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  • ASSIGNMENT MUST HAVE BOOK “Disappeared: How A People Who Once Lived In A Small C

    ASSIGNMENT MUST HAVE BOOK
    “Disappeared: How A People Who Once Lived In A Small Caribbean Village Vanished Without A Historical Trace To Humankind”
    by Martin Matthew
    Read the Preface, Introduction, note on the inauguration of the village, and at least four chapters from the book “Disappeared,” and write an opinion paper on
    (a) if you think such a society or villages existed or could exist in the United States.
    (b) Why were the people successful in shaping or constructing an ideal living place or what some may consider a utopian society?
    (c) what motivated them and gave them the strength, enthusiasm, passion, and zeal to keep pursuing, striving, and struggling for such a society (d) How would an identical or equivalent community benefit humanity?
    NB: Make sure you mention some specifics from the book, like names of individuals and their specific contributions or issues that made the village what it was in history.

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    “Disappeared: How A People Who Once Lived In A Small C appeared first on essaynook.com.

  • part 1 Respond to the following in a minimum of 175 words: How do you use assert

    part 1

    Respond to the following in a minimum of 175 words:

    How do you use assertive, aggressive, or passive communication styles to cement professional relationships with managers or executives who are higher in the organizational chart? Provide specific examples of when you might use each.

    part 2

    post feedback t the following posts based on part 1

    post 1

    Women in the work place have to be very careful when it comes to being assertive, aggressive, and passive in their communication. We are seen as emotional humans who will “go off” when we are upset with a situation. This is why it is even more important that we learn the importance of the effective uses of assertive, aggressive, and passive communication. I myself have a very young sounding voice that sounds like a child and this has made it difficult for me to be taken seriously in a workplace. I also have a very strong southern accent, which carries the assumption of a non-educated person with it. I have learned to speak with authority and assertiveness or most people will try to speak over me. It is first best to be emotionally intelligent when you are a woman. You must understand what your strength and weaknesses are in communication. When an important decision needs to be made and there is not time to hear from others about their opinion, this would be a time to use aggressive communication. This shows that there is no other option or input needed at the time and business is meant. It is important to be assertive when you want your ideas and through to be heard, especially during a meeting. This is where you can plan what needs to be said and then actively listen for the time to insert your thoughts. The best time to be passive is when someone else is sharing their thought and ideas. This shows that you are active listener and value them (Maloney & Moore, 2019).

    Reference:

    Maloney, M. E., & Moore, P. (2019). From aggressive to assertive. International journal of women’s dermatology, 6(1), 46–49. https://doi.org/10.1016/j.ijwd.2019.09.006

    post 2

    How do you use assertive, aggressive, or passive communication styles to cement professional relationships with managers or executives who are higher in the organizational chart?

    There are many factors that come into play when considering what makes for a good professional relationship. When it comes to establishing professional relationships with managers and executive there’s even more to consider. One is communication. Effective communication is essential to a good working relationship as colleagues communicate over diverse platforms – from in-person meetings to quick messages and emails – to connect and understand one another’s work-related tasks. (Maloney, 2019)

    • Some ways to utilize assertive communications is Body language: Use open, relaxed, and calm body language that avoids signs of aggression. Make direct eye contact but soften your eyes. Keep your posture straight and use appropriate gestures. (Brescoll, 2011). Another way is being able to accept constructive criticism. Practicing active listening and monitoring your tone of voice are more ways.
    • Aggressive communication can be confrontational or hostile and can damage relationships. Instead, you can try assertive communication styles when interacting with managers or executives who are higher up in the organizational chart. (Maloney, 2019)
    • Passive communicators may avoid conflict and express their opinions and may prefer to let others take the lead. Some examples of using passive communication styles to build professional relationships with managers or executives are being patient and not expecting immediate responses, asking open-ended questions to engage with them, and allowing space for them to share their ideas and needs.

    Reference:

    Brescoll V.L. Who takes the floor and why: gender, power, and volubility in organizations. Admin Sci Quart. 2011;56(4):622–641.

    Maloney ME, Moore P. From aggressive to assertive. Int J Women’s Dermatol. 2019 Nov 7;6(1):46-49. doi: 10.1016/j.ijwd.2019.09.006. PMID: 32042885; PMCID: PMC6997833.

    part 3 Leadership Styles

    Read the following articles:

    • “What’s your Leadership Signature?” https://www.heidrick.com/en/insights/leadership-de…from Heidrick and Struggles
    • “The Leadership Continuum” from Mind Tools .

    Then take the My Leadership Style questionnaire from Mind Tools in the University Library to acquire feedback about your top 3 leadership styles.

    Write a 525- to 700-word report about your go-to and supplemental leadership styles. Include the following:

    • Identify your top 3 leadership styles.
    • Describe potential blind spots of your personality that you were not aware influenced your leadership style.
    • Examine how your personality typology makes you a better leader.
    • Identify organizational environments in which you are likely to thrive and struggle.
    • Develop a list of SMART goals that focus on self-improvement.
    • Examine what leadership skills you possess to make you an effective facilitator and negotiator in the workplace.
    • Create or construct a list of strategies to develop future leadership skills that you may not currently possess to make you an effective facilitator and negotiator in the workplace.

