Week 7 replies

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week 8 Decision making

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Peer Response Capstone week 7

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Michael 

Capstone Project

12/10/2024

To ensure stakeholder support, a plan for crisis counseling must include a number of essential components in order to address the urgent mental health problem in the community of West Kendall, Miami, Florida. A successful intervention program requires the involvement of stakeholders, including citizens, community organizations, mental health specialists, and local government representatives. For stakeholders to feel engaged and committed to the project, the proposal must communicate clarity, inclusivity, and proof of efficacy. It is very important to implement municipal strategic initiatives, the efficacy of priority-based budgeting systems, and accountability within public management networks (Mitchell, 2021).

First and foremost, the plan ought to provide a compelling justification for the community’s adoption of crisis counseling. Stakeholders will welcome data highlighting the prevalence of mental health conditions in West Kendall, including rising rates of substance misuse, anxiety, and depression. Data on ER visits and police contacts associated with mental health emergencies will highlight the necessity for prompt action. By describing how crisis counseling might lessen these difficulties, we will demonstrate the importance and relevance of the initiative.

Second, stakeholders value a thorough and inclusive strategy that considers the unique demographics and features of the West Kendall community. The proposal should emphasize the importance of incorporating community perspectives in the planning process. Surveys or focus groups with residents might yield important information about their opinions and experiences with mental health care. The proposal can modify crisis counseling services to fit the community’s unique requirements by taking these suggestions into account. Such cooperative involvement fosters a sense of ownership, which is necessary to gain the support of stakeholders.

The proposal should also include a description of the crisis counseling program’s organization and implementation plan. This includes describing crisis counselors’ credentials, the training they will receive, and the techniques they employ to provide crisis intervention. Emphasizing evidence-based approaches such as peer support and trauma-informed care can enhance the credibility of the proposal. Offering a detailed schedule for the deployment and your involvement plan with ongoing community feedback tools demonstrates your dedication to flexibility and constant improvement.

Stakeholders also frequently take the proposed measures’ financial effects into account. The proposal must openly disclose the budget, funding sources, and potential economic impact of crisis counseling, including reduced medical expenses and enhanced community well-being. Demonstrating how crisis intervention can lower emergency service costs and increase worker productivity can make a compelling financial case. Finding possible alliances with nearby companies and nonprofit organizations might further illustrate a cooperative approach to allocating funds and resources. Frequent and creative engagement by stakeholders in the evaluation yielded important benefits both for the evaluators and for grantees (Rogers et al., 2010).

Addressing the crisis counseling program’s long-term viability is also crucial. Plans for continuous review and evaluation will increase the likelihood that stakeholders will support an effort. Outlining metrics for success, such as reduced emergency room visits due to mental health crises or improved community satisfaction, will demonstrate accountability. Involving stakeholders in the review stage also encourages ongoing participation and reaffirms the value of their assistance.

Lastly, the proposal should present a positive and powerful story about community resilience and mental health. By articulating a vision where every community member has access to the assistance they require, we can motivate stakeholders to actively engage in the project. The plan can garner support from a variety of communities and foster a more welcoming atmosphere for discussion and action by framing mental health as a community asset rather than a deficit.

To sum up, a successful proposal for crisis counseling in West Kendall needs to logically integrate a compelling story, a sound budget, inclusive community involvement, a thorough execution strategy, a sustainable plan, and a clear justification. Stakeholders may be sure that their assistance will result in a major improvement in the state of mental health in the community by carefully addressing these important factors. Researchers increasingly recognize and promote effective stakeholder engagement in health research as a crucial pathway to bridge the gap between knowledge production and its application in health systems (Fernandes et al., 2024).

References

Mitchell, D. (2021). Bought in? The contingent effect of stakeholder support upon strategic implementation success in American municipalities. Public Management Review, 24(5), 773–798. https://doi.org/10.1080/14719037.2020.1862289

Rogers, S. J., Ahmed, M., Hamdallah, M., & Little, S. (2010). Garnering Grantee Buy-In on a National Cross-Site Evaluation: the case of ConnectHIV. American Journal of Evaluation, 31(4), 447–462. https://doi.org/10.1177/1098214010372409

Fernandes, G., Williams, S., Adab, P., Gale, N., De Jong, C., De Sousa, J. C., Cheng, K., Chi, C., Cooper, B. G., Dickens, A. P., Enocson, A., Farley, A., Jolly, K., Jowett, S., Maglakelidze, M., Maghlakelidze, T., Martins, S., Sitch, A., Stamenova, A., . . . Jordan, R. E. (2024). Engaging stakeholders to level up COPD care in LMICs: lessons learned from the “Breathe Well” programme in Brazil, China, Georgia, and North Macedonia. BMC Health Services Research, 24(1). 

Nursing LOU-ASSIGNMENT

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Instructions: TOPIC : STRESS.  You are to write a three pages in APA format 7th edition with the following sections and level 2 headings:

In this assignment, you will conduct A comprehensive analysis of the molecular mechanisms underlying a specific disease or condition of your choice. The purpose of this assignment is to enhance your understanding of advanced pathophysiology concepts and their application to clinical practice, as well as to explore the latest research findings and therapeutic implications related to selected diseases.

