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2023 Based on the Self Determination Theory by Deci and Ryan a Influences for that theory or theorist b

2023 Nursing Based on the Self Determination Theory by Deci and Ryan. (a) Influences for that theory or theorist (b) Definitions of major concepts (c) Explanation of the theory (theoretical statements and linkages) (d) Areas of nursing practice that could use this

Based on the Self Determination Theory by Deci and Ryan a Influences for that theory or theorist b 2023

 

Based on the Self Determination Theory by Deci and Ryan 

(a) Influences for that theory or theorist

(b) Definitions of major concepts
(c) Explanation of the theory (theoretical statements and linkages)

(d) Areas of advanced nursing practice that use or could use this theory- illustrate with examples 

 

APA format. 2 pages. 

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2023 Being culturally sensitive is a very important part of being a nurse We are called to care for the sick

2023 Nursing Positive reply to post 150 words with references due October 20

Being culturally sensitive is a very important part of being a nurse We are called to care for the sick 2023

Being culturally sensitive is a very important part of being a nurse.  We are called to care for the sick and be their advocates.  Even if we pray and worship differently, dress differently, eat and speak differently does not mean any one of us should be treated with less respect in any part of our life.  Underneath it all, we all the same in human make up.  We all get sick, and we all need ways to get better and heal.  Understanding what others view as important in their healing process plays a very important role in the persons care.  I really feel we can all learn something from each other.  Sometimes the “American way” isn’t always the best way. Even if it is, we are not to push it on someone who does not feel that way.  We teach and advise and in the end let the patient make their choice.

 

 Cultural preservation is about promoting the patients’ culture and healthy practices. An example of this would be a Chinese patient using acupuncture to relive pain as opposed to high doses of pain medications.

 

Cultural accommodation is working with a persons cultural beliefs in providing their care and promoting it. Jamaican cultures believe that salt can keep demons and spirits away. Allowing the patient to keep a bottle of salt at his or her bedside does not harm anyone and it demonstrates cultural accommodation by the nurse.

 

Cultural re-patterning involves the nursing discouraging the use of cultural practices that have been proven harmful. Some cultural practices are harmful to the patient. For example some herbs can cause harm to patients when used, for example the Msemei herb, which has been used by medicine men in Ghana to cure cough in children, has been proved to be harmful to health.

 

Cultural brokering is the use of cultural practices combined with the health care practices to improve the healing process of the patient. In Mexican culture many are Catholic. A person in the ICU had her grandmother visiting her.  Grandmother was taking holy water from the hospital entrance and putting it on the IV site, face and in patients wound.  Eventually the nurse found out what was happening and while discouraging the spiritual practice of using the “dirty” holy water, she instead encouraged that she pray and use rosary beds in place of it as the Holy water had many hands going in daily leaving a lot of bacteria.

 

A possible barrier is always whether or not the patient is willing to comply with what the nurse is trying to suggest.  Some patients may still feel they cannot trust us and may secretly do their rituals without us knowing causing themselves harm. 

 

 

Huber, Lauren. (May 2009).Making Community Healthcare Culturally Correct. Retrieved 10/18/17 from Americannursetoday.com

 

Actforlibraries.(2017).Cultural Competence Cultural Brokering Health Care.retrieved 10/18/17 from www.actforlibraries

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2023 The focus of Week 1 has been on the theory practice research cycle quantitative and

2023 Nursing Evidence-base research Theory

The focus of Week 1 has been on the theory practice research cycle quantitative and 2023

The focus of Week 1 has been on the theory-practice-research cycle, quantitative and qualitative research, the levels-of-evidence pyramid and the research question.

 

Quantitative Research Question

Write a quantitative research question using the PICO(T) model about a health or safety issue observed in the Ironridge or Summerville communities. 
Conduct a search of the literature for the quantitative research question. 

 

Describe the literature search strategies (search terms, databases, filters, search results).  

How many randomized, controlled trials (RCTs) did you find compared to other types of studies?  What level of evidence does an RCT represent? 
Provide a brief, two to three sentence, summary of one quantitative research study.