    Cite 4 reference sources for accomplished level and three for emerging level to support your assignment. Please note that the required reading articles listed above in the instructions can be two of your references.

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    Respond to the following in a minimum of 175 words:
    How do you use assert appeared first on essaynook.com.

  •   After reading the assigned textbook chapters and “Baumrind’s Parenting Styles

     

    After reading the assigned textbook chapters and “Baumrind’s Parenting Styles” located in Module 6: Lecture Materials & Resources, please address the following questions:

    1. One of the tasks of socialization is to prepare a child for adulthood. Personality theorists refer to individuation as the process by which individuals come to take responsibility for self. Individuation involves both sense of self as separate and connected to others.  How might each of these parenting styles support or undermine these developing patterns? 
    2. Describe families from the entertainment field, the news, or from your observation that best portray at least two of the four parenting styles. You must use different examples than those given by your classmates who post before you. 

    To answer questions, click on reply at the bottom of the page. It is best practice to write your response in a word processing program like Word and copy and paste it into the reply text box. All responses should be substantial. Class discussion of the chapters assigned for each week in the Discussion Board is a significant component of this course. The class, as a learning community, relies on this asynchronous communication to engage in collective and individual knowledge construction. For each Canvas Discussion Board Assignment, all students should respond at least twice weekly to the discussion board in addition to your response to the main thread questions.

    • Please copy all the questions for the week, answer them, and paste your responses into the discussion board.
    • In addition to your response to the main thread questions, please respond substantially at least twice for the week in addition to your main thread posting to at least two classmates in your responses. All responses will be made on the discussion board.
    • Spelling and grammar will be factored into your grade.
    • The instructor will provide you with feedback either by posting in the discussion forum or in the comments section in the gradebook.
    • Substantive postings are those that respond to a question in a way that clearly supports a position, offers a contrasting or divergent point of view, begins a new topic, clarifies a point already made, or adds to the existing discussion by critically reflecting on what’s been said or moves the discussion in another direction. Agreeing with someone else is not a substantive posting.
    • Students need to first post a response to all of the questions from the main stem, then post in response to other students’ postings. Note: Given this is a fully online course, discussion board activity is vital to the class flow. Students are expected to post discussion board threads and responses by the due dates listed on this syllabus. Each Discussion Board Forum will close on the deadline listed.
    • Do not submit as attachments, just submit responses.

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    After reading the assigned textbook chapters and “Baumrind’s Parenting Styles appeared first on essaynook.com.

  • Create a hypothetical scenario in which your token economy system will be implem

    1. Create a hypothetical scenario in which your token economy system will be implemented. Describe the setting, individuals involved, and the context.
    2. Outline a step-by-step plan for implementing your token economy system in the given scenario. Include details on how tokens will be distributed, how behaviors will be monitored, and how the exchange process will work.
    3. Identify and describe three specific, observable, and measurable behaviors you want to increase or decrease.
    4. Choose a type of token to be used. Justify your choice based on its practicality, durability, and appeal.
    1. Written communication should be free of errors that detract from the overall message.
    2. The submission must be APA 7 formatted.
    3. The assignment should be a minimum of 5 pages (not including the title page and reference page)
    4. Please include a title page, reference page, and in-text citations as needed.

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  • Neurocognitive disorder pertains to having brain deficits in executive functioning.? This may be displayed as an individual that is violent towards others, lacks cogni

     

    Neurocognitive disorder pertains to having brain deficits in executive functioning.  This may be displayed as an individual that is violent towards others, lacks cognitive flexibility and has inhibition dysfunctions (Walden University, LLC, 2022; American Psychiatric Association, 2013).  In other words, an individual that engages in intimate partner violence may have a neurocognitive disorder which impacts decision making and impulse control.  Additionally, individuals that suffer from neurocognitive disorders can develop by way of a traumatic brain injury after birth and result in different ways that can be exhibited emotionally and mentally (Walden University, LLC, 2022).  Detained youth tend to have neurocognitive disorders that are diagnosed with conduct disorder or oppositional defiant disorder (ODD) (Walden University, LLC, 2022; American Psychiatric Association, 2013).  For example, I counseled an 8-year-old male that was diagnosed with ODD whereby he did display neurocognitive dysfunctions.  If someone of authority or a classmate would disagree with him or if he thought someone did not like him, it would send him into a rage.  In respect to his parents that according to him, fought and argued a lot in the home.  If he was sleeping and their arguing disturbed him, he had violent thoughts towards his parents, specifically his father.  Also, he would have violent episodes at school whereby he would throw furniture at students and his teachers which resulted in him being placed in psychiatric hospitals a few times.  This client is a prime example of what type of behavior may be displayed when there are neurocognition deficits.

