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  • [Solved] Women and Men’s Health

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    Executive Solution Overview

    Will need to get a hint for the questions , See attachment – 2 years ago **files (1)** – ## week9casereview.docx **## week9casereview.docx** Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and hea…

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    Assignment Prompt & Instructions

    Will need to get a hint for the questions , See attachment

    – 2 years ago

    **files (1)**

    – ## week9casereview.docx

    **## week9casereview.docx**

    Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.

    For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.

    Review assignment rubric and case studies. Be sure to thoroughly answer ALL

    Explain the problem and discuss how you would address the problem.

    When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.

    Answer questions using your required learning resources, clinical practice guidelines, Medscape and JNC 8.

    Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph.

    WEEK 9 ASSIGNMENT (covers weeks 9-11)

    SCENARIO 1

    RT is a 34-year-old pregnant female at 20 weeks gestation. She presents to the clinic with painful urination, increased urge to urinate, and fatigue. A urine dipstick test is positive for a UTI and she is started on doxycycline 100 mg po BID x 7 days. Current medications include labetalol 100 mg po BID, fluoxetine 20 mg po daily, and valacyclovir 500 mg po daily. She has no drug allergies. Labs include Hgb 12.5, HCT 37%, K 3.9, glucose 78, BUN 9, Cr 0.7 Her blood pressure is 130/75 mmHg. What treatment plan would you implement for RT (include complete medication order)? What patient education would you provide and how would you monitor drug therapy? Do pregnant patients have increased or decreased blood plasma volume?

    SCENARIO 2

    GP is a 21-year-old female presenting with thick white, odorless vaginal discharge and itching for 3 days. She is sexually active and has had unprotected sex with a new male partner for the last month. Current medications include ethinyl estradiol/norgestrel 30 mcg/0.3 mg po daily and alprazolam 2 mg po TID prn. This patient is allergic to sulfa drugs. What medication would you prescribe for this patient (include complete medication order)? How long should GP abstain from sexual activity? What patient education would you provide? What possible drug interactions exist?

    SCENARIO 3

    LW is a 66-year-old male seen in the clinic today. He presents with extreme fatigue, brain fog, minor sore throat and temperature of 100.8. He reports that symptoms began two days ago with a sore throat and have progressively worsened. He also mentions loss of appetite. Oxygen sat 96%, respiratory rate 18, bp 130/80. His rapid COVID-19 antigen test is positive. Chest x-ray is clear, no signs of pneumonia. What treatment plan would you implement for LW (include complete medication order)? What education would you provide? Discuss one potential drug interaction and how you would manage it.

    SCENARIO 4

    FS is a 35-year-old female trying to conceive with a medical history of PCOS. Her labs today show a MCV 77, MCHC 26, Ferritin 9, TIBC 415, BG 90 mg/dL, A1C 5% Current medications include metformin 500 mg po BID and a B vitamin complex. What treatment plan would you implement for FS? Why is this patient on metformin? How would you monitor this patient’s response to the medication? What patient education would you provide?

    This criterion is linked to a Learning OutcomeScenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    This criterion is linked to a Learning OutcomeScenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    This criterion is linked to a Learning OutcomeScenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    **## week9casereview.docx**

    Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.

    For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.

    Review assignment rubric and case studies. Be sure to thoroughly answer ALL

    Explain the problem and discuss how you would address the problem.

    When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.

    Answer questions using your required learning resources, clinical practice guidelines, Medscape and JNC 8.

    Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph.

    WEEK 9 ASSIGNMENT (covers weeks 9-11)

    SCENARIO 1

    RT is a 34-year-old pregnant female at 20 weeks gestation. She presents to the clinic with painful urination, increased urge to urinate, and fatigue. A urine dipstick test is positive for a UTI and she is started on doxycycline 100 mg po BID x 7 days. Current medications include labetalol 100 mg po BID, fluoxetine 20 mg po daily, and valacyclovir 500 mg po daily. She has no drug allergies. Labs include Hgb 12.5, HCT 37%, K 3.9, glucose 78, BUN 9, Cr 0.7 Her blood pressure is 130/75 mmHg. What treatment plan would you implement for RT (include complete medication order)? What patient education would you provide and how would you monitor drug therapy? Do pregnant patients have increased or decreased blood plasma volume?

    SCENARIO 2

    GP is a 21-year-old female presenting with thick white, odorless vaginal discharge and itching for 3 days. She is sexually active and has had unprotected sex with a new male partner for the last month. Current medications include ethinyl estradiol/norgestrel 30 mcg/0.3 mg po daily and alprazolam 2 mg po TID prn. This patient is allergic to sulfa drugs. What medication would you prescribe for this patient (include complete medication order)? How long should GP abstain from sexual activity? What patient education would you provide? What possible drug interactions exist?

    SCENARIO 3

    LW is a 66-year-old male seen in the clinic today. He presents with extreme fatigue, brain fog, minor sore throat and temperature of 100.8. He reports that symptoms began two days ago with a sore throat and have progressively worsened. He also mentions loss of appetite. Oxygen sat 96%, respiratory rate 18, bp 130/80. His rapid COVID-19 antigen test is positive. Chest x-ray is clear, no signs of pneumonia. What treatment plan would you implement for LW (include complete medication order)? What education would you provide? Discuss one potential drug interaction and how you would manage it.

    SCENARIO 4

    FS is a 35-year-old female trying to conceive with a medical history of PCOS. Her labs today show a MCV 77, MCHC 26, Ferritin 9, TIBC 415, BG 90 mg/dL, A1C 5% Current medications include metformin 500 mg po BID and a B vitamin complex. What treatment plan would you implement for FS? Why is this patient on metformin? How would you monitor this patient’s response to the medication? What patient education would you provide?

    This criterion is linked to a Learning OutcomeScenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    This criterion is linked to a Learning OutcomeScenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    This criterion is linked to a Learning OutcomeScenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

  • [Solved] help with discussion

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Advanced practice nurses must be equipped to critique scholarly literature and discern its value for application to practice. Select one current single-study qualitative scholarly article related to your PICOT question. Appraise the article using the Rapid Critical Appraisal Questions for Qualitativ…

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    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    Advanced practice nurses must be equipped to critique scholarly literature and discern its value for application to practice. Select one current single-study qualitative scholarly article related to your PICOT question. Appraise the article using the Rapid Critical Appraisal Questions for Qualitative Evidence (Melnyk & Fineout-Overholt, 2023, Appendix C). Summarize your appraisal of the article in your own words.

