[ANSWERED 2023] What happens to the nurse when role stress or strain becomes too overwhelming? What happens to patient care? How is this related to possible ethic and legal issues?
What happens to the nurse when role stress or strain becomes too overwhelming? What Assignment: Role Strain and Burnout in Nursing Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment. What happens to the nurse when role stress or strain becomes too overwhelming? What happens to patient care? How is this related to possible ethic and legal issues? Discuss how nurses can manage or reduce role stress and role strain. Explain two issues that lead to nurse burnout and discuss a solution for each issue. Think of an experience in your nursing profession where you either felt strain or burnout and how you overcame this event. (Since this is personal experience, you can use first person narration for this portion of your essay.) Assignment Expectations: Length: 1000-1500 words; answers must thoroughly address the questions in a clear, concise manner. Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion. References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required. Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf) File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”) Read American Association of Colleges of Nursing (AACN). (2018). Nursing faculty shortage. American Association of Colleges of Nursing (AACN). (2018). About the nursing shortage. Carte, N. S., & Williams, C. (2017). Role strain among male RNs in the critical care setting: Perceptions of an unfriendly workplace. Intensive & Critical Care Nursing, 43, 81-86. Iel Marciano de, M. F., & de Almeida, R. J. (2016). Occupational stress at work in nursing in brazil: An integrative review. Revista Brasileira Em Promocao Da Saude, 29(3), 447-454. Johnston, D. W., Jones, M. C., Charles, K., Mccann, S. K., & Mckee, L. (2013). Stress in nurses: Stress-related affect and its determinants examined over the nursing day. Annals of Behavioral Medicine, 45(3), 348-56. Expert Answer and Explanation Role Strain and Burnout in Nursing Nurse burnout is the physical, emotional, and mental exhaustion that is caused by some occupational elements of the nurse. When a parent is working, they have to combine the role of family and work, and since each of these have associated problems, they often result to burnout. It is common for individuals to get stressed at work, but when it happens subsequently for long periods of time and they tend to get used to it, there is emotional exhaustion (Fida, Laschinger, & Leiter, 2018). The work program of most nurses and nurse students is intense and often has elements of burnouts. However, there are several solutions to this burnout, and these solutions are aimed at reducing the amount of work-related stress for consistent periods of time. Whereas it is common to assume that nurse burnout is one of the defining characteristics of the nursing profession, application of some of the solutions to the problem can help in resolving most of the burnout cases and preventing others from occurring. Effects of Overwhelming Role Stress Effects on Patient Care Nurse burnout has numerous adverse effects on patient care. One of the direct effects of nurse burnout is that providers have to cut off the hours they spend on practice, or enter early retirement. Given the fact that there is still a shortage of nurses, it is evident that a further reduction of practice hours or introduction of early retirement for nurses has the first direct effect as lowering the nurse patient ratio (White et al., 2019). Despite this fact, most therapists give the first recommendation to patients who experience burnout as taking nonclinical jobs. Leaving the clinical workforce not only leads to the strain of nurses, and yet the same energy is not used in recruiting new nurses. Relation to possible Ethic and Legal Issues One of the leading causes of mental and emotional burnout is when providers are overwhelmed with ethical decisions that affect patients. Moral distress situations often make the nurses feel that they are not able to perform work according to the professional values and practice. Breakdowns of communication and introduction of organizational structures and hierarchies is one of the ways of solving some of these ethical issues. However, it should be understood that a change in institutional policies, which were designed using evidence-based practice could only lead to worse outcomes on ethics (Woodhead, Northrop, & Edelstein, 2016). For example, when nurses are allowed to withhold patient care in a facility until their assistant returns to work from a venture that is not work-related, it is only likely that an even larger ethical issue could emerge from the situation. How Nurses can Reduce Role Stress and Role Strain The only sure way of reducing role stress and role strain among nurses is assessing the root cause of the problem and addressing it permanently. In most of the cases, however, nurse leaders have superficial solutions to the problem, such as giving the affected nurse a one week break from work. This means that when the nurse comes back and faces the
[ANSWERED 2023] Both psychoanalysis and Gestalt therapy consider that dream exploration can be used as an effective therapeutic technique
Both psychoanalysis and Gestalt therapy consider that dream exploration can be used as an effective therapeutic technique 5.1. Approaches to Dream Work Both psychoanalysis and Gestalt therapy consider that dream exploration can be used as an effective therapeutic technique. However, the two schools propose very different approaches to dream work. Which approach would you favour and why? The last post is due at the end of Sunday of this unit. Expert Answer and Explanation Psychoanalysis is a therapeutic method designed by Sigmund Freud. The primary assumption of psychoanalysis is that all individuals possess unconscious feelings, thoughts, memories, and desires (Safran et al., 2019). On the other hand, Gestalt therapy is a psychotherapy that stresses personal responsibility and gives weight to the client’s experience at the present (Wagner-Moore, 2004). I would select the approach to work with depending on the client I am handling. For instance, if a patient has trauma, I would select free