    Williams, Chitsabesan, Fazel, McMillan, Hughes, Parsonage and Tonks (2018) argued that a high cause of death among children and the youth is traumatic brain injury (TBI).  Once TBI occurs, it can result in emotional dysregulation, social interaction deficits and increases the risk of behavior disorders (p. 1).  It has been argued that TBI can lead to personality and cognitive issues (p. 1).  TBI is defined as a “blow to the head in a fight, an assault, fall or car crash (p. 2).  Once TBI has occurred, it can impact an individual’s memory, attention, concentration and planning.  Also, due to TBI causing injury to the frontal lobe of the brain, there can be behavioral issues such as being aggressive, impulsive, making bad decisions and having a lack of control in social situations (p. 3).  Neurological dysfunctions are common among offenders which are linked to reoffending.  Lastly, childhood trauma including abuse and neglect can intensify the effects.

    Explain how and why some of the symptoms associated with neurocognitive disorders contribute to criminal behavior.

    Neurocognitive disorders can lead to criminal behavior.  Individuals that have experienced TBI’s tend to engage in criminal behavior (Walden University, LLC, 2022).  Also, individuals that participate in criminal behavior at an early age tend to continue a life of crime as an adult (Williams et al., 2018, p. 1).  Adult prisoners were found to have TBI (65% males; 72% females) which was the result of 5,049 participants that was conducted in 24 U.S. studies (Williams et al., 2018, p. 11).  For instance, if an offender experienced childhood trauma such as witnessing domestic violence and being abused by one of their parents, the individual will tend to become violent towards others in adulthood.  This is due to having executive functioning dysfunctions whereby decision marking and impulse and emotion control is hindered.  Sometimes individuals that suffer from neurocognitive disorders are unable to “regroup” after a trauma or tragedy and at times will exhibit or engage in violent behavior.

    Explain the forensic psychological implications of neurocognitive disorder.

    The forensic psychological implications of neurocognitive disorders can be tragic if psychology professionals are not properly trained.  Walden University, LLC. (2022) argued that professionals that are not neurocognitive informed can miss a lot of important aspects when it comes to assisting offenders.  For example, an offender that is violent towards others could very well be suffering from a neurocognitive disorder.  Other symptoms that would support this finding include being impulsive, unable to cope with trauma (lack of resilience) or being stuck socially or emotionally.  It is imperative that forensic psychologists are educated when it comes to all the various complications or symptoms that can exist when a neurocognitive disorder exists (Williams et al., 2018).  Being equipped with this knowledge will result in forensic professionals rendering effective treatment for clients.

    References:

    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596Links to an external site.

    Walden University, LLC. (2022). Neurocognitive disorders: A case study. [Interactive]. Walden University Blackboard. https://class.waldenu.eduLinks to an external site.

    Williams, W. H., Chitsabesan, P., Fazel, S., McMillan, T., Hughes, N., Parsonage, M., & Tonks, J. (2018). Traumatic brain injury: A potential cause of violent crime? The Lancet Psychiatry, 5(10), 836–844. https://doi.org/10.1016/s2215-0366(18)30062-2

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    • Complex Post-Traumatic Stress Disorder (CPTSD) is a condition that arises from prolonged exposure to traumatic events, particularly in situations where individuals fee

       

      Complex Post-Traumatic Stress Disorder (CPTSD) is a condition that arises from prolonged exposure to traumatic events, particularly in situations where individuals feel trapped or powerless. CPTSD is differentiated from PTSD by its emphasis on disturbances in self-organization, affecting identity and relational capacities (American Psychiatric Association, 2013). Symptoms of PTSD include emotional dysregulation, dissociation, distorted self-perception, interpersonal difficulties, and somatic symptoms, reflecting the impact of trauma on an individual’s psychological and emotional well-being (American Psychiatric Association, 2013).

      Neurocognitive disorders, such as traumatic brain injury, can contribute to criminal behavior through various symptoms. Research shows that individuals with neurocognitive disorders may exhibit impulsivity, poor judgment, aggression, and irritability, which increase the risk of engaging in criminal activities (Miles et al., 2021; Williams et al., 2018). For example, impaired impulse control and disinhibition following traumatic brain injuries can lead to impulsive and potentially criminal behavior, as individuals may act without considering consequences or social norms (Bejenaru & Ellison, 2021).

      Anna, from this week’s interactive media, presents several symptoms that can be associated with CPTSD and a neurocognitive disorder from the traumatic brain injury due to domestic violence. In addition to the brain injury, she has a history of being beaten and violently raped multiple times in her life, periods of homelessness, impulsive, high shame, cognitive deficits, alexithymia, executive function impairments, adaptive functioning impairments, sleep issues, paranoia, high anxiety, and dissociation. 

      The forensic psychological implications of CPTSD are significant in legal contexts. Individuals with CPTSD may exhibit complex patterns of victimization and offending, where their trauma history influences maladaptive coping strategies and interpersonal difficulties that manifest in criminal behavior (American Psychological Association, 2013). Understanding the role of trauma in shaping an individual’s behavior is crucial for assessing criminal responsibility and determining appropriate legal interventions. Forensic psychologists often evaluate how trauma-related symptoms may have affected an individual’s mental state and decision-making at the time of the offense (American Psychiatric Association, 2013). 

      Recognizing CPTSD in forensic settings helps with treatment and rehabilitation strategies. Effective interventions may involve addressing both trauma recovery and the management of the symptoms that can contribute to criminal behavior. Tailored treatment approaches can reduce the risk of re-offending by helping individuals develop adaptive coping skills and addressing underlying trauma-related issues (American Psychiatric Association, 2013).

