel the union is a waste of time and money?
  2. Answer the questions as thoroughly and concisely as possible.
    1. Be sure to reference any works that you utilize in answering the questions (Be sure that references are in APA format).
    2. professor page:Having spent the last decade and a half teaching in a Nursing Program at Miami-Dade College, I am now trying to back up my credentials with certifications and clinical expertise that will stand as proof of my commitment. Hopefully, this will take me to the next step in my career. 
      During the past few years I have built a start to a Certification in Gerontology that hopefully will be offered to students in the RN to BSN program someday. As of now there are two classes that I have created from scratch- Fundamentals of Gerontology and End-of-Life or Palliative Nursing Care. Eventually I would like to add two more classes (at least) and offer students a certification in Gerontology upon successful completion of the classes. 
      Also in the works is the idea of getting either another Masters or Doctorate in Gerontology so as to increase my ability to build a credible program within the School of Nursing at MDC. Some other plans that are in the works: Certification in Nursing Education (CNE)- Research projects in “Write around technique to alleviate plagiarism use” and “Fluid balance charting as a training technique” to be conducted at MDC.
      Also, several papers are in the works, at different stages, including Multidrug Resistant Organisms and their role in Nursing Homes” that was recently presented at the 8th Interprofessional Geriatric Training Symposium at Nova Southeastern University (May, 2015}. Also, after taking care of a patient that had Mantle Cell Lymphoma, I became very interested in the disease and the care of individuals with this normally fatal disorder. Lastly, my old favorite that I studied while getting my doctorate, the problem with convincing people the benefit of the Human Papillomavirus Vaccine.