speech therapy by Freud. In this form of therapy, the patient should lie on a couch and the therapist sits behind them capturing notes while the client freely talks about their nightmares, memories, and dreams (Safran et al., 2019). In bream work therapy, the patient will be asked by the counselor to share their dreams. Dreams represent the wish to achieve the unconscious desires and conflicts. I would select the psychoanalysis approach because through dreams I can identify the conflicts between the patient’s unconscious and conscious mind. Safran et al. (2019) note that dreams have both latent and manifest content that can help counselors identify what is wrong with their patients. This therapy is significant in determining the source of trauma and working with the client to solve it. References Safran, J. D., Kriss, A. & Foley, V. K. (2019). Psychoanalytic therapies. In D. Wedding & R. J. Corsini (Eds.), Current psychotherapies (11th ed.) pp. 21-58. Boston, MA: Cengage. Wagner-Moore, L. E. (2004). Gestalt Therapy: Past, Present, Theory, and Research. Psychotherapy: Theory, Research, Practice, Training, 41(2), 180. https://psycnet.apa.org/doi/10.1037/0033-3204.41.2.180 5.2. Interruptions to Contact vs. Ego Defense Mechanisms Gestalt therapy identifies a number of problematic patterns of interpersonal relationships called Interruptions/Resistances to Contact or Boundary Disturbances. These maladaptive interpersonal patterns are similar, though not identical, to some of the ego defense mechanisms identified in psychoanalysis. Based on your understanding of the psychoanalytical and the Gestalt concepts, which of the two sets of constructs do you find more useful for conceptualizing and addressing potential clients’ concerns? The last post is due at the end of Sunday of this unit. Expert Answer and Explanation 5.2. Interruptions to Contact vs. Ego Defense Mechanisms Based on my understanding of the two theories, I find psychoanalysis more useful for conceptualizing and addressing potential clients’ concerns. Ego-defenses can be defined as psychological strategies that are used to protect an individual from anxiety from unwanted feelings and thoughts in an unconscious manner (Freud, 1937). Defense mechanisms help remove unpleasant feelings by operating at unconscious level. Defense mechanisms, such as denial and repression can help a counselor identify the unpleasant feelings the patient is suppressing or denying (Freud, 1933). For instance, if a clients is suffering from grief, a counselor can identify this concern by listening to how the patient is denying the problem or suppressing it. Understanding defense mechanisms can help a therapist understand the client in depth. For instance, a counselor can conclude as a client is angry if the patient uses displacement to defend themselves from anxiety (Freud, 1937). Angry clients can displace their anger by taking it out on their family members or throwing things. After finding that the client has anger issues, the counselor can now work with them to help them control their anger and adapt good behaviors when they are angry (Freud, 1933). Ego defense mechanisms can also help a client clarify conflicting behavior. References Freud, A. (1937). The Ego and the mechanisms of defense, London: Hogarth Press and Institute of Psycho-Analysis. Freud, S. (1933). New introductory lectures on psychoanalysis. London: Hogarth Press and Institute of Psycho-Analysis. Pp. xi + 240. Assignment 2: Assignment 2: Humanistic Approaches Instructions Do NOT exceed one double-spaced page (two or three paragraphs) for each of your answers. Please format your assignment in Word (files with extension .doc or .docx), or Rich Text Format (files with extension .rtf). Include a title page and a reference page. An introduction/conclusion is not necessary. Organize the answers using APA style. Answer the following three short-answer questions (250 words for each answer, approximately 750 words per assignment): What are some of the possible cross-cultural limitations of the person-centred approach to counselling? Helping clients create meaning in their lives is arguably the ultimate goal of Viktor Frankl’s logotherapy; however, this process may appear quite abstract and esoteric to many clients and counsellors. Das (1998) articulated four specific steps that help make this process more concrete and relevant for both counsellors and clients. Briefly describe those four steps. Identify a hypothetical counselling scenario (client’s presenting concern) in which you would appropriately use the Gestalt empty-chair technique. In your answer, briefly describe how you would actually implement the empty-chair technique and provide a rationale for its use (i.e., what is the expected outcome of this intervention, given the hypothetical presenting concern you have selected). Information Regarding Citations Any sources used to support your Written Narrative should, of course, be cited using correct APA format. And although it can be a useful starting place to gather very general information, in order to later verify it with more substantial sources, no Wikipedia references will be accepted as scholarly citations. Here’s just one reason why: http://www.nbcnews.com/id/30699302/ns/technology_and_science-tech_and_gadgets/t/student-hoaxes-worlds-media-wikipedia/ IMPORTANT NOTES *The “Submit” button will appear 72 hours before the due date for this assignment. This means that you must upload the final draft of your assignment during this 72-hour period from when the button appears and the due date passes. Please do not email your submissions to your professor, either before or after the due date; all coursework should be submitted through the online course (Moodle). Notes: Please review Submitting Turnitin Assignments found
[ANSWERED 2023] Read Case 2.1: Hacking into Harvard, located on page 71 in your textbook. As applicants began to defend themselves against the penalties handed out by the business schools