    – [\
    \
    Screenshot2025-01-29at12.13.59AM.png](https://www.sweetstudy.com/files/screenshot2025-01-29at12-13-59am-png "Screenshot2025-01-29at12.13.59AM.png")

    – 2 years ago

  • [Solved] i need help d4

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (1)** – ## ClassDiscussion-Week4info1.pdf **## ClassDiscussion-Week4info1.pdf** Class Discussion – Week 4 In this week's discussion, we will focus on Galtung's (1969) seminal article, "Violence, Peace, and Peace Research" (refer to the syllabus or the library database). Written…

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## ClassDiscussion-Week4info1.pdf

    **## ClassDiscussion-Week4info1.pdf**

    Class Discussion – Week 4

    In this week's discussion, we will focus on Galtung's (1969) seminal article, "Violence,
    Peace, and Peace Research" (refer to the syllabus or the library database). Written in
    1969, this article introduces fundamental concepts still relevant today. Galtung, a key
    figure in conflict resolution, outlines six dimensions of violence through dichotomies.
    Share your understanding of each dimension in your own words and provide examples
    to illustrate the dichotomies.

    Excerpt from book chapter:

    The original idea of structural violence is commonly associated with the Norwegian
    sociologist, John Galtung (1969) and has exerted a formative influence on the field of
    conflict resolution. According to Galtung (1969), structural violence is the ongoing and
    institutionalized harm done to individuals by preventing them from meeting their basic
    needs for survival, well-being, identity and freedom. Structural violence is embedded
    into the structures of social order and the institutional arrangements of power on a
    constant basis (Barak, 2003). As aptly defined by Bornstein “structural violence is built
    into everyday life, into the economy, a political system, and into the landscape” (2002, p.
    6). We might also talk about ‘symbolic’ or ‘soft’ violence, which Bourdieu uses to explain
    modes of socio-cultural domination hidden in everyday life and dominant discourses
    (Bourdieu, 1984).

    We suggest differentiating between macro-social and micro-social levels of structural
    violence. The core-periphery notion of the global North and the global South is found at
    the highest macroscopic level. This concept has been widely regarded from a historical
    perspective and is discussed by Wallerstein (1974) in his world-system theory. Due to
    the ongoing process of globalization, however, inequalities on a spatial basis, although
    not dismissible, cannot be regarded quite as simple. International intertwining and
    interaction are steadily increasing. Modern information technology has de-localized
    functions of the core regions, although we should not entirely dismiss the idea that the

    Western industrialized core nations, which are geographically located in the northern
    hemisphere, remain in a powerful dominant position with respect to the so-called
    underdeveloped, periphery countries.

    A notable example of how industrial nations exercise their power can be illustrated by
    the contemporary HIV/Aids pandemic in many regions of Africa. The manner in which
    medical aid is being distributed is completely dominated by the political and economic
    structure of the core nations. In her book The Crisis Caravan: What's wrong with
    humanitarian aid (2010), journalist Linda Polman argues that Western humanitarian aid
    not only contributes to structural violence but to a macabre industry of aid organizations,
    the media and warmongers. This industry, states Polman, leads to direct physical
    violence for the sake of maintaining the humanitarian aid system. Such a conflict
    environment illustrates one of the cruelest manifestations of structural violence.

    On a microscopic level, Galtung (1971) identified core-periphery relationships within
    core regions. We can also look at the spatial level where one can identify immense
    differences between rural and urban areas, where the former are often left out of the
    process of economic development. Not only on an economic basis, but also
    ideologically, rural regions are generally perceived as being backward and the
    population as “hillbillies”. Existing stereotypes fuel structural violence committed by the
    dominant societal class.

    Structural violence is not only based on spatial separations. We can also identify this
    notion on a socially constructed cultural basis. A common challenge to any society is its
    treatment of ethnic minorities. Many self-perceived “forward societies” – most notably
    the United States – have officially eliminated institutional racial or ethnic discrimination,
    which has always been a very powerful form of structural violence. Yet a closer look at
    the American distribution of wealth, educational opportunities and the prison system
    sheds light on the actual state of affairs with regard to U.S. racial discrimination.

    We also should be reminded of Foucault’s work and the creation of the concept of
    legality and illegality. Particularly with regard to the phenomenon of undocumented
    immigrants in the United States, one must recognize that describing these individuals as
    “illegal”, regardless of his/her contribution to society, is structural violence in its most
    obvious form. Can we approach immigration issues with the demanded neutrality if such
    preconceptions are at play? We believe it is our ethical mandate to challenge truisms
    that exist with regard to terminology arising out of an established power/knowledge
    context.

    A further stinging example of structural violence can be observed in the treatment of
    individuals within the LGBT community, who suffer in a similar manner as ethnic
    minorities. In public discourse it seems that the rights of the LGBT community have
    come a long way. While one must acknowledge that progress has been made, strong
    hidden forms of homophobia can be identified as they are manifested by accepted
    social norms applicable to LGBT couples. LGBT couples, for example, who are not
    allowed to marry, are being denied a vast number of rights, which married couples
    inherit with their legal marital status. The fact that such injustices are hidden behind the
    overtly propagated progress merely nurtures and upholds structural violence caused by
    prevailing social ideals and institutions.

    Galtung’s (1969) typology of structural violence – despite its fundamental importance in
    the field of conflict resolution – is not enough. While it is suitable to describe a variety of
    social phenomena in their current status, it provides more of a societal snapshot than an
    in-depth understanding. Societies and cultures are dynamic entities constantly
    undergoing changes.

    Structural violence is a notion that is fundamental to my own research and practice in
    the field of conflict resolution. Together with my mentor I wrote the article The Bedouins
    in Israel's Negev Desert: Ubiquitous yet Invisible to the Dominant SocietyLinks to an
    external site.. The article is based on an advanced field practicum I did during my
    graduate studies. While I am hesitant in promoting my own writing, I recommend
    reading this article as an example of structural violence. The photos were taken there
    during the trip and should give you an idea what the unrecognized villages look like.

    Unrecognized village

    Unrecognized Bedouin village in the Negev dessert without access to infrastructure.

    negev

    Unrecognized Bedouin village in the Negev dessert

    Negev

    Unrecognized Bedouin village in the Negev dessert without access to infrastructure.
    Powerlines in the background.

    Works cited:

    Barak, G. (2003). Violence and nonviolence: Pathways to understanding. Thousand
    Oaks: Sage Publications.

    Bourdieu, P. (1984). Distinction: a social critique of the judgement of taste. Cambridge:
    Harvard University Press.

