Category: Health Care and Life Sciences : Nursing

A recommendation report on:
Problem Statement: Latino American children with diabetes lack culturally tailored evidence-based nursing interventions, exacerbating health inequities and contributing to poorer health outcomes.
Library Research Question: What are the barriers to the implementation of culturally tailored evidence-based nursing interventions for the management of diabetes in Latino American children, and what strategies have been proposed to overcome these barriers?
Outline:
I. Barriers to Implementation of Culturally Tailored Evidence-Based Nursing Interventions
A. Lack of Cultural Competence
1. Insufficient Understanding of Latino Cultural Practices
2. Language Barriers in Communication
B. Limited Access to Culturally Tailored Resources
1. Lack of Culturally Tailored Educational Materials
2. Limited Access to Bilingual Healthcare Providers
C. Socioeconomic and Healthcare Disparities
1. Financial Barriers
2. Imbalanced Distribution of Healthcare Facilities in Latino Communities
II. Strategies to Overcome Barriers
A. Cultural Competence Training for Healthcare Providers
1. Incorporating Latino Cultural Competence into Nursing Education
2. Offering Language Training for Healthcare Professionals
B. Development of Culturally Tailored Resources
1. Creating Verb and Culturally Appropriate Educational Materials
2. Increasing the Number of Bilingual Healthcare Providers
C. Addressing Socioeconomic and Healthcare Disparities
1. Implementing Financial Assistance Programs for Healthcare Services
2. Advocating for Equitable
III. Impact of Overcoming Barriers
A. Improved Patient Health Outcomes
B. Reduction in Healthcare Inequities
C. Enhanced Cultural Sensitivity

Please reference example paper and follow that example.
Please be sure to address all bullet points.
Please review scoring guide
I have attached the articles to be used. If you need additional, please be sure they are from the lasty 5 years.

Please review scoring guide, and follow example essay
Please address bullet points
References need to be in the past 5 year

Please follow example paper
Please review scoring guide
Please address all bullet points
References need to be in the past 5 year

Select a quantitative research article pertaining to an area of interest that you may have clinically. The research article must have all parts of a research study that we have covered including: Hypotheses, research question, data collection, informed consent, data analysis, discussion of findings, and implications for future study. The article must be from a nursing journal and no more than 5 years old. Minimum length is one page, maximum two pages.
PLEASE INCLUDE ARTICLE THAT IS BEING USED

Hello I need help with responding to my weekly discussion post. I need one peer response and one faculty response to the postings inserted below. Both responses require one scholarly reference each. Both references should be within the last 5 years please. Thank you
1. Peer
Insider Threat
Insider threat is the breach we will be reviewing. Insider threat occurs when a individual within the organization uses their access inappropriately. This is a common problem within healthcare organizations and where protected health information (PHI) is involved (Lee, 2022).
Type of Breach
This breach occurred in a large health care organization with many hospitals and clinics spread out over several states.
Parties Involved
There are three major parties in this scenario: A celebrity who is a patient at one of the hospitals within the organization, a nurse in the unit in which the patient is hospitalized, and the team who is trying to keep the patient’s information secure.
How the Breach Occurred
The nurse identifies that the healthcare information of the celebrity may propose a lucrative financial opportunity. The nurse reaches out to news sources and tabloids to try to use the information within the electronic health record (EHR) for a financial gain. Although EHRs often have security features that show who access charts, these do not necessarily stop individuals from accessing charts, but they may lead to punitive action such as loss of a job.
Consequences of the Breach
This threat could lead to severe consequences for the organization, as it could face significant legal and financial repercussions. Insider threat and data breach incidents often cost healthcare organizations $9.23 million per incident (Lee, 2022). The threat could also cause significant harm to the celebrity patient, as his or her personal information will be made public.
References
Lee, I. (2022). Analysis of insider threats in the healthcare industry: A text mining approach. Information, 13(9), 404. doi: 0.3390/info13090404
2. Professor
Should IT be notified when there is an employee issue so they can highten security?