Read Case 2.1: Hacking into Harvard, located on page 71 in your textbook. As applicants began to defend Read Case 2.1: Hacking into Harvard, located on page 71 in your textbook. As applicants began to defend themselves against the penalties handed out by the business schools, they appealed to both consequentialist and nonconsequentialist criteria to support their actions. Some responded by pointing out that their intentions were never malicious, while others argued they did not think checking their application statuses would cause any real harm. Review the case study, and analyze the actions of the students from a Kantian perspective. Consider whether the actions taken by the hackers were permissible according the standard of universal acceptability. Expert Answer and Explanation From a Kantian perspective, the students did not do the right thing. Kant expresses the importance to not only do the right thing but to do it willingly so that it can be considered as a moral act. The students acted egoistically according to the Kantian perspective, in that their actions were to benefits themselves only. The actions taken by the hackers were not permissible by any universal standard of acceptance. However, I do feel that the schools and the Apply Yourself programmers should take some blame for the actions of the students. Let’s just say, no one posted the directions on how to find out your acceptance status online; because of the curiosity of humans, I’m sure there would have been some people that would have figured out the way to access their accounts. Although there would have been a lot less students involved, I’m sure it would have happened. Now, I am not saying any part of what they did was ethical or moral on their part, I am saying that the school should have a more secure service, when it involves people’s personal information. The hackers and the student’s actions were not ethical or moral, however the punishment was extreme and I feel that the schools and the programmers have some liability here as well. Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers. Other Solved Questions: SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! Discuss how elimination complexities can affect SOLVED! Case C 38-year-old Native American pregnant ANSWERED! In a 1,000–1,250 word essay, summarize two [ANSWERED] Students will develop a 1,250-1,500 word paper that includes [ANSWERED] Post a description of the national healthcare ANSWERED!! Explain how you would inform this nurse ANSWERED!! In a 4- to 5-page project proposal written to the ANSWERED!! A 15-year-old male reports dull pain in both
SOLVED! Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples
Post a brief description of the situation you experienced and explain how incorporating or Discussion: Patient Preferences and Decision Making Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex. What has your experience been with patient involvement in treatment or healthcare decisions? In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making. To Prepare: Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan. Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/. Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic. NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice. DISCUSSION QUESTION: Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life. EXPERT ANSWER AND EXPLANATION Significance of Incorporating Patient Preferences In my care setting, a patient came to the hospital complaining of dizziness. She was diagnosed with HBP. The nurse in charge of the patient included her in the assessment and treatment of the illness. After diagnostic results came out, the nurse discussed with the patient the results, and together they developed a treatment plan. Incorporating patient values and preferences profoundly helped the nurse tailor intervention for the disease. For instance, the nurse and the patient agreed that the patient would be exercising a least thrice a week and eat a balanced diet in a move to curb the disease. Engaging the patient in the treatment plan increased her satisfaction towards the nurse and the intervention. The patient’s values and preferences impacted the course of this situation. The first impact of the incorporation of the preferences into treatment plan is improved quality of clinical intervention. The nurse was able to develop a response that enhances the patient outcome (Kon et al., 2016). Another impact is about the efficiency of the treatment. The patient happily followed the prescribed medication because she was consulted before the prescriptions given to her. Lastly, she took long to come back to the hospital with regards to HBP. In other words, the strategy reduced hospital readmission (Schroy et al., 2014). The decision aid used in this scenario was the Ottawa Personal/Family Decision Guides (OP/FDG). This model was valuable because it helped the nurse together with the patient to make either social or heath decision (Melnyk & Fineout-Overholt, 2018). The tool was also helpful because it helped the patient decide the next step about their health. I can use this tool in my professional development by planning goals. References Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396 Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order Resources to be used: 1.Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232) 2. Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186. Retrieved from https://jamanetwork.com/journals/jama/article-abstract/1910118 3. Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4788386/ 4. Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x GRADING RUBRIC Main Posting– Excellent 45 (45%) – 50 (50%) Good 40 (40%) – 44 (44%) Fair 35 (35%) – 39 (39%) Poor 0 (0%) – 34 (34%) Main Post: Timeliness– Excellent 10 (10%) – 10 (10%) Good 0 (0%) – 0 (0%) Fair 0 (0%) – 0 (0%) Poor 0 (0%) – 0 (0%) First Response– Excellent 17 (17%) – 18 (18%) Good 15 (15%) – 16 (16%) Fair 13 (13%) – 14 (14%) Poor 0 (0%) – 12 (12%) Second Response– Excellent 16 (16%) – 17 (17%) Good 14 (14%) – 15 (15%) Fair 12 (12%) – 13 (13%) Poor 0 (0%) – 11 (11%) Participation– Excellent 5 (5%) – 5 (5%) Good 0 (0%) – 0 (0%) Fair 0 (0%) – 0 (0%) Poor 0 (0%)
[ANSWERED 2023] In a poll, 1,002 adults in a country were asked whether they favor or oppose the use of “federal tax dollars to fund medical research using stem cells obtained from human embryos.” Among the respondents, 47% said that they were in favor