    Galtung, J. (1969). Violence, Peace, and Peace Research. Journal of Peace Research,
    6(3), 167-191.

    Galtung, J. (1971). A Structural Theory of Imperialism. Journal of Peace Research, 8(2),
    81-117.

    Polman, L. (2010). The crisis caravan: What's wrong with humanitarian aid? (1st u. s.
    editio. ed.). New York: Metropolitan Books.

    Wallerstein, I. M. (1974). The modern world-system. New York: Academic Press.

    **## ClassDiscussion-Week4info1.pdf**

    Class Discussion – Week 4

    In this week's discussion, we will focus on Galtung's (1969) seminal article, "Violence,
    Peace, and Peace Research" (refer to the syllabus or the library database). Written in
    1969, this article introduces fundamental concepts still relevant today. Galtung, a key
    figure in conflict resolution, outlines six dimensions of violence through dichotomies.
    Share your understanding of each dimension in your own words and provide examples
    to illustrate the dichotomies.

    Excerpt from book chapter:

    The original idea of structural violence is commonly associated with the Norwegian
    sociologist, John Galtung (1969) and has exerted a formative influence on the field of
    conflict resolution. According to Galtung (1969), structural violence is the ongoing and
    institutionalized harm done to individuals by preventing them from meeting their basic
    needs for survival, well-being, identity and freedom. Structural violence is embedded
    into the structures of social order and the institutional arrangements of power on a
    constant basis (Barak, 2003). As aptly defined by Bornstein “structural violence is built
    into everyday life, into the economy, a political system, and into the landscape” (2002, p.
    6). We might also talk about ‘symbolic’ or ‘soft’ violence, which Bourdieu uses to explain
    modes of socio-cultural domination hidden in everyday life and dominant discourses
    (Bourdieu, 1984).

    We suggest differentiating between macro-social and micro-social levels of structural
    violence. The core-periphery notion of the global North and the global South is found at
    the highest macroscopic level. This concept has been widely regarded from a historical
    perspective and is discussed by Wallerstein (1974) in his world-system theory. Due to
    the ongoing process of globalization, however, inequalities on a spatial basis, although
    not dismissible, cannot be regarded quite as simple. International intertwining and
    interaction are steadily increasing. Modern information technology has de-localized
    functions of the core regions, although we should not entirely dismiss the idea that the

    Western industrialized core nations, which are geographically located in the northern
    hemisphere, remain in a powerful dominant position with respect to the so-called
    underdeveloped, periphery countries.

    A notable example of how industrial nations exercise their power can be illustrated by
    the contemporary HIV/Aids pandemic in many regions of Africa. The manner in which
    medical aid is being distributed is completely dominated by the political and economic
    structure of the core nations. In her book The Crisis Caravan: What's wrong with
    humanitarian aid (2010), journalist Linda Polman argues that Western humanitarian aid
    not only contributes to structural violence but to a macabre industry of aid organizations,
    the media and warmongers. This industry, states Polman, leads to direct physical
    violence for the sake of maintaining the humanitarian aid system. Such a conflict
    environment illustrates one of the cruelest manifestations of structural violence.

    On a microscopic level, Galtung (1971) identified core-periphery relationships within
    core regions. We can also look at the spatial level where one can identify immense
    differences between rural and urban areas, where the former are often left out of the
    process of economic development. Not only on an economic basis, but also
    ideologically, rural regions are generally perceived as being backward and the
    population as “hillbillies”. Existing stereotypes fuel structural violence committed by the
    dominant societal class.

    Structural violence is not only based on spatial separations. We can also identify this
    notion on a socially constructed cultural basis. A common challenge to any society is its
    treatment of ethnic minorities. Many self-perceived “forward societies” – most notably
    the United States – have officially eliminated institutional racial or ethnic discrimination,
    which has always been a very powerful form of structural violence. Yet a closer look at
    the American distribution of wealth, educational opportunities and the prison system
    sheds light on the actual state of affairs with regard to U.S. racial discrimination.

    We also should be reminded of Foucault’s work and the creation of the concept of
    legality and illegality. Particularly with regard to the phenomenon of undocumented
    immigrants in the United States, one must recognize that describing these individuals as
    “illegal”, regardless of his/her contribution to society, is structural violence in its most
    obvious form. Can we approach immigration issues with the demanded neutrality if such
    preconceptions are at play? We believe it is our ethical mandate to challenge truisms
    that exist with regard to terminology arising out of an established power/knowledge
    context.

    A further stinging example of structural violence can be observed in the treatment of
    individuals within the LGBT community, who suffer in a similar manner as ethnic
    minorities. In public discourse it seems that the rights of the LGBT community have
    come a long way. While one must acknowledge that progress has been made, strong
    hidden forms of homophobia can be identified as they are manifested by accepted
    social norms applicable to LGBT couples. LGBT couples, for example, who are not
    allowed to marry, are being denied a vast number of rights, which married couples
    inherit with their legal marital status. The fact that such injustices are hidden behind the
    overtly propagated progress merely nurtures and upholds structural violence caused by
    prevailing social ideals and institutions.

    Galtung’s (1969) typology of structural violence – despite its fundamental importance in
    the field of conflict resolution – is not enough. While it is suitable to describe a variety of
    social phenomena in their current status, it provides more of a societal snapshot than an
    in-depth understanding. Societies and cultures are dynamic entities constantly
    undergoing changes.

    Structural violence is a notion that is fundamental to my own research and practice in
    the field of conflict resolution. Together with my mentor I wrote the article The Bedouins
    in Israel's Negev Desert: Ubiquitous yet Invisible to the Dominant SocietyLinks to an
    external site.. The article is based on an advanced field practicum I did during my
    graduate studies. While I am hesitant in promoting my own writing, I recommend
    reading this article as an example of structural violence. The photos were taken there
    during the trip and should give you an idea what the unrecognized villages look like.

    Unrecognized village

    Unrecognized Bedouin village in the Negev dessert without access to infrastructure.

    negev

    Unrecognized Bedouin village in the Negev dessert

    Negev

    Unrecognized Bedouin village in the Negev dessert without access to infrastructure.
    Powerlines in the background.

    Works cited:

    Barak, G. (2003). Violence and nonviolence: Pathways to understanding. Thousand
    Oaks: Sage Publications.

    Bourdieu, P. (1984). Distinction: a social critique of the judgement of taste. Cambridge:
    Harvard University Press.

    Galtung, J. (1969). Violence, Peace, and Peace Research. Journal of Peace Research,
    6(3), 167-191.