      References

      American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. (5th edition). https://doi.org/10.1176/appi.books.9780890425596Links to an external site.

      Bejenaru, A., & Ellison, J. M. (2021). Medicolegal implications of mild neurocognitive disorder. Journal of Geriatric Psychiatry and Neurology, 34(6), 513–527. https://doi.org/10.1177%2F0891988720957092Links to an external site.Miles, S. R., Hammond, F. M., Neumann, D., Silva, M. A., Tang, X., Kajankova, M., Dillahunt-Aspillaga, C., & Nakase-Richardson, R. (2021). Evolution of irritability, anger, and aggression after traumatic brain injury: Identifying and predicting subgroups. Download Evolution of irritability, anger, and aggression after traumatic brain injury: Identifying and predicting subgroups. Journal of Neurotrauma, 38(13), 1827–1833. https://doi.org/10.1089/neu.2020.7451Links to an external site.

      • Reply to post from Desiree DozierReply
      • Mark as ReadMark as Read
      • Expand discussion thread from Desiree Dozier1 Reply, 1 Unread1 Reply, 1 Unread

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      • Develop a PowerPoint Presentation in regards to the issue of Advanced Practice. Identify ?????a current research problem related to advanced nursing practice that i

        Develop a PowerPoint Presentation in regards to the issue of Advanced Practice.

        1. Identify      a current research problem related to advanced nursing practice that is of      interest to you. Include WHY this is a problem. (Limit response to no more      than 3 sentences). Develop a research question to provide information      about the research problem.
        2. Based      on your research question, do you believe it will best be answered by a      qualitative or quantitative study ? Support your decision as to why you      believe the answers would best be provided by the type of study you have      chosen.
        3. Select      a middle-range theory and identify the application of nursing theories to      your research problem.
               Conduct a literature review.
        4. Based      on your literature review answer the following questions:
          • If       qualitative,
            • Identify        the purpose of the study.
            • Briefly,        describe the design of the study and explain why you think it is either        appropriate or inappropriate to meet the purpose.
            • Identify        ethical issues related to the study and how they were/were not        addressed.
            • Identify        the sampling method and recruitment strategy that was used.
            • Discuss        whether sampling and recruitment were appropriate to the aims of the        research.
            • Identify        the data collection method(s) and discuss whether the method(s) is/are        appropriate to the aims of the study.
            • Identify        how the data was analyzed and discuss whether the method(s) of analysis        is/are appropriate to the aims of the study.
            • Identify        four (4) criteria by which the rigor of a qualitative project can be        judged.
            • Discuss        the rigor of this study using the four criteria. 
            • Briefly,        describe the findings of the study and identify any limitations.
            • Use        the information that you have gained from your critique of the study to        discuss the trustworthiness and applicability of the study. Include in        your discussion any implications for the discipline of nursing.
          • If       quantitative,
            • Identify        the purpose and design of the study.
            • Explain        what is meant by ‘blinding’ and ‘randomization’ and discuss how these        were addressed in the design of the study.
            • Identify        ethical issues related to the study and how they were/were not        addressed.  
            • Explain        the sampling method and the recruitment strategy was used.
            • Discuss        how the sample size was determined – include in your discussion an        explanation of terms used.
            • Briefly,        outline how the data was collected and identify any data collection        instrument(s).
            • Define        the terms of validity and reliability, and discuss how the validity        & reliability of the instruments were/were not addressed in this        study and why this is important.
            • Outline        how the data were analyzed.
            • Identify        the statistics used and the level of measurement of the data described        by each statistical test – include in your discussion an explanation of        terms used.
            • Briefly,        outline the findings and identify any limitations of the study.
            • Use        the information that you have gained from your critique of the study to        briefly discuss the trustworthiness and applicability of the study.        Include in your discussion an explanation of the term statistical        significance and name the tests of statistical significance used in this        study. 

        Submission Instructions:

        • The      presentation is original work and logically organized.
        • Follow      current APA format including citation of references.
        • The      PowerPoint presentation should include 10-15 slides which are clear and      easy to read.
        • Speaker      notes expand upon and clarify content on the slides.
        • Incorporate      a minimum of 4 current (published within the last five years) scholarly      journal articles or primary legal sources (statutes, court opinions)      within your work.
        • Journal      articles and books should be referenced according to the current APA style      (the library has a copy of the APA Manual).
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        2

        High Prevalence of Chronic Conditions Among Vulnerable Populations: A Literature Review and Methodological Proposal

        Angelika Ptak BSN

        St. Thomas University

        NUR: 611 Advanced Practice Nursing Integration Practicum

        Professor Corzo-Sanchez PhD

        July 11, 2024

        Abstract

        This paper examines the high prevalence of chronic conditions, such as cardiovascular disease, diabetes, hypertension, and obesity, among vulnerable populations including those in poverty, underserved areas, and individuals lacking health insurance. A comprehensive review of relevant literature identifies significant gaps in current knowledge and proposes a mixed-methods approach to address these issues, emphasizing the roles of social determinants of health, housing stability, and integrated care models. This methodology aims to incorporate preventive measures, to enhance health outcomes for those at-risk populations suffering from chronic conditions.