In a poll, 1,002 adults in a country were asked whether they favor or oppose the use of “federal tax dollars to fund medical research using stem cells obtained from human embryos. Question In a poll, 1,002 adults in a country were asked whether they favor or oppose the use of “federal tax dollars to fund medical research using stem cells obtained from human embryos.” Among the respondents, 47% said that they were in favor. Describe the statistical study Expert Answer and Explanation Question 2 In a test of the effectiveness of garlic for lowering cholesterol, were treated with garlic in a processed tablet form. Cholesterol levels were measured before and after the treatment. The changes in their levels of LDL cholesterol (in mg/dL) have an average (mean) of . Identify the sample, the population, the sample statistic, and the population parameter in this study. Expert Answer Question 3 Fifty adult men in the United States are randomly selected and measured for their body mass index (BMI). Based on that sample, it is estimated that the average (mean) BMI for men is , with a margin of error of . Use the given statistic and margin of error to identify the range of values (confidence interval) likely to contain the true value of the population parameter. Expert Answer The range of values likely to contain the population parameter is from 22.7 to 29.3. (Type an integer or a decimal. Use ascending order.) Question 4 Based on a recent survey of adults in households, a labor department reported an unemployment rate of %. The margin of error was percentage point. Question 5 A researcher wants to determine the percentage given below. Describe how the researcher should apply the five basic steps in a statistical study. (Assume that all the people in the poll answered truthfully.) the percentage of company executives that use jet fuel Question 6 Determine whether a census is practical in the situation described. Explain your reasoning. You want to determine the mean height of all basketball players in a country Question 7 A company hires independent university scientists to determine whether its new, genetically engineered soybean poses any threat to the environment. Are there sources of bias in this situation? Question 8 An engineering student measures the strength of fingers used to type on a newly designed keyboard by testing a friend’s family members. Question 9 In a comparison of synthetic oil versus conventional oil, 26 sport utility vehicles are driven with synthetic oil, while 30 station wagons are driven with conventional oil. After being driven for 350 miles, each vehicle is rated on quality of performance. The researchers doing the performance quality ratings are aware of which vehicles receive synthetic oil and which receive conventional oil. Identify any problems that are likely to cause confounding and explain how the problems could be avoided. Question 10 Select the sample most representative of the population of interest. An employer wants to determine the importance of health insurance as a benefit to employees. Question 11 Identify which of these types of sampling is used: random, stratified, systematic, cluster, convenience. To avoid working late, a quality control analyst simply inspects the first 100 items produced in a day. Question 12 Identify the type of study most appropriate to the question. What is the mean number of cars waiting for the green light at Main and Empire at rush hour (4:00 PM to 7:00 PM)? Question 13 Determine whether the data described below are qualitative or quantitative and explain why. The types of movies (drama, comedy, etc.) Question 14 Determine if the following statement represents a meaningful ratio, so the ratio level of measurement applies. A movie with a 4-star rating is twice as good as one with a 2-star rating. Question 15 Determine whether the data described below are qualitative or quantitative and also identify their level of measurement. If the data are quantitative, state whether they are continuous or discrete, and give a brief explanation. The ratings of movies (out of 5 stars) Question 16 The sticker on a car states that it gets 24 miles per gallon on the highway, but measurements show that its highway mileage is actually 27 miles per gallon. Find the values of the absolute and relative errors. Question 17 Express each of the following numbers in all three forms: fraction, decimal, and percentage. a. 3/5 b. 3.50 c. 0.25 d. 10% Question 18 In a certain survey of 1,037 adults, 81% reported having more than one television at home. Find the actual number of respondents corresponding to the given percentage. Question 19 Determine which of the four levels of measurement (nominal, ordinal, interval, ratio) is most appropriate. Temperatures of the ocean at various depths. Question 20 Two statements are given. Identify the statement for which a ratio of the measurements is meaningful. State “Neither” or “Both” if appropriate. 1−The tallest girl on the team is 6’1″, and the shortest is 5’2″. 2−The length of the rectangle is 17.2 cm, and the width is 8.2 cm. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order Other Solved Questions: SOLVED! Describe the difference between a nursing practice ANSWERED!! Assume you are a nurse manager on a unit SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! 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[ANSWERED 2023] The various kinds of health professionals are educated in separate schools but with considerable overlap in curricula and training requirements
The various kinds of health professionals are educated in separate schools but with considerable overlap in curricula and training requirements Assignment Description: Professional Development Assignment: Based on what you have learned so far this week, create an educational presentation with detailed notes and recorded audio comments for all content slides that addresses each of the following points/questions. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations (an example is located in the Resources tab) related to text size, color, images, effects, wordiness, and multimedia enhancements. Use the audio recording feature with the PowerPoint. Alternatively, you may use a smartphone or tablet to record yourself speaking, should you be unable to use the audio feature within PowerPoint. Title Slide (1 slide) The various kinds of health professionals are educated in separate schools but with considerable overlap in curricula and training requirements. They are, however, expected to integrate their training and work together after graduation. Identify the advantages and disadvantages of this approach to professional education in terms of costs, educational efficiency, and patient care quality. (4 slides) An oversupply of physicians in many urban regions contrasts with continuing problems of access in rural and inner-city areas. Why does the mal-distribution of physicians persist in spite of the number of physicians graduated? (2-3 slides) The health care delivery system now places increased emphasis on maintaining wellness and on promoting disease avoidance through healthy behaviors and lifestyles. What challenges does this new orientation pose for our existing system of medical education and training? (2-3 slides) References (1 slide) M4 Assignment UMBO – 5 M4 Assignment PLG – 4, 9 M4 Assignment CLO – 2, 4 Expert Answer and Explanation In the context of the medical education, professional development (PD) denotes a process in which professionals learn and acquire new credentials as well as skills. Collaborative as a concept dates back to 1970, and has been the focal for the advancement of the health care professionals. Despite the PD efforts, the shortage of physicians, particularly in the primary care area still persists (Sultz & Young, 2017). These objectives show the number of areas which this presentation address. Core to these objectives is the analysis of the cost-benefit aspects associated with the inter-professional approach to training of health professionals. The focus will be on the benefits associated with the costs of care. This presentation will also examine how factors such as access to PD opportunities influence health professionals’ decisions not to move in rural areas. A medical training program which brings together health professionals to train a common health delivery theme tends to experience benefits associated with reduced costs. With this type of training arrangement, graduates from the health care training institutions, share educational resources such as instructors. This reduces the costs training institutions incur to develop health professionals (Theaker, 2013). Improved educational efficiency is associated with the inter-professional training programs. Under these programs, health professionals are able to experience expanded training considering that they learn competencies from other health care disciplines (Theaker, 2013). Given that various health professionals train together, it takes less time to develop medical professionals using the inter-professional approach to training. This also allows for inter-professional collaboration, culminating to learning efficiency. Inter-professional training is connected to the advancement of the patient-quality initiatives. For instance, it empowers caregivers to give the best possible care considering that participants share knowledge and expertise as well as competency skills. Essentially, expanded caregiver knowledge tends to improve the caregivers’ capacity to deliver care. This also enhances patient-focused care because caregivers learn the various aspects of care delivery (Quintero et al., 2016). Inter-professional training is not entirely beneficial considering that can hamper the delivery of specialized care. Education curriculum tends to be broader with this approach to training, and this impedes the ability of the provider to specialize in a particular area of expertise. Since it hampers acquisition of detailed knowledge in a specific area, this training model poses implementation challenges (Winters, 2013). A number of factors seem to drive a trend in which physicians prefer to work in urban and instead of the rural areas. For physicians aspiring to further their education and advance their career prospects, urban areas provide these professional development opportunities. Conversely, rural areas have limited work and education opportunities such as private practice (Winters, 2013). The mal-distribution of physicians is largely a cultural issue as well as a social issue. A physician may decide to move to the urban area if they have family ties in rural areas, and alternately, an urban-born physician would prefer to work in urban localities. The fear of isolation, still, influences the decisions physicians make to move to live in urban areas which provide social support. The increased emphasis on the wellness programs and other disease prevention initiatives present a number of challenges on the medical training systems. This paradigm shift is associated with increased funding needs considering that it may require a change in the curricula as well as development of the same to meet the training needs of health care professionals (Sokhela, 2013) Weinstein, . The challenges to the medical straining systems resulting from the shift towards wellness and disease prevention are linked to the existing technology. The inadequate availability of trainers on wellness and disease prevention is likely to negate efforts focused on disease prevention (Weinstein et al., 2017). The era of internet is causing the explosion of information, and this affects the quality of education on wellness especially if learners largely depend on internet information. In overview, inter-professional training has benefits which outweigh the costs. Trainers tend to spend less on educational resources when they use this approach to training. Despite the
[ANSWERED 2023] In recent years, women have broken through the ”glass ceiling” by achieving senior executive