    Galtung, J. (1971). A Structural Theory of Imperialism. Journal of Peace Research, 8(2),
    81-117.

    Polman, L. (2010). The crisis caravan: What's wrong with humanitarian aid? (1st u. s.
    editio. ed.). New York: Metropolitan Books.

    Wallerstein, I. M. (1974). The modern world-system. New York: Academic Press.

  • [Solved] UNIT2

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    – [\ \ 2025-01-288.45.53.png](https://www.sweetstudy.com/files/2025-01-288-45-53-png "2025-01-288.45.53.png") – 2 years ago

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    – [\
    \
    2025-01-288.45.53.png](https://www.sweetstudy.com/files/2025-01-288-45-53-png "2025-01-288.45.53.png")

    – 2 years ago

  • [Solved] Discussion

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    – 2 years ago **files (2)** – ## DiscussionBoard.docx – CULTPSY3_Ch05_Development-4.pptx **## DiscussionBoard.docx** **Discussion Board** You will be required to participate in the eight discussion prompts posted on the Canvas Discussion Board throughout the course of the semester. These will rela…

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    – 2 years ago

    **files (2)**

    – ## DiscussionBoard.docx

    – CULTPSY3_Ch05_Development-4.pptx

    **## DiscussionBoard.docx**

    **Discussion Board**

    You will be required to participate in the eight discussion prompts posted on the Canvas Discussion Board throughout the course of the semester. These will relate to assigned course materials. Your responses should incorporate course content assigned during that week and should be approximately 250 words (total, for both prompts).

    Please select and reply to two of the prompts below, additionally respond to two of your colleague's comments:

    Please reply to two of the prompts below as well as two of your colleagues posts:

    1. Vladimir, Vassily, and Valentina are three siblings who immigrated with their parents to Canada from Russia. At the time of immigration, Vladimir was four, Vassily was eighteen, and Valentina was twenty. Based on research by Cheung, Chudek, and Heine regarding sensitive periods, draw a graph predicting how each sibling’s identification with Canadian culture will change as he or she spends more years in Canada?

    2. Kosuke is a 3-year-old Japanese boy who scores a 3 out of 7 on a measure of interdependence. Jeremy is a 3-year-old American boy who also scores a 3 out of 7 on a measure of interdependence. In general, the Japanese are more interdependent than Americans. Draw a graph to predict how each child’s score on the measure of interdependence will change (or not change) as he or she gets older (until age eighteen).

    3. The Randhawa family is an Indian family who just bought a new house with three bedrooms. There are two parents (a mother and a father), a 3-year-old daughter, a 17-year-old (postpubescent) daughter, and a 20-year-old (postpubescent) son. Based only on the values of female chastity anxiety and respect for hierarchy, design a floorplan for their arrangement of bedrooms that satisfies both values. Be sure to note who sleeps in each bedroom.

    4. Compare and contrast authoritarian parenting and authoritative parenting, making sure to include associated parental attributes.

    5. You overhear a mother talking about her adolescent son being rebellious, but she does not seem bothered by his rebelliousness. Instead, she says that it is a universal phenomenon that adolescents are rebellious. Do you agree or disagree? Please justify your response with empirical evidence.

    **CULTPSY3_Ch05_Development-4.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cultpsy3-ch05-development-4-pptx)

    **CULTPSY3_Ch05_Development-4.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cultpsy3-ch05-development-4-pptx)

    **## DiscussionBoard.docx**

    **Discussion Board**

    You will be required to participate in the eight discussion prompts posted on the Canvas Discussion Board throughout the course of the semester. These will relate to assigned course materials. Your responses should incorporate course content assigned during that week and should be approximately 250 words (total, for both prompts).

    Please select and reply to two of the prompts below, additionally respond to two of your colleague's comments:

    Please reply to two of the prompts below as well as two of your colleagues posts:

    1. Vladimir, Vassily, and Valentina are three siblings who immigrated with their parents to Canada from Russia. At the time of immigration, Vladimir was four, Vassily was eighteen, and Valentina was twenty. Based on research by Cheung, Chudek, and Heine regarding sensitive periods, draw a graph predicting how each sibling’s identification with Canadian culture will change as he or she spends more years in Canada?

    2. Kosuke is a 3-year-old Japanese boy who scores a 3 out of 7 on a measure of interdependence. Jeremy is a 3-year-old American boy who also scores a 3 out of 7 on a measure of interdependence. In general, the Japanese are more interdependent than Americans. Draw a graph to predict how each child’s score on the measure of interdependence will change (or not change) as he or she gets older (until age eighteen).

    3. The Randhawa family is an Indian family who just bought a new house with three bedrooms. There are two parents (a mother and a father), a 3-year-old daughter, a 17-year-old (postpubescent) daughter, and a 20-year-old (postpubescent) son. Based only on the values of female chastity anxiety and respect for hierarchy, design a floorplan for their arrangement of bedrooms that satisfies both values. Be sure to note who sleeps in each bedroom.

    4. Compare and contrast authoritarian parenting and authoritative parenting, making sure to include associated parental attributes.

    5. You overhear a mother talking about her adolescent son being rebellious, but she does not seem bothered by his rebelliousness. Instead, she says that it is a universal phenomenon that adolescents are rebellious. Do you agree or disagree? Please justify your response with empirical evidence.

    **CULTPSY3_Ch05_Development-4.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cultpsy3-ch05-development-4-pptx)

    **## DiscussionBoard.docx**

    **Discussion Board**

    You will be required to participate in the eight discussion prompts posted on the Canvas Discussion Board throughout the course of the semester. These will relate to assigned course materials. Your responses should incorporate course content assigned during that week and should be approximately 250 words (total, for both prompts).

    Please select and reply to two of the prompts below, additionally respond to two of your colleague's comments:

    Please reply to two of the prompts below as well as two of your colleagues posts:

    1. Vladimir, Vassily, and Valentina are three siblings who immigrated with their parents to Canada from Russia. At the time of immigration, Vladimir was four, Vassily was eighteen, and Valentina was twenty. Based on research by Cheung, Chudek, and Heine regarding sensitive periods, draw a graph predicting how each sibling’s identification with Canadian culture will change as he or she spends more years in Canada?

    2. Kosuke is a 3-year-old Japanese boy who scores a 3 out of 7 on a measure of interdependence. Jeremy is a 3-year-old American boy who also scores a 3 out of 7 on a measure of interdependence. In general, the Japanese are more interdependent than Americans. Draw a graph to predict how each child’s score on the measure of interdependence will change (or not change) as he or she gets older (until age eighteen).