        Introduction

        Chronic conditions such as cardiovascular disease, diabetes, hypertension, and obesity are prevalent among vulnerable populations, including individuals living in poverty, underserved areas, and those without health insurance (Khunti et al., 2023). These populations face significant barriers to accessing quality healthcare, leading to higher morbidity and mortality rates. Social determinants of health (SDOH), which include socioeconomic status, neighborhood environment, and access to healthcare, play a critical role in shaping health outcomes (Kim et al., 2023). This paper aims to synthesize current literature to identify gaps in knowledge and propose a methodological framework to address these issues through primary, secondary, and tertiary preventive measures.

        Literature Review

        Social Determinants of Health and Diabetes

        The article “Social Determinants of Health and Diabetes” by the American Diabetes Association (2021) delves into how socioeconomic status, neighborhood environment, and healthcare access impact diabetes risk and outcomes. The study emphasizes the critical need to address SDOH to improve health equity and manage diabetes effectively among disadvantaged groups (Hill-Briggs et al., 2021). This comprehensive review identifies key socioeconomic factors that exacerbate diabetes prevalence and outcomes, such as limited access to nutritious food, safe environments, and preventive healthcare services. However, the article’s focus on diabetes limits its broader application to other chronic conditions. This indicates a gap in the literature regarding intervention strategies targeting SDOH across multiple chronic diseases.

        Federal Housing Assistance and Chronic Disease

        The CDC’s study “Federal Housing Assistance and Chronic Disease” (2023) explores the relationship between housing assistance and the prevalence of chronic conditions. The findings suggest that individuals receiving federal housing assistance experience different health outcomes compared to low-income individuals not receiving such support, (Kim et al., 2023) The study underscores the pivotal role of stable housing in managing chronic diseases and highlights how housing stability can mitigate health disparities (NIH, 2023). Despite providing robust evidence linking housing stability to improved health outcomes, the study does not fully account for other forms of social support, indicating a need for more comprehensive research that includes diverse social support mechanisms (Hill-Briggs et al.,2021).

        Diabetes and Multiple Long-term Conditions

        The article “Diabetes and Multiple Long-term Conditions” by the American Diabetes Association (2023) discusses the global health challenges posed by diabetes in conjunction with multiple long-term conditions (MLTC). The review highlights the complexities faced by healthcare systems designed around single-disease models and advocates for integrated care approaches to manage comorbidities effectively. This is particularly relevant for vulnerable populations who often suffer from multiple chronic conditions simultaneously. While the article provides valuable insights into the necessity for integrated care, its focus on diabetes-specific challenges may not fully encompass the broader spectrum of chronic conditions prevalent among vulnerable populations (Khunti et al., 2023). However, there are notable gaps in the literature regarding the development of integrated care models, that cater specifically to the needs of these populations.

        Comparative Analysis

        The literature reviewed highlights the profound impact of SDOH, housing stability, and integrated care models on managing chronic conditions among vulnerable populations. Common themes across the articles include the critical influence of socioeconomic factors on health outcomes and the importance of comprehensive social support mechanisms. Differences in focus are evident, with one article primarily addressing diabetes, another exploring the role of housing stability, and the third discussing the management of multiple long-term conditions through integrated care. These findings underscore the necessity for targeted interventions but also reveal significant gaps in comprehensive strategies addressing these issues holistically.

        Gaps in Knowledge

        The literature review identifies several critical gaps in knowledge:

        1. Intervention Strategies for SDOH: There is a lack of comprehensive intervention strategies specifically targeting SDOH in underserved populations.

        2. Social Support Mechanisms: More extensive studies are needed to explore the impact of various social support mechanisms beyond housing assistance.

        3. Integrated Care Models: There is a significant gap in the development and implementation of integrated care models, tailored to manage multiple chronic conditions in vulnerable populations.

        Addressing these gaps is essential for developing effective preventive measures and improving health outcomes for vulnerable populations.

        Proposed Methodology

        Study Design

        This study will employ a mixed-methods approach, integrating quantitative and qualitative data. Randomized clinical trials (RCTs) will be conducted to test the effectiveness of various intervention strategies.

        Participants

        The study will focus on vulnerable populations, including those living in poverty, underserved areas, and individuals without health insurance.

        Interventions

        Interventions will be designed to address SDOH through community-based programs, provide stable housing and comprehensive social support, and implement integrated care models tailored to managing multiple chronic conditions.

        Data Collection

        Quantitative data will include health outcomes such as disease prevalence, hospitalization rates, and healthcare utilization. Qualitative data will capture patient experiences, barriers to care, and the effectiveness of intervention strategies.

        Analysis

        Statistical analysis will be used to evaluate quantitative data, while thematic analysis will be applied to qualitative data. This mixed-methods approach will provide a comprehensive understanding of the interventions’ impact on health outcomes.

        Conclusion

        Addressing the high prevalence of chronic conditions among vulnerable populations requires targeted interventions based on identified gaps in the literature. By focusing on SDOH, housing stability, and integrated care, this proposed study aims to enhance preventive measures and improve health outcomes and health equity for these populations.