In recent years, women have broken through the “glass ceiling” by achieving senior Woman Executives and the C-Suite In recent years, women have broken through the “glass ceiling” by achieving senior executive (i.e., CEO, CFO, and COO) status in Fortune 500 companies—including General Motors, IBM, Oracle, Yahoo, and Facebook—to name a few. Yet, in 2012, only 17% of Fortune 500 companies’ board directors were women. In addition, a number of high-profile lawsuits were settled in 2013, including Calibuso v. Bank of America Corp. (BAC), in which the bank agreed to pay $39 million to settle claims that it discriminated against women in its investment advice division. The suit alleged that the most lucrative clients were pushed to men, undermining women‘s compensation and professional opportunities. Instructions: For this assignment, read the following article about women in executive leadership positions and incorporate the piece as an in-text citation in your paper: Kranc, J. (2014). Diversity’s bottom line (Links to an external site.). Financial Executive, 30(1), 34-39. Select two organizations based in the same country that have made the news for their policies regarding women in executive positions, one for the better and one for the worse. Compare and contrast the organizations based on the following: For each organization, describe the situation that led to the news coverage. What led to the situation? Was there a satisfactory conclusion, or is the case ongoing? Describe the outcome or the current situation, and the players involved. Describe any laws that were violated or may have been violated. Assess the impact of the gender diversity, or lack thereof, in each organization. Consider profitability, reputation, growth, and competitiveness, for example, but don’t be limited by this list. Provide two scholarly references in addition to the Kranc piece in support of your assessment. The CSU Global Library is a good place to find these resources. Formulate three actions that a company with an already established gender diversity program can take to sustain or increase the number of qualified women at the executive and board levels. Formulate three actions that the company performing poorly in gender diversity can take to increase the number of qualified women at the executive and board levels. Paper Requirements: Your well-written paper should include an introduction and conclusion, and be 3-4 pages in length, not counting the required title and references pages. Note that you must include at least two scholarly references for this paper. Use in-text citations and include a references page. Incorporate, cite, and reference the Kranc piece above. Expert Answer and Explanation Woman Executives and the C-Suite According to the Business Journals, the article by Bizwoman iterates the percentage of women that are currently in the C-suite roles as of 2019. The women representation in the C-suite positions among the top 1000 US companies based on revenue, and those in the fortune 500, increased in 2018 (Stych, 2019). According to the study, an average of 25% of the C-suite representation comprises of women, which is a slight improvement from the 23 of the previous year. Organizations and Women in Executive Positions One of the companies with the best policies for women in executive positions is Chico’s FAS, Inc. leading to the company receiving the Corporate Salute Elevate Award under the Women Executive Leadership Florida in 2017. The award was aimed at recognizing the measures of the company in the advancement of gender diversity in its C-suite and boardrooms. The company reaffirms the social and financial benefits attributed to gender diversity within corporate leadership (Valet, 2018). The company operates a total of 1482 stores within the US and Canada. These situations and having 96% of employees who are re women made the company warrant the news coverage. The statistics which were present on Forbes show that the company has 91% of women holding the corporate positions while the percentage of women among the board members stands at 56%. On the other hand, a company that made the news for their worse policies against women in executive positions is Walmart. According to the Guardian, Walmart faces a lawsuit concerning the discrimination of female employees (Sainato, 2019). Based on the lawsuit, more than 100 former and current female workers filed a court case against the company suing them for lack of opportunity as their male counterparts and unequal pay. The lawsuit against Walmart came following the US Supreme court ruling in 2011 in the case between Walmart v Dukes. The suit was against the Walmart culture that women were selected specifically for selected positions with no opportunity for promotion or growth. While the case was too large to merit a class action, the supreme court ruled that the plaintiffs ought to file an individual case against the company. Due to the pressures, Walmart has to alter with its absence policy as a response to the building pressure from the numerous lawsuits. Violated Laws One reason that led to the lawsuit was the move by the company to fire women due to pregnancy absence. This move is against Title VII of the Civil Rights Act of 1964, which is mandated by the government and enforced by the Employment Opportunity Commission (EEOC) (Siegel, 2017). Additionally, the company also violated the Pregnant Workers Fairness Act that was introduced to Congress in 2017. According to these acts, an employer is prohibited from engaging in employment activities that make unreasonable demands to discourage the accommodation of employees that are affected by childbirth, pregnancy, or other medical condition. Impact of Gender Diversity In the case of Chico’s FAS, Inc., gender diversity as had a positive impact mainly in terms of growth, reputation, and competitive advantage. The company deals with the production of women’s clothes, and their high number of women employees and managerial staff is a major impact on their growth (Fine, Sojo, & Lawford‐Smith, 2020). The organization also ensure that they produce products that are with recent designs, trends, and quality product. The reputation and the quality products of the company helps in the marketing and creation of awareness to their potential customers. This drives profitability and eventual growth. On the other hand, Walmart faces a negative
[ANSWERED 2023] Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting
Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting Discussion: Review of Current Healthcare Issues If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption? These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed. In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue. To Prepare: Review the Resources and select one current national healthcare issue/stressor to focus on. Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting. Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples. Rubric Detail Excellent Good Fair Poor Main Posting 45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%) Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. 0 (0%) – 34 (34%) Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. Main Post: Timeliness 10 (10%) – 10 (10%) Posts main post by day 3. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Does not post by day 3. First Response 17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 15 (15%) – 16 (16%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 13 (13%) – 14 (14%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 12 (12%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Second Response 16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 14 (14%) – 15 (15%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 12 (12%) – 13 (13%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 11 (11%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Participation 5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days. Total Points: 100 Name: NURS_6053_Module01_Week01_Discussion_Rubric Expert Answer and Explanation National Healthcare Issues Healthcare is an important factor of consideration in every society.
[ANSWERED] Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills
Mrs. Allen is a 68–year–old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago [ANSWERED] Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. Case Study: Chief complaint: “I’m here for a medication refill because I ran out of my medicines”. Noticed shortness social history Social history: High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago. Family history: Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52. >ros ROS: Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks. Psychiatric: Non-contributory. Physical examination: 5 feet 1 inches weight Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111, R 22 and non-labored HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin. >labs Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98. A: Primary Diagnosis: Congestive Heart Failure (CHF) Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA) Peripheral vascular disease Differential Diagnosis: Peripheral Vascular Disease (PVD) Plan: Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index. Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 % >bnp – BNP – not available. As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease). Questions: 1. According to the ACC/AHA guidelines, what medications should this patient be prescribed? 2. Does he need medication(s) given his history of MI? NOTE: All posts must be supported by at least 2 peer reviewed references and all paragraphs must be cited. EXPERT ANSWER AND EXPLANATION Case Study on Myocardial Infarction Medications that should be given to the Patient According to ACC/AHA Guidelines The American College of Cardiology (ACC) and American Heart Association (AHA) is focused on improving cardiovascular health through the proper management of health conditions. Mrs. Allen presents to the facility with the chief complaint of ‘medication refill,’ but she has fears that taking her medication would not help in her condition. She has hypertension which is presented by numerous symptoms such as shortness of breath (SOB), and she also has a 1 year history of MI (Anderson & Morrow, 2017). The first step that should be made in improving her condition is the education therapy with the aim of helping her understand the way the drugs work with alleviating her conditions. Other medications I would give to the patient include thrombolytic and antiplatelet drugs which would prevent the formation of blood clots and hence prevent the occurrence of instances of SOB. Need for Medication Given the History of MI Evidence-based practice recommends Mrs. Allen’s family is seen to have a history of MI, and this shows that she is more likely to suffer just like them. Her father has history for valvular heart disease as well as MI, while her brother, who is 57 years, has a 5 years history of MI. Evidence-based practice recommends that patients with a history of MI can be placed on medications such as beta blockers and antiplatelet agents (Muntner et al. , 2017). These would reduce the negative health outcomes as well as the number of deaths associated with the condition. Superstitions such as the idea that patients with MI history should not spend too much on their medication should be completely dismissed as they could become great barriers to access of healthcare. References Anderson, J. L., & Morrow, D. A. (2017). Acute myocardial infarction. New England Journal of Medicine, 376(21), 2053-2064. Muntner, P., Carey, R. M., Gidding, S., Jones, D. W., Taler, S. J., Wright, J. T., & Whelton, P. K. (2018). Potential US population impact of the 2017 ACC/AHA high blood pressure guideline. Journal of the American College of Cardiology, 71(2), 109-118. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. Other Solved Questions: SOLVED! How do you think evidence from nursing journals SOLVED!! Nursing C228: Task 1 SOLVED! Describe the difference between a nursing practice SOLVED! Case C 38-year-old Native American pregnant ANSWERED!! Assume you are a nurse manager on a unit FAQs The nurse is caring for a client with spastic bladder what is the nurses priority? The nurse’s priority when caring for a client with spastic bladder would be to manage the client’s symptoms and prevent complications associated with the condition. Some of the nursing interventions that the nurse might implement include: Monitoring the client’s urinary output and assessing for signs of urinary retention, such as bladder distention, discomfort, and overflow incontinence. Administering medications as prescribed, such as anticholinergics, to reduce bladder spasticity and improve bladder control. Implementing bladder retraining techniques, such as timed voiding and pelvic floor exercises, to improve bladder function and reduce incontinence. Assessing the client’s fluid intake and output to ensure adequate hydration and to prevent bladder irritation and infection. Educating the client on proper hygiene techniques to prevent urinary tract infections and other complications associated with spastic bladder. Ultimately, the nurse’s priority would be to help the client achieve optimal bladder function and prevent complications
[ANSWERED] In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal.