The objectives of this assignment include being able to critically analyze the molecular mechanisms underlying the development and progression of a chosen disease or condition, evaluate the role of genetic, environmental, and immunological factors in pathophysiology, and to demonstrate a comprehensive understanding of advanced pathophysiology concepts through the application of molecular mechanisms to clinical manifestations of the selected disease.

This assignment will focus on the following course student learning outcomes (CSLO):

  1. Evaluate the concepts of cellular biology and altered cellular and tissue biology for their implications to disease management (EOPSLO# 1). 
  2. Distinguish knowledge of normal physiology and pathologic alterations across the lifespan that are expressed as diseases of organs and systems (EOPSLO# 1, 9). 
  3. Analyze current research findings with evidence-based guidelines for the management of selected diseases (EOPSLO# 4, 9). 

DUE DATE DECEMBER 14,2024

NO MORE THAN 10% PLAGIARISM

ADD CITATIONS

REFERENCES NO OLDER THAN 5 YEARS

3 PAGES

Power Point week 8

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Week 8 Capstone reflection

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Nursing Clostridium ASSIGNMENT

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TOPIC: Clostridium perfringens food contamination

3 PAGES

NO PLAGIO MORE THAN 10% ALLOWED

APA 7TH EDITION FORMAR

4-5 REFERENCES NO OLDER THAN 5 YEARS, ADD CITATIONS

CHECK GRAMMAR, MUST BE FOR UNIVERSITY LEVEL

SEE THE ATTACHED DOCUMENT FOR YOU BE ABLE TO KNOW WHAT INFORMATION IS NEEDED.

DUE DATE DECEMBER 14, 2024

fhp

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Decision Making Reflection Week 8

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Course Reflection

Discussion Topic

Submit the Reflection on how this course helped you to achieve the course-specific Student Learning Outcomes and course outcomes through readings, discussions, and assignments throughout the course. Recognize that leadership is part of being an the advanced clinician role.

NO references required 

Decision Making discussion Week 8

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Discussion Topic

CASE SCENARIO  

While walking through the post-operative care unit during night shift rounds, the nurse noticed a patient lying in bed who appeared unwell with shallow ‘disorganized’ breathing. On closer examination, the gentleman appeared cold and clammy with a grey pallor and a blue cyanotic tinge to his lips. The nurse attempted to speak to the gentleman; however, he was confused and anxious and talking incoherently. The nurse immediately undertook an Airway, Breathing, and Circulation (ABC) assessment, checked his airway, placed him on 15 L of oxygen via a non-rebreather mask, and checked his vital signs. 

The gentleman’s pulse rate was 120 beats per minute and regular; he had unrecordable oxygen saturations, and his systolic blood pressure was 89 mmHg. The nurse immediately tilted the base of the patient’s bed and set up an IV infusion of plasma expander (colloid) to raise his blood pressure. Working in post-operative rehabilitation it is often common to encounter patients who suffer with orthostatic hypotension and syncope secondary to hypovolemic shock. However, the nurse was concerned that the patient was not responding to the usual treatment provided and contacted the attending physician on call. He was informed that the gentleman had been assessed some 10 min earlier and there was no cause for concern as the patient appeared comfortable and was sleeping. It was explained that the patient was acutely unwell, and the doctor responded that he would re-review the patient shortly. 

As the nurse was convinced that the gentleman’s condition was deteriorating, he undertook an electrocardiogram (ECG), which upon examination indicated a myocardial infarction. Concerned that he was not getting the appropriate response from the attending physician the author called the clinical lead down from the Post-Anesthetic Care Unit to help assess the patient again. On examination of the ECG, a posterior myocardial infarction was identified, and the gentleman was immediately transferred to a Cardiac ICU bed in another unit. The gentleman was promptly started on the Acute Coronary Syndrome protocol of care and further diagnostic tests revealed an extensive myocardial infarction. 

  1. How do nurses use clinical decision-making in nursing practice? 
  2. How is clinical decision-making defined? (Support this with available literature). 
  3. Why is clinical decision-making important to nursing practice at all levels of nursing? 
  4. What do you recognize as the best clinical decision-making model to be employed by nursing? (Make sure this is supported by course readings and other credible literature choices). 
  5. Determine three decision-making models that could be applied to the above scenario. First, provide a brief overview of the decision-making model (use literature sources but make sure to put it into your own words). Provide a rationale to support your choice of the decision-making models. Describe 2 pros and 2 cons of this type of decision-making in nursing. 
  6. Apply two of the three chosen decision-making models to the above scenario, making a clear link between the decision-making model and the scenario; this illustrates your understanding of the model that you have chosen. 
  7. What decision-making models do you feel are most applicable to nursing and why? Is there just one? (Support your response) 

Many clinical decision-making models would be applicable in this situation; however, it is important to understand the various models, how they can be applied to practice, and the differences between the various suggested models as well as some of their similarities. Some ideas would be utilizing the hypothetico-deductive model. 

  1. As a reminder, all discussion posts must be a minimum of 400 words, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.