POST-TRAUMATIC STRESS DISORDER
It is estimated that more almost 7% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Institute of Mental Health, 2017). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to behavioral issues, adolescent substance abuse issues, and even physical ailments. For this Assignment, you examine a PTSD video case study and consider how you might assess and treat clients presenting with PTSD.
To prepare:
Review this week’s Learning Resources and reflect on the insights they provide about diagnosing and treating PTSD.
View the media Presentation Example: Posttraumatic Stress Disorder (PTSD) and assess the client in the case study.   — Links to an external site.
Grande, T. (2019, August 21). Presentation example: Posttraumatic stress disorder (PTSD)Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=RkSv_zPH-M4
For guidance on assessing the client, refer to Chapter 3 of the Wheeler text.
Note: To complete this Assignment, you must assess the client, but you are not required to submit a formal comprehensive client assessment.
IN TWO PAGES: 
Briefly explain the neurobiological basis for PTSD illness.
Discuss the DSM-5-TR diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?
Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.
Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
OutcomeSuccinctly, in 1–2 pages, address the following:• Briefly explain the neurobiological basis for PTSD illness. — The response includes an accurate and concise explanation of the neurobiological basis for PTSD illness.
Discuss the DSM-5-TR diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not? — The response includes an accurate and concise description of the DSM-5-TR diagnostic criteria for PTSD and an accurate explanation of how they relate to the symptomology presented in the case study…. The response includes a concise explanation of whether the case provides sufficient information to derive the PTSD and other diagnoses. Justification demonstrates strong diagnostic reasoning and critical thinking skills.Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard” treatment from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners. — The response includes an accurate and concise explanation of one other psychotherapy treatment option for the client in this case study…. The response clearly and concisely explains whether the recommended treatment option is a “gold standard” treatment and why using gold standard, evidence-based treatments from clinical practice guidelines is important for PMHNPs.Support your approach with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. PDFs are attached. — The response is supported by specific examples from this week’s media and at least three peer-reviewed, evidence-based sources from the literature that provide strong support for the rationale provided. PDFs are attached.
PTSD DIAGNOSIS ACCORDING TO DSM-5
Posttraumatic Stress Disorder in Individuals Older Than 6 Years
Note: The following criteria apply to adults, adolescents, and children older than 6 years.
For children 6 years and younger, see corresponding criteria below.
A. Exposure to actual or threatened death, serious injury, or sexual violence in one (or more) of the following ways:
1. Directly experiencing the traumatic events).
2. Witnessing, in person, the events) as it occurred to others.
3. Learning that the traumatic events) occurred to a close family member or close friend. In cases of actual or threatened death of a family member or friend, the events) must have been violent or accidental.
4. Experiencing repeated or extreme exposure to aversive details of the traumatic events) (e.g., first responders collecting human remains; police officers repeatediy exposed to details of child abuse).
Note: Criterion A4 does not apply to exposure through electronic media, televi-sion, movies, or pictures, unless this exposure is work related.
8. Presence of one (or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic events) occurred:
1. Recurrent, involuntary, and intrusive distressing memories of the traumatic events).
Note: In children older than 6 years, repetitive play may occur in which themes or aspects of the traumatic events) are expressed.
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2. Recurent distressing dreams in which the content and/or aftect of the dream ae related to the traumatic events).
Note: In children, there may be frightening dreams without recognizable conter
3. Dissociative reactions (eg, fashbacks) in which the individual feels or acts as , the traumatic events) were recuming. (Such reactions may ocour on a continum with the most extreme expression being a complete loss of awareness of present surroundings.)
Note: in children, trauma-specific reenactment may occur in play.
4. Intense or prolonged psychological distress at exposure to internal or extens cues that symbolize or resemble an aspect of the traumatic events).
5 Marked physiological reactions to internal or external cues that symbolize or ms. semble an aspect of the traumatic events).
C. Persistent avoidance of stimuli associated with the traumatic events), beginning after the traumatic events) occurred, as evidenced by one or both of the following:
1. Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic events).
2. Avoidance of or efforts to avoid external reminders (people, places, conversations activities, objects, situations) that arouse distressing memories, thoughts, or lee. ings about or closely associated with the traumatic events).
D. Negative alterations in cognitions and mood associated with the traumatic events. beginning or worsening after the traumatic events) occurred, as evidenced by two for more) af the following:
1. Inability to remember an important aspect of the traumatic events) (typically due to dissociative amnesia and not to other factors such as head injury, alcohol a drugs).
2. Persistent and exaggerated negative beliefs or expectations about oneself, others or the world (e.g.. I am bad,* *No one can be trusted,* “The world is completely dangerous,* “My whole nervous system is permanently ruined):
3. Persistent, distorted cognitions about the cause or consequences of the traumato event(e) that lead the individual to blame himself/herself or others.
4. Persistent negative emotional state (e.g., fear, horror, anger, guilt, or shame).
5. Markedly diminished interest or participation in significant activities.
6. Feelings of detachment or estrangement from others,
7. Persistent inabilty to experience positive emotions (e.g.. inablty to experence
happiness, satisfaction, or loving feelings).
E. Marked alterations in arousal and reactivity associated with the traumatic everts be ginning or worsening after the traumatic events) occurred, as evidenced by two for more) of the following:
1. Imitable behavior and angry outbursts (with little or no provocation) typicaly expressed as verbal or physical aggression toward people or objects.
2. Reckless or self-destructive behavior.
3. Hypervigilance.
4. Exaggerated startie response,
5. Problems with concentration.
6. Sleep disturbance (eg. difficulty falling or staying asleep or restless sleep
F. Duration of the disturbance (Criteria B, C. D, and E) is more than 1 month.
G. The disturbance causes clinically significant distress or impairment in social, deci
tional, or other important areas of functioning.
H. The disturbance is not attributable to the physiological effects of a substance (e.g., medication, alcohol) or another medical condition.
Specify whether:
With dissociative symptoms: The individual’s symptoms meet the criteria for post-traumatic stress disorder, and in addition, in response to the stressor, the individual experiences persistent or recurrent symptoms of either of the following:
1. Depersonalization: Persistent or recurrent experiences of feeling detached from, and as if one were an outside observer of, one’s mental processes or body (e.g., feeling as though one were in a dream; feeling a sense of unreality of self or body or of time moving slowly).
2. Derealization: Persistent or recurrent experiences of unreality of surroundings (e.g., the world around the individual is experienced as unreal, dreamlike, distant, or distorted).
Note: To use this subtype, the dissociative symptoms must not be attributable to the physiological effects of a substance (e.g., blackouts, behavior during alcohol intoxi-cation) or another medical condition (e.g., complex partial seizures).
Specify if:
With delayed expression: If the full diagnostic criteria are not met until at least 6 months after the event (although the onset and expression of some symptoms may be
immediate).