In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Capstone Project Topic Selection and Approval In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team. Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed. Write a 500-750 word description of your proposed capstone project topic. Include the following: The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project. Significance of the topic and its implications for nursing practice. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice. You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Prepare this assignment according to the guidelines found in the APA Style Guide. Expert Answer and Explanation Capstone Project Topic Selection and Approval Nurses should ensure that patients receive safe and quality care. This capstone project focuses on fall prevention, an issue that has significant implications on the safety and quality of care. The information concerning this topic is detailed as follows; The Problem This Capstone project centers on falls among geriatric patients. Patient falls are one of the major concerns affecting the safety and wellbeing of patients, especially in geriatric facilities. According to estimates by the Agency for Healthcare Research and Quality, approximately a million patients fall each year. The same report attributes almost 10% of total adverse events in health care facilities to falls resulting in significant injuries. The problem poses a significant concern not only on the health outcomes of patients but also on the cumulative health care costs attributed to treating fall-related injuries. Based on these factors, it was considered a significant problem that needed to be addressed. The setting in which the Problem Occurs. Falls are an issue that occurs in both community settings and within health care facilities. From the estimates provided by the AHRQ, the cases of hospital falls show that it is a major challenge affecting the health outcomes of patients. The prevalence of community-related falls is even higher, with geriatric patients being at a higher risk than any other population group, as per Bor et al. (2017). Due to the fragile nature of geriatric patients, the rate of falls in nursing homes and other geriatric care facilities experience higher cases of fall-related injuries compared to other health care settings. Therefore, a targeted solution focusing on this setting is essential in improving the health outcomes of geriatric patients (Prabhakaran et al., 2020). Description of the Issue Hopewell et al. (2018), in their study, noted that patients who are 65 years and above are at a higher risk of experiencing falls. There are various factors associated with falls among the elderly population. For example, a study by Hamza et al. (2019) identifies a positive link between falls and medication use in assisted living facilities. Moreira et al. (2018) noted that fall risk awareness, functional capacity, and physical activity level were significant predicting factors associated with falls among older adults. Understanding these factors is crucial in coming up with viable interventions to reduce falls-related injuries among older patients. Effect of the Problem Falls should be an issue of concern to all care providers as noted by Aryee et al. (2017). Aryee et al. note some of the implications relating to falls which include increased cost of care, long hospital stays, hospital readmissions, risk of permanent disability, and unfortunately, at times even death. Sherrington et al. (2017) list patient falls as a leading cause of morbidity and mortality among older adults, with significant socio-economic burdens for patients and their families. The significant impact of the issue makes it a cause for concern that should be handled with utmost priority by care providers. Significance of the Topic and its Implications for Nursing Practice Falls and falls prevention is a significant topic in nursing practice. Nurses are supposed to advocate for patient safety and quality of care (Abbasinia et al., 2020). Therefore, the prevention of falls among geriatric patients aligns with this mandate. Similarly, as a way of improving the health outcomes of patients, reducing falls-related incidents within geriatric facilities. Proposed Solution The proposed falls prevention solution is to initiate a nurse education intervention, to inform and remind nurses of some of the best evidence-based practices relating to falls prevention. Some of these practices include proper medication administration practices, effective risk assessment strategies, use of risk identification tags, to list a few. The efficacy of educational interventions for health care professionals as a way of reducing incidents of falls is supported by Shaw et al. (2020). Conclusion This paper has provided an overview of the capstone topic and why it is relevant in nursing practice. Addressing the issue of falls in older adults will go