        References

        Kim, C., Rossen, L. M., Stierman, B., Garrison, V., Hales, C. M. & Ogden, C. L. (2023). Federal

        housing assistance and chronic disease among US adults, 2005–2018. Preventing Chronic Disease, 20, 230144. http://dx.doi.org/10.5888/pcd20.230144

        Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A.,

        Thornton, P. L., & Haire-Joshu, D. (2021). Social determinants of health and diabetes: A scientific review. Diabetes Care, 44(1), 258–279. Advanced online publication. https://doi.org/10.2337/dci20-0053

        Khunti, K., Chudasama, Y. V., Gregg, E. W., Kamkuemah, M., Misra, S., Suls, J.,

        Venkateshmurthy, N. S., & Valabhji, J. (2023). Diabetes and multiple long-term conditions: A review of our current global health challenge. Diabetes Care, 46(12), 2092–2101. https://doi.org/10.2337/dci23-0035

        Health Care Models for Persons with Multiple Chronic Conditions from

        Populations that Experience Health Disparities: Advancing Health Care towards Health Equity (R01 – Clinical Trials Optional); PAR-22-092. (2023). Department of Health and Human Services. National Institute of Health. https://grants.nih.gov/grants/guide/pa-files/PAR-22-092.html

        Name: ____ Angelika Ptak BSN__ Date: 7/11/2024__________________

        Author

        Journal

        Name/ Year of Publication

        Research Design

        Sample Size

        Outcome Variables Measured

        Quality

        (A, B, C)

        Results/Author’s Suggested Conclusion

        Kamlesh Khunti

        ORCID et. al

        Diabetes Care/2023 Volume 46 Issue 12

        Systematic Review: Analysis of 566 studies on MLTC.

        Quantitative: Delphi method to define MLTC.

        Qualitative: Data from various populations and settings.

        Mixed Method: Evaluating system delivery, lifestyle, and therapeutic interventions

        566 participants

        Prevalence and Incidence: Tracking the occurrence of MLTC in diabetes patients.

        Healthcare

        Utilization: Assessing hospital admissions, emergency department visits, and primary care consultations.

        Health-Related Quality of Life: Evaluating the impact of MLTC on patients’ well-being.

        Mortality: Studying the association between MLTC and mortality risk.

        Healthcare Costs: Analyzing the economic burden of MLTC in diabetes management.

        Prevalence and Incidence: I would assign this an “A” grade. The tracking of MLTC occurrence in diabetes patients is crucial and well-established.

        Healthcare Utilization: I’d give this a “B”. While important, it requires more nuanced analysis beyond basic tracking.

        Health-Related Quality of Life: This deserves an “A”.

        Understanding patient well-being is critical for holistic care.

        Mortality: I’d rate this as an “A-”. It’s significant, but complexities exist.

        –Healthcare Costs: I’d assign an “A” here. Analyzing economic burden is essential for policy decisions.

        Rising Prevalence: The number of people with diabetes and MLTC is increasing globally, with significant implications for health care services and patient outcomes.

        Challenges: MLTC leads to fragmented care, polypharmacy, poor quality of life, and higher mortality rates12.

        Interventions Needed: Effective system delivery, care coordination, lifestyle interventions, and therapeutic interventions are crucial for managing MLTC.

        Research Directions: Future research should focus on developing robust evidence-based interventions to improve the lives of people with MLTC and build cost-effective health care systems

        Christine Kim, PhD, MSPH, et. al

        Federal Housing Assistance and Chronic Disease Among US Adults, 2005–2018

        Volume 20 — November 30, 2023

        The article uses a quantitative research design. It analyzes data from the National Health and Nutrition Examination Survey (NHANES) and US Department of Housing and Urban Development (HUD) administrative records to estimate the prevalence of chronic conditions and assess associations between housing assistance and these conditions among adults1. The study employs statistical methods, including propensity-score weighting, to control for potential confounders and ensure comparability between groups.

        The study included 2,363 HUD-assisted adults and 13,755 HUD-unassisted adults with an income-to-poverty ratio (IPR) less than 21. This data was collected from the National Health and Nutrition Examination Survey (NHANES) between 2005 and 2018

        The article measures the following outcome variables:

        Obesity: Defined as a body mass index (BMI) of 30.0 or more.

        Diabetes: Identified through self-reported diagnosis or a hemoglobin A1c level of 6.5% or more.

        Hypertension: Defined by systolic blood pressure ≥130 mm Hg, diastolic blood pressure ≥80 mm Hg, or self-reported use of hypertension medication.

        These variables were assessed to understand the prevalence of chronic conditions among adults receiving HUD assistance compared to those eligible but not receiving assistance

        The study found that adults receiving HUD assistance had a higher prevalence of obesity compared to those eligible but not receiving assistance. However, there were no significant differences for diabetes or hypertension. Given these mixed results, I would assign a “C” grade to the outcome variable measured. This reflects the study’s partial success in identifying significant associations, but also acknowledges the limitations and lack of significant findings for some conditions.

        Higher Obesity Rates: Adults receiving HUD assistance had a higher prevalence of obesity (47.5%) compared to those not receiving assistance (42.1%).