    3. The Randhawa family is an Indian family who just bought a new house with three bedrooms. There are two parents (a mother and a father), a 3-year-old daughter, a 17-year-old (postpubescent) daughter, and a 20-year-old (postpubescent) son. Based only on the values of female chastity anxiety and respect for hierarchy, design a floorplan for their arrangement of bedrooms that satisfies both values. Be sure to note who sleeps in each bedroom.

    4. Compare and contrast authoritarian parenting and authoritative parenting, making sure to include associated parental attributes.

    5. You overhear a mother talking about her adolescent son being rebellious, but she does not seem bothered by his rebelliousness. Instead, she says that it is a universal phenomenon that adolescents are rebellious. Do you agree or disagree? Please justify your response with empirical evidence.

    **CULTPSY3_Ch05_Development-4.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cultpsy3-ch05-development-4-pptx)

  • [Solved] Business Finance – Management Assignment

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) HR Audit related assignment. – 2 years ago **files (1)** – ## HRAssignment.docx **## HRAssignment.docx** **HR Audit Activity** You have been hired to replace the previous HR manager who left the company 6 mont…

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management)

    HR Audit related assignment.

    – 2 years ago

    **files (1)**

    – ## HRAssignment.docx

    **## HRAssignment.docx**

    **HR Audit Activity**

    You have been hired to replace the previous HR manager who left the company 6 months ago at a company of 150 employees.  The company leadership has tasked you with discovering the status of the HR department and the priorities the company should take.

    · Research and state the purpose of at least two types of HR Audits.

    · Develop and provide an HR Audit form appropriate for this company size.

    · Develop and list a process for conducting an HR audit.

    · Provide how the results of the HR will be conveyed to management.

    **## HRAssignment.docx**

    **HR Audit Activity**

    You have been hired to replace the previous HR manager who left the company 6 months ago at a company of 150 employees.  The company leadership has tasked you with discovering the status of the HR department and the priorities the company should take.

    · Research and state the purpose of at least two types of HR Audits.

    · Develop and provide an HR Audit form appropriate for this company size.

    · Develop and list a process for conducting an HR audit.

    · Provide how the results of the HR will be conveyed to management.

  • [Solved] Evidence-Based Practice II

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    Blog: Lessons Learned From Project Implementation and Evaluation – 2 years ago **files (1)** – ## respond.EvidenceBasedPracticeII.odt **## respond.EvidenceBasedPracticeII.odt** **Evidence Based Practice II** **Due Jan 30, 2025** Blog: Lessons Learned From Project Implementation and Evaluation **Read…

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    Blog: Lessons Learned From Project Implementation and Evaluation

    – 2 years ago

    **files (1)**

    – ## respond.EvidenceBasedPracticeII.odt

    **## respond.EvidenceBasedPracticeII.odt**

    **Evidence Based Practice II**

    **Due Jan 30, 2025**

    Blog: Lessons Learned From Project Implementation and Evaluation

    **Read** a selection of your colleagues’ blog posts.
    **Respond** to
    **at least two** of your colleagues by expanding on their responses or sharing additional or alternative perspectives.

    PEER #1

    [Olufunmilayo Elizabeth Adeloye](https://waldenu.instructure.com/courses/142884/users/125106)

    Jan 28 7:41pm

    Manage Discussion by Olufunmilayo Elizabeth Adeloye

    Reply from Olufunmilayo Elizabeth Adeloye

    **Introduction**

    Restraints and seclusions are restrictive interventions commonly used in psychiatric inpatient units, including those for children and adolescents, to address situations involving imminent risk of harm to the patient or others. However, these methods remain controversial due to their association with significant adverse effects, including injuries and fatalities among both patients and staff (Kersting et al., 2019). Effectively addressing challenges in behavioral health requires a proactive approach grounded in innovative strategies that prioritize education, collaboration, and evidence-based practices. My project, which focused on training mental health staff in de-escalation techniques to reduce the use of restraints, highlighted the complexities of behavioral health management. By identifying key barriers such as knowledge gaps, communication breakdowns, and systemic inefficiencies, the project underscored the critical need for customized interventions. These targeted strategies are essential to overcoming challenges and fostering safer, more therapeutic environments for both patients and staff.

    **Lesson Learned from Project Implementation and Evaluation**

    Reflecting on project implementation and evaluation is essential for identifying successes and areas for improvement. A key lesson learned is the importance of stakeholder engagement to ensure alignment and buy-in throughout the project. Self-analysis and evaluation are equally critical for assessing the effectiveness of changes, staff acceptance, and project sustainability. This includes examining how barriers were addressed and considering alternative approaches. Notably, the impact of program changes may not be immediately apparent; for instance, improved reporting practices might initially increase recorded restraint incidents (Clark, 2011). Effective evaluation requires evidence-based methods. This project incorporates several strategies, including pre- and post-tests to measure staff knowledge and perceptions, comparisons of restraint incident rates before and after implementation, and staff surveys to gather feedback on the program. These evaluations aim to identify effective strategies and ensure the program remains aligned with its goals.

    **Factors for Sustaining Change**

    Transforming an organization’s culture as a strategic priority requires comprehensive strategic and operational adjustments across the organization (Doherty et al., 2022). To achieve sustainable change, it is crucial to embed new practices within the organizational culture, emphasizing ongoing learning and seamless integration of restraint prevention initiatives. Regular training sessions play a key role in reinforcing these efforts, ensuring adherence to high standards while enabling the organization to remain responsive to process updates or technological advancements. Strong leadership support is vital in driving commitment, allocating necessary resources, and providing a solid foundation for sustaining long-term change. Establishing a dedicated group, such as a restraint prevention committee, to oversee the program will enhance sustainability by managing restraint episode reporting, tracking monthly restraint rates, and maintaining up-to-date policies and materials. Furthermore, utilizing a Quality Improvement Model, such as the PDSA (Plan-Do-Study-Act) approach, ensures that restraint prevention interventions remain on track. This model facilitates continuous improvement by identifying areas for refinement and optimizing the implementation of changes over time (Bell & Gallacher, 2016).