Qualitative Research Question
Using the same issue, how would you write a qualitative research question using the P (population), I (abstract concept) from the PICO(T) model. What qualitative research method (Phenomenology, Grounded Theory, Ethnography) would you select?  The abstract concept and research method must support each other.

Cite at least ONE SCHOLARLY research reference to support your statements in your initial post and at least ONE SCHOLARLY research reference in your response/s to peers. The scholarly research reference requirement supports the focus of this course–advanced research methods and evidence-based practice and assists in extending your and your peer’s research knowledge.  

 

 

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2023 Teen depression like adult is quite common and very treatable Adolescence is always an

2023 Nursing Positive response to post with reference 150 words with reference due October 19 at 10:00amEst

Teen depression like adult is quite common and very treatable Adolescence is always an 2023

Teen depression like adult is quite common and very treatable. Adolescence is always an unsettling time, with many emotional, psychological, physical, and social changes (MHA, 2017). According to the National Comorbidity survey, the prevalence of depression in adolescence is approximately 20 % by eighteen years of age (Gladstone, Beardslee, & O’Connor, 2011). As with any disorders of adolescence, depression and depressive disorders have inherit risk factors. The adolescent period is often met with confusion, increased responsibilities, pressures of school and is largely influenced by peers. In the case of adolescence depression, the strongest influence is having a parent with a depressive illness. These youth are two to four-fold increased risk for depression and mood disorders. (Gladstone, Beardslee, & O’Connor, 2011). Other contributing factors include, female, those with body image disturbances, limited support, and inadequate coping skills. Non-specific risk factors contributing to adolescence depression include, exposure to violence, poverty, child maltreatment and family instability (Gladstone, Beardslee, & O’Connor, 2011). Parents, close family members, school teachers, administrators, and health care professional all have the responsibility in observing for signs and symptoms of depression in adolescents. This vulnerable group is not well known for their ability to express themselves or how they are feeling emotionally. Objective symptoms may include withdrawing from friends and activities, lack of enthusiasm, overreaction to criticism and indecisiveness. Subjectively teens may report doing poorly in school, feelings of anger or rage, restlessness or agitation, suicidal thoughts, and changes in eating and sleeping habits. Teens may also express their depression through hostile risk-taking behaviors, experimenting with drugs or alcohol and sexual promiscuity (MHA, 2017).

Overall improved mental health is the target of prevention. Primary prevention of teen depression is knowledge. We need to extend resources to the vulnerable population with education in schools and through youth centers on the signs and symptoms of depression, when and where to seek help before depression is escalated to point of injury to self or others. As for secondary prevention, adequate and routine screening of adolescents in a comfortable, non-punitive environment with each encounter. Early intervention with medications and or therapy should be initiated with positive screenings. Therapy can help teens understand why they are depressed and how to cope with stressful situations (MHA, 2017). Tertiary prevention begins with follow-up to ensure these teens are functioning at a better overall level. Continued therapy and monitoring of therapies as the teen encounters other stressors is key. Professional treatment can have a dramatic impact on their lives, putting them back on track with hope for the future. 

Many state and local resources exist in prevention and treatment of adolescent depression. The California Youth Crisis line is a statewide, confidential, 24 hour, toll-free hot line for teens and young adults age 12-24. They also have on line resources available at http://calyouth.org/ca-youth-crisis-line/.  In our community we also have something called the Community Emergency Response team (CERT), they offer emergency services, peer support and a 24 hour hot line for teens. Beyond referring a teen to one of these services, the nurse could listen to the teen. Most often the teen is crying out for attention, in need of someone to listen to them and to hear them. Build rapport with them, so they can entrust in you. Finally educate all teens on every encounter the warning signs, when and whom to seek help from.

 

References

 

California Coalition for Youth. (n.d.). Retrieved from http://calyouth.org/ca-youth-crisis-line/

 

Gladstone, T., Beardslee, W., & O’Connor, E. E. (2011). The Prevention of Adolescent Depression.  The Psychiatric Clinics of North America ,  34 (1), 35–52. http://doi.org/10.1016/j.psc.2010.11.015

 

Mental Health America (MHA). (2017). Depression in teens. Retrieved from http://www.mentalhealthamerica.net/conditions/depression-teens

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