        No Significant Differences: There were no significant differences in the prevalence of diabetes and hypertension between the two groups.

        Associations with Obesity: Housing assistance was significantly associated with higher odds of obesity, but not with diabetes or hypertension.

        Informing Future Research: The study’s findings can help inform future research on chronic disease prevalence among adults receiving housing assistance

        Felicia Hill-Briggs et. al

        SCIENTIFIC REVIEW NOVEMBER 2, 2020

        Social Determinants of Health and Diabetes: A Scientific Revie

        The research design of this study is a systematic review. It summarizes literature on the range of social determinants of health (SDOH) identified as having an impact on diabetes outcomes, drawing from systematic reviews, meta-analyses, and more recent published studies

        The current page does not specify a single study with a sample size. Instead, it reviews multiple studies and frameworks related to social determinants of health (SDOH) and diabetes

        The study measures several outcome variables related to diabetes and social determinants of health (SDOH):

        Diabetes Prevalence and Incidence: Rates of diabetes in different socioeconomic and demographic groups.

        Diabetes-Related Mortality: Risk of death due to diabetes across various income and education levels.

        Glycemic Control: HbA1c levels, indicating blood sugar control.

        Health Care Utilization: Frequency of emergency department visits, hospitalizations, and outpatient services for diabetes management.

        These variables help understand the impact of SDOH on diabetes outcomes

        Prevalence and Incidence: I would assign this an “A”. Tracking MLTC occurrence in diabetes patients is crucial and well-established.

        Healthcare Utilization: I’d give this a “B”. While important, it requires more nuanced analysis beyond basic tracking.

        Health-Related Quality of Life: This deserves an “A”. Understanding patient well-being is critical for holistic care.

        Mortality: I’d rate this as an “A-”. It’s significant, but complexities exist.

        Healthcare Costs: I’d assign an “A” here. Analyzing economic burden is essential for policy decisions.

        Here are the key takeaways from the commentary on diabetes and social determinants of health (SDOH):

        Disproportionate Impact: Diabetes disproportionately affects racial and ethnic minorities and low-income populations in the U.S., with higher risks and complications.

        SDOH Importance: Addressing SDOH is crucial for achieving health equity, especially in diabetes, due to its prevalence and economic costs.

        Frameworks and Definitions: Various frameworks, including WHO and Healthy People 2020, classify SDOH factors like socioeconomic status, neighborhood environment, food access, health care, and social context.

        –Recommendations: The article concludes with recommendations for linking health care and community sectors, and for further research to inform practice.

        National Institutes of Health

        Department of Health and Human Services

        November 29, 2023

        Mixed method evaluating aimed at optimizing care for persons with multiple chronic conditions (MCCs) from populations experiencing health disparities.

        The current page does not specify the sample size for the study. It focuses on the funding opportunity announcement and guidelines for research projects related to multiple chronic conditions (MCCs) in populations experiencing health disparities

        Part of the current page talks about the outcome variables measured in the context of clinical trials and research projects. Here are the key points:

        –Primary and Secondary Outcome Variables: These should be clear, informative, and relevant to the hypothesis being tested.

        –Health Outcomes: Includes reduction of preventable complications, prevention of hospitalizations or readmissions, improved quality of life, and proactive health care delivery.

        –Patient-Centered Goals: Personal health outcomes that patients hope to achieve, such as physical/mental function, independence, well-being, and life expectancy.

        Cost and Quality of Care: Changes in outcomes such as cost, quality, access, or care coordination for people with multiple chronic conditions.

        “A” The current page provides detailed information about a funding opportunity announcement (FOA) from the National Institutes of Health (NIH). It outlines the objectives, eligibility, application process, and specific areas of interest for research projects focused on optimizing care for persons with multiple chronic conditions (MCCs) from populations experiencing health disparities

        The current page outlines a funding opportunity announcement (FOA) from the NIH, focusing on research to optimize care for individuals with multiple chronic conditions (MCCs) from populations experiencing health disparities.

        –Research Focus: The initiative supports innovative, multidisciplinary research to integrate and implement evidence-based care guidelines for MCCs.

        –Health Disparities: Emphasis on populations experiencing health disparities, including racial/ethnic minorities and socioeconomically disadvantaged groups.

        –Health Care Models: Encourages the use of existing or new health care models to achieve optimal health outcomes.

        –Funding and Eligibility: Details on application requirements, eligibility, and submission guidelines for potential applicants.

        ,

        2

        PICO Question and Introduction to the Research

        Angelika Ptak BSN

        St. Thomas University

        NUR: 611 Advanced Practice Nursing Integration Practicum

        Professor Corzo-Sanchez PhD

        July 16, 2024

        PICOT question.