    **Sustaining the Translation**

    To promote consistency and reliability, it is essential to develop comprehensive, clear, and easily accessible documentation for all processes and updates. Such documentation serves as a central reference point, ensuring that all stakeholders have a shared understanding of procedures and can execute tasks with accuracy and uniformity. Equally important is the establishment of continuous feedback mechanisms, which provide opportunities for regular assessment and improvement. By actively seeking input from team members, stakeholders, or end users, you can identify potential challenges, uncover inefficiencies, and make timely adjustments. These mechanisms not only help maintain the relevance of the implementation but also foster a culture of collaboration and adaptability. By prioritizing these strategies robust documentation and continuous feedback you create a strong foundation for the ongoing evaluation and optimization of your project. This approach ensures its long-term effectiveness, maximizes its impact, and enhances sustainability, enabling the project to adapt to evolving needs and deliver lasting value.

    **Conclusion**

    Every episode of restraint or seclusion is harmful to the individual and humiliating to staff members who understand their job responsibilities. The importance of ongoing evaluation has become evident, emphasizing the necessity of continuous monitoring, feedback, and adaptation to address evolving needs. This dynamic process strengthens best practices while facilitating the early detection of challenges, allowing for timely and effective interventions. Together, these insights highlight the transformative potential within behavioral health when education, collaboration, and evidence-based strategies are prioritized—ultimately enhancing patient outcomes and elevating the quality of care.

    **References**

    Bell, A., Gallacher, N. (2016). Succeeding in Sustained Reduction in the use of Restraint using the Improvement Model. BMJ Qual Improv Rep. 5(1): u211050.w4430. doi: 10.1136/bmjqualityu211050. w4430. PMID: 27335641; PMCID: PMC4915305.

    Clark J. (2011). Let's reflect: What is the point? British Journal of General Practice, 61(593), 747. https://doi.org/10.3399/bjgp11X613232 Links to an external site.

    Doherty, J.A., Johnson, M., McPheron, H. (2022). Advancing health equity through organizational change: Perspectives from health care leaders. Health Care Manage Rev.  01;47(3):263-270. doi: 10.1097/HMR. 0000000000000326. Epub 2021 Aug 27. PMID: 34456273; PMCID: PMC9162074.

    Kersting, XAK., Hirsch, S., Steinert, T. (2019). Physical harm and death in the context of coercive measures in psychiatric patients: a systematic review. Front Psychol.10:400. doi: 10.3389/fpsyt.2019.00400.

    – Reply to post from Olufunmilayo Elizabeth Adeloye
    **Reply**

    – Mark as Unread
    **Mark as Unread**

    **PEER #2**

    [Oluwakemi Aregbesola](https://waldenu.instructure.com/courses/142884/users/120216)

    Jan 28 6:04pm

    Manage Discussion by Oluwakemi Aregbesola

    Reply from Oluwakemi Aregbesola

    **Week 10 Blog: Main Post**

    The project is a staff educational project on improving discharge planning to reduce patient no-shows among individuals with alcohol use disorder who receive treatment at an outpatient mental health clinic.

    **Lessons on Project Implementation and Evaluation**

                The project implementation process has brought to light several lessons for me. I appreciated the role of having a change agent from the facility. I was able to request the assistance of a nurse practitioner at the project site, and she was impactful as a change agent in influencing the participation of the providers at the site in the staff educational sessions and implementing the project intervention (Ericson Lidman & Strandberg, 2023). Adopting a transformative leadership approach during project implementation assisted me in motivating the providers to implement the intervention. Further, building trust and promoting teaming strategies with the providers was essential in obtaining support for the practice change intervention (Bohnenkamp et al., 2023). I also appreciated the impact of planning for potential barriers to implementation. For example, I foresaw participation challenges due to differences in working shifts. I planned to address the challenge by developing educational sessions to accommodate shift differences. The above intervention worked well, and I educated all the staff working at the project site. The project outcomes were evaluated through quantitative analysis. The knowledge levels of the participants were analyzed through a paired t-test to determine the significance of the difference between pre-and post-interventional outcomes.

    **Sustainability**

                The factors influencing sustainability include stakeholder buy-in for the project, incorporation into routine interventions within the project site, and monitoring the implementation of the intervention to promote long-term implementation (Urquhart et al., 2021). Stakeholders buy-in and leadership support for the intervention will promote facility-wide support for the intervention, leading to the adoption of the intervention and long-term implementation. Incorporation of the practice change into routine practice intervention will advance the facility culture for evidence-based interventions, thereby promoting the long-term sustainability of the intervention. Monitoring the intervention implementation will assist in identifying backsliding, gaps, or inconsistencies in the practice change intervention, thereby informing interventions to promote sustained implementation of the intervention, such as through additional staff education interventions or educating new staff during the induction process to promote awareness of the practice change.

    **References**

    Bohnenkamp, J. H., Patel, C., Connors, E., Orenstein, S., Ereshefsky, S., Lever, N., & Hoover, S. (2023). Evaluating strategies to promote effective, multidisciplinary team collaboration in school mental health.
    _Journal of Applied School Psychology_,
    _39_(2), 130. https://doi.org/10.1080/15377903.2022.2077875

    Ericson Lidman, E., & Strandberg, G. (2023). Meanings of being a change agent in implementing a new organizational culture in home care services: A phenomenological hermeneutic study.
    _Nordic Journal of Nursing Research_. https://doi.org/10.1177/20571585231157505

    Urquhart, R., Kendell, C., Cornelissen, E., Powell, B. J., Madden, L. L., Kissmann, G., Richmond, S. A., & Bender, J. L. (2021). Identifying factors influencing sustainability of innovations in cancer survivorship care: A qualitative study.
    _BMJ Open_,
    _11_(2), Article e042503. https://doi.org/10.1136/bmjopen-2020-042503

    – Reply to post from Oluwakemi Aregbesola
    **Reply**

    – Mark as Unread
    **Mark as Unread**

    **## respond.EvidenceBasedPracticeII.odt**

    **Evidence Based Practice II**

    **Due Jan 30, 2025**

    Blog: Lessons Learned From Project Implementation and Evaluation

    **Read** a selection of your colleagues’ blog posts.
    **Respond** to
    **at least two** of your colleagues by expanding on their responses or sharing additional or alternative perspectives.

    PEER #1

    [Olufunmilayo Elizabeth Adeloye](https://waldenu.instructure.com/courses/142884/users/125106)

    Jan 28 7:41pm

    Manage Discussion by Olufunmilayo Elizabeth Adeloye

    Reply from Olufunmilayo Elizabeth Adeloye

    **Introduction**

    Restraints and seclusions are restrictive interventions commonly used in psychiatric inpatient units, including those for children and adolescents, to address situations involving imminent risk of harm to the patient or others. However, these methods remain controversial due to their association with significant adverse effects, including injuries and fatalities among both patients and staff (Kersting et al., 2019). Effectively addressing challenges in behavioral health requires a proactive approach grounded in innovative strategies that prioritize education, collaboration, and evidence-based practices. My project, which focused on training mental health staff in de-escalation techniques to reduce the use of restraints, highlighted the complexities of behavioral health management. By identifying key barriers such as knowledge gaps, communication breakdowns, and systemic inefficiencies, the project underscored the critical need for customized interventions. These targeted strategies are essential to overcoming challenges and fostering safer, more therapeutic environments for both patients and staff.