        I. Purpose of or rationale for the scholarly project:

        1. Provide an evidence-based explanation of why it is necessary to complete a scholarly project and what benefit will be gained (health promotion, fiscal, and efficiency)

        II. Background on the problem or population of interest:

        1. Data and background needed for the project

        III. Significance of the problem to nursing and health care:

        1. The problem or population of interest aligns with the community’s larger interest in health care.

        2. Context of importance

        IV. Benefit of the project to nursing practice

        1. Gained from your project.

        2. Expected outcomes of a project to practice within your population and setting of interest

        3. Relate the outcomes to evidence-based guidelines and outcomes.

        4. Project influences on other populations or settings.

        Abstract

        As demonstrated by the recent trends of increased obesity and morbidity with mortality among the general population with the prevalence of chronic conditions such as cardiovascular, and diabetes, the numbers and statistical data are alarming to the public health and global arena. The chronic conditions that currently are on the rise and the age of developing them also is lower, as is manifested with pediatric and young adults suffering from metabolic syndrome and developing life-threatening conditions prematurely. Therefore, medical professionals have a responsibility to implement modalities that will improve the health and well-being of the general population. Especially the at-risk individuals with chronic conditions, the ones that are currently living with cardiovascular conditions, diabetes, and other major health conditions, to prevent further complications and increase life expectancy, by practicing preventive medicine, and interventions needed to lower chronic disease prevalence.

        PICO Question

        In vulnerable populations living in poverty or people who lack health insurance with no resources for health management, intervention with assistance and resource provision by healthcare providers and policy improvement, will lower the risk of chronic conditions in comparison to no assistance.

        I. The purpose and rationale for the scholarly project

        A physical and/or mental condition that leads to functional limitations, in results creating the need for frequent treatments with monitoring under medical providers. In addition, an individual with medication needs and management of the conditions for their alignment of those circumstances are categorized as a chronic disease. Therefore, chronic diseases are the most prevalent health conditions in the United States. Costing billions of dollars of he

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      • Provide one example of how therapeutic communication techniques differ between nurses and psychiatric mental health practitioners (PMHNPs).? Select one verbal co

        Needs to be at least 500 words with at least 3 scholarly articles within the past 5 years.

        Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

        Include the following sections

        1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
          1.  Provide one example of how therapeutic communication techniques differ between nurses and psychiatric mental health practitioners (PMHNPs). 
          2. Select one verbal component of therapeutic communication. Discuss the importance of the component in relation to the overall goal of a therapeutic alliance.  
          3. Select one nonverbal component of therapeutic communication. Discuss the importance of the component in relation to the overall goal of a therapeutic alliance.  
          4. Discuss one pitfall to avoid when establishing a therapeutic alliance. Identify strategies the PMHNP can use to avoid this pitfall. 
        2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations.
          1. Cite a scholarly source in the initial post. 
          2. Cite a scholarly source in one faculty response post. 
          3. Cite a scholarly source in one peer post.
          4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week. 
          5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations. 
        3. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice. 
          1. Peer Response: Respond to at least one peer on a topic.
          2. Faculty Response: Respond to at least one faculty post. 
          3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice. 
        4. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.  
        5. Reference Citation: Use current APA format to format citations and references and is free of errors. 

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        • You are the nurse manager of a 35-bed hospital unit with 20 full-time equivalent (FTE) staff. You have been given the task of getting the budget under control. Several

          You are the nurse manager of a 35-bed hospital unit with 20 full-time equivalent (FTE) staff. You have been given the task of getting the budget under control. Several people have recently left the unit, and you have been working to fill those open positions. Your staff work scheduled overtime and many sign up to work extra shifts. Your unit serves an older population as well, and has incurred expenses associated with this group of patients.

          As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

          • What major sections would you include in an operating budget?
          • What are your primary sources of budget information?
          • Would you include nice-to-have items in your budget? Why or why not?
          • What factors, such as organizational objectives, policies, and competition for funding, might affect the development and management of an operating budget?

          Prepare and submit an operating budget for your hospital unit.

          • Prepare the operating budget.
            • Note: Assemble your budget figures in a table, using a format of your choice. You may use either Microsoft Word or Excel to create your budget table.
          • Explain how the budget was designed and created.
          • Develop a strategic plan.
          • Develop an approach to ongoing budget management.
          • Present budget data and information clearly and accurately.
          • attachment

            rubric6216.docx

          By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

          · Competency 1: Design an operating budget that incorporates variances or discretionary spending.

          · Prepare an operating budget.

          · Explain how a budget is designed and created.

          · Competency 2: Develop a plan for managing the labor force, within the parameters of the budget and productivity.

          · Develop an approach to ongoing budget management.

          · Competency 5: Apply financial principles to a strategic plan for achieving organizational goals and fiscal success.

          · Develop a strategic plan.

          · Competency 6: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

          · Present budget data and information clearly and accurately.

          · Integrate relevant and credible sources of evidence to support budget data and information, correctly formatting citations and references using APA style.

          The post You are the nurse manager of a 35-bed hospital unit with 20 full-time equivalent (FTE) staff. You have been given the task of getting the budget under control. Several first appeared on Nursing StudyMasters.

        • Examine the science and art of theory development and evaluation. Submission Instructions: Your initial post should be at least 500 words,?formatted and cited in cu

          Examine the science and art of theory development and evaluation.

          Submission Instructions:

          • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.

            The post Examine the science and art of theory development and evaluation. Submission Instructions: Your initial post should be at least 500 words,?formatted and cited in cu first appeared on Nursing StudyMasters.