    **Lesson Learned from Project Implementation and Evaluation**

    Reflecting on project implementation and evaluation is essential for identifying successes and areas for improvement. A key lesson learned is the importance of stakeholder engagement to ensure alignment and buy-in throughout the project. Self-analysis and evaluation are equally critical for assessing the effectiveness of changes, staff acceptance, and project sustainability. This includes examining how barriers were addressed and considering alternative approaches. Notably, the impact of program changes may not be immediately apparent; for instance, improved reporting practices might initially increase recorded restraint incidents (Clark, 2011). Effective evaluation requires evidence-based methods. This project incorporates several strategies, including pre- and post-tests to measure staff knowledge and perceptions, comparisons of restraint incident rates before and after implementation, and staff surveys to gather feedback on the program. These evaluations aim to identify effective strategies and ensure the program remains aligned with its goals.

    **Factors for Sustaining Change**

    Transforming an organization’s culture as a strategic priority requires comprehensive strategic and operational adjustments across the organization (Doherty et al., 2022). To achieve sustainable change, it is crucial to embed new practices within the organizational culture, emphasizing ongoing learning and seamless integration of restraint prevention initiatives. Regular training sessions play a key role in reinforcing these efforts, ensuring adherence to high standards while enabling the organization to remain responsive to process updates or technological advancements. Strong leadership support is vital in driving commitment, allocating necessary resources, and providing a solid foundation for sustaining long-term change. Establishing a dedicated group, such as a restraint prevention committee, to oversee the program will enhance sustainability by managing restraint episode reporting, tracking monthly restraint rates, and maintaining up-to-date policies and materials. Furthermore, utilizing a Quality Improvement Model, such as the PDSA (Plan-Do-Study-Act) approach, ensures that restraint prevention interventions remain on track. This model facilitates continuous improvement by identifying areas for refinement and optimizing the implementation of changes over time (Bell & Gallacher, 2016).

    **Sustaining the Translation**

    To promote consistency and reliability, it is essential to develop comprehensive, clear, and easily accessible documentation for all processes and updates. Such documentation serves as a central reference point, ensuring that all stakeholders have a shared understanding of procedures and can execute tasks with accuracy and uniformity. Equally important is the establishment of continuous feedback mechanisms, which provide opportunities for regular assessment and improvement. By actively seeking input from team members, stakeholders, or end users, you can identify potential challenges, uncover inefficiencies, and make timely adjustments. These mechanisms not only help maintain the relevance of the implementation but also foster a culture of collaboration and adaptability. By prioritizing these strategies robust documentation and continuous feedback you create a strong foundation for the ongoing evaluation and optimization of your project. This approach ensures its long-term effectiveness, maximizes its impact, and enhances sustainability, enabling the project to adapt to evolving needs and deliver lasting value.

    **Conclusion**

    Every episode of restraint or seclusion is harmful to the individual and humiliating to staff members who understand their job responsibilities. The importance of ongoing evaluation has become evident, emphasizing the necessity of continuous monitoring, feedback, and adaptation to address evolving needs. This dynamic process strengthens best practices while facilitating the early detection of challenges, allowing for timely and effective interventions. Together, these insights highlight the transformative potential within behavioral health when education, collaboration, and evidence-based strategies are prioritized—ultimately enhancing patient outcomes and elevating the quality of care.

    **References**

    Bell, A., Gallacher, N. (2016). Succeeding in Sustained Reduction in the use of Restraint using the Improvement Model. BMJ Qual Improv Rep. 5(1): u211050.w4430. doi: 10.1136/bmjqualityu211050. w4430. PMID: 27335641; PMCID: PMC4915305.

    Clark J. (2011). Let's reflect: What is the point? British Journal of General Practice, 61(593), 747. https://doi.org/10.3399/bjgp11X613232 Links to an external site.

    Doherty, J.A., Johnson, M., McPheron, H. (2022). Advancing health equity through organizational change: Perspectives from health care leaders. Health Care Manage Rev.  01;47(3):263-270. doi: 10.1097/HMR. 0000000000000326. Epub 2021 Aug 27. PMID: 34456273; PMCID: PMC9162074.

    Kersting, XAK., Hirsch, S., Steinert, T. (2019). Physical harm and death in the context of coercive measures in psychiatric patients: a systematic review. Front Psychol.10:400. doi: 10.3389/fpsyt.2019.00400.

    – Reply to post from Olufunmilayo Elizabeth Adeloye
    **Reply**

    – Mark as Unread
    **Mark as Unread**

    **PEER #2**

    [Oluwakemi Aregbesola](https://waldenu.instructure.com/courses/142884/users/120216)

    Jan 28 6:04pm

    Manage Discussion by Oluwakemi Aregbesola

    Reply from Oluwakemi Aregbesola

    **Week 10 Blog: Main Post**

    The project is a staff educational project on improving discharge planning to reduce patient no-shows among individuals with alcohol use disorder who receive treatment at an outpatient mental health clinic.

    **Lessons on Project Implementation and Evaluation**

                The project implementation process has brought to light several lessons for me. I appreciated the role of having a change agent from the facility. I was able to request the assistance of a nurse practitioner at the project site, and she was impactful as a change agent in influencing the participation of the providers at the site in the staff educational sessions and implementing the project intervention (Ericson Lidman & Strandberg, 2023). Adopting a transformative leadership approach during project implementation assisted me in motivating the providers to implement the intervention. Further, building trust and promoting teaming strategies with the providers was essential in obtaining support for the practice change intervention (Bohnenkamp et al., 2023). I also appreciated the impact of planning for potential barriers to implementation. For example, I foresaw participation challenges due to differences in working shifts. I planned to address the challenge by developing educational sessions to accommodate shift differences. The above intervention worked well, and I educated all the staff working at the project site. The project outcomes were evaluated through quantitative analysis. The knowledge levels of the participants were analyzed through a paired t-test to determine the significance of the difference between pre-and post-interventional outcomes.

    **Sustainability**

                The factors influencing sustainability include stakeholder buy-in for the project, incorporation into routine interventions within the project site, and monitoring the implementation of the intervention to promote long-term implementation (Urquhart et al., 2021). Stakeholders buy-in and leadership support for the intervention will promote facility-wide support for the intervention, leading to the adoption of the intervention and long-term implementation. Incorporation of the practice change into routine practice intervention will advance the facility culture for evidence-based interventions, thereby promoting the long-term sustainability of the intervention. Monitoring the intervention implementation will assist in identifying backsliding, gaps, or inconsistencies in the practice change intervention, thereby informing interventions to promote sustained implementation of the intervention, such as through additional staff education interventions or educating new staff during the induction process to promote awareness of the practice change.

    **References**

    Bohnenkamp, J. H., Patel, C., Connors, E., Orenstein, S., Ereshefsky, S., Lever, N., & Hoover, S. (2023). Evaluating strategies to promote effective, multidisciplinary team collaboration in school mental health.
    _Journal of Applied School Psychology_,
    _39_(2), 130. https://doi.org/10.1080/15377903.2022.2077875

    Ericson Lidman, E., & Strandberg, G. (2023). Meanings of being a change agent in implementing a new organizational culture in home care services: A phenomenological hermeneutic study.
    _Nordic Journal of Nursing Research_. https://doi.org/10.1177/20571585231157505

    Urquhart, R., Kendell, C., Cornelissen, E., Powell, B. J., Madden, L. L., Kissmann, G., Richmond, S. A., & Bender, J. L. (2021). Identifying factors influencing sustainability of innovations in cancer survivorship care: A qualitative study.
    _BMJ Open_,
    _11_(2), Article e042503. https://doi.org/10.1136/bmjopen-2020-042503

    – Reply to post from Oluwakemi Aregbesola
    **Reply**

    – Mark as Unread
    **Mark as Unread**

  • [Solved] Music2

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    [>Marketing homework help](https://www.sweetstudy.com/fields/business-finance-marketing) For this assignment, we will do the following: For a period of 10 minutes, sit down outside, where you can listen to the sounds of the street, maybe outside of your dorm if you are on campus, or on the balcony, …

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    [>Marketing homework help](https://www.sweetstudy.com/fields/business-finance-marketing)

    For this assignment, we will do the following:

    For a period of 10 minutes, sit down outside, where you can listen to the sounds of the street, maybe outside of your dorm if you are on campus, or on the balcony, backyard, or porch if you are at home. Close your eyes and listen (experience) an event. As you listen to the city noises, record (written record) all the aspects of your listening experience. For example, do you hear a car passing by, a siren perhaps, a musical instrument in the distance, a bird? Maybe you hear the sound of the wind, or can you hear your thoughts, can you hear someone’s voice having a conversation maybe next door.

    When the 10 minutes have passed, write down the following:

    What sounds did you hear and in what order?

    How would you describe these sounds?

    Do you think these sounds could be considered music?

    – 2 years ago

  • [Solved] replies week 4

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    #1 Effective communication is essential in the field of nursing. Establishing a strong rapport between nurses and patients is important for delivering high-quality care. In healthcare environments, communication facilitates interaction between providers and patients. Proficient communication enables…

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    #1

    Effective communication is essential in the field of nursing. Establishing a strong rapport between nurses and patients is important for delivering high-quality care. In healthcare environments, communication facilitates interaction between providers and patients. Proficient communication enables healthcare professionals to earn the trust of their patients. When there are obstacles to communication, it can adversely impact the quality of care provided (Abdulla et al., 2022). Often, I witness nurses or providers relying on family members or friends of patients with limited English proficiency (LEP) rather than providing language translation services available on hospital i-mobiles.

    In the first step of Evidence-Based Practice (EBP), clinical questions are framed using a specific structure known as PICOT, which stands for Patient population, Intervention or issue of concern, Comparison intervention or group, Outcome, and Time frame (Melnyk & Fineout-Overholt, 2023). This structure aids in developing a search strategy that produces the most pertinent and highest-quality evidence from the literature available.

    – P (Patient/Population): Hospitalized patients with limited English proficiency
    – I (Intervention): Using a professional medical interpreter
    – C (Comparison): Relying on family members as interpreters
    – O (Outcome): Improved patient understanding of discharge instructions
    – T (Timeframe): Within 24 hours of discharge

    Among hospitalized patients with limited English proficiency, does utilizing a professional medical interpreter compared to relying on family members affect patient understanding of instructions upon discharge from the hospital?

    #2

    **My nurse-driven topic is “How Can We Reduce The Spread of Hospital Acquired Infections as Healthcare Professionals?”**

    PICOT Question:

    In hospitalized patients **(P),** how does the implementation of a supervised and regulated hand hygiene program **(I)** compare to standard hand hygiene practices **(C)** impact the occurrence of hospital-acquired infections **(O)** within six months **(T)?**

    **Why it may be a nursing problem even though other healthcare professionals interact with hospital patients:**

    It is because nursing staff play a crucial role in direct patient care, and we are often the first line of defense against when it comes to our patients and the spread of infections in our patients. However, barriers like high patient-to-nurse ratios, time allowance between patients, staffing issues, low supplies, and inconsistent hand hygiene protocols have been proven to decrease the spread of infections.  So, on the contrary, it increases the risk of HAIs. Nursing roles and responsibilities include infection prevention measures, such as hand hygiene, taking care of catheters, wound care, and consistently monitoring patients for early signs of infection. If we do not perform these measures consistently or effectively, the risk of HAIs increases, negatively impacting patient safety, and rising healthcare costs for both the hospital and the patient.  Addressing HAIs through improved nursing practices ensures better patient outcomes and supports the overall quality of care in healthcare settings.

    – 2 years ago

  • [Solved] clinical experience

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    Describe your clinical experience for this week. – Did you face any challenges, any success? If so, what were they? – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. – Mention the …

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    Describe your clinical experience for this week.

    – Did you face any challenges, any success? If so, what were they?
    – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
    – Mention the health promotion intervention for this patient.
    – What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
    – Support your plan of care with the current peer-reviewed research guideline.

    – [\
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    – [\
    \
    ScreenShot2025-01-29at5.04.23AM.png](https://www.sweetstudy.com/files/screenshot2025-01-29at5-04-23am-png "ScreenShot2025-01-29at5.04.23AM.png")
    – [\
    \
    ScreenShot2025-01-29at5.04.28AM.png](https://www.sweetstudy.com/files/screenshot2025-01-29at5-04-28am-png "ScreenShot2025-01-29at5.04.28AM.png")

    – 2 years ago