THERAPY FOR CLIENTS WITH PERSONALITY DISORDERS
Select one of the personality disorders from the DSM-5-TR  antisocia personality disorder… — Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.
THE ASSIGNMENT:
Succinctly, in 2 pages, address the following:
Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria. — ANTISOCIAL PERSONALITY DISORDER 
Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.
Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.
Support your response with specific examples from this week’s Learning Resources and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
DSM-5 CRITERIA— Diagnostic Criteria
F60.2
A. A pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 years, as indicated by three (or more) of the following:
1. Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest.
2. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure.
3. Impulsivity or failure to plan ahead.
4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
5. Reckless disregard for safety of self or others.
6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations.
7. Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another.
B. The individual is at least age 18 years.
C. There is evidence of conduct disorder with onset before age 15 years.
D. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or bipolar disorder.
Symptom Media. (2020). Antisocial personality disorder ASPD online CNE CEU courses for nursesLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=ewBFri65Quw
Symptom Media. (2020). Histrionic disorder NP mental health continuing educationLinks to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=GJVRGofeV-w
Symptom Media. (2020). Narcissistic personality disorder online LPN CE credit CEU unit classesLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=knfVjj3P9es
OutcomeSuccinctly, in 2 pages, address the following: • Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria. — The response includes an accurate and concise description of the personality disorder, including the DSM-5-TR diagnostic criteria.Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.— The response includes an accurate and concise explanation of both a therapeutic approach and a modality that could be used to treat a client presenting with this disorder…. The response includes a concise explanation of why the approach and modality were selected, with strong justification for why they are appropriate for the disorder.
Briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session. — Briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.
This criterion is linked to a Learning OutcomeSupport your approach with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. PDFs are attached. — The response is supported by specific examples from this week’s media and at least three peer-reviewed, evidence-based sources from the literature that provide strong support for the rationale provided. PDFs are attached.

Meaningful use was established by the American Recovery and Reinvestment Act. This act founds rules and regulations that organizations must abide by if they would like to take advantage of funding available for organizations that meet the meaningful use criteria.
Discuss the following:
Define the three stages of meaningful use within the Electronic Health Record (EHR) incentive plan.
In your current work setting, what do you perceive as the present obstacles to redesigning workflow within the environment?
Is the technology usage workflow providing your organization with the data it needs to make decisions and meet meaningful use criteria?
Reports by The Institute of Medicine emphasize the utilization of technology as a core competency for today’s nurses. Nursing leaders heard this call for technology competencies in academia, and in 2005 the Technology Informatics Guiding Education Reform (TIGER) was initiated. 
Knowing that technology will gain a more significant presence in the work-life of nurses, what do you feel are the implications for nursing education as the electronic health record becomes the standard for caring for patients?
3 References at least

1) Identify a health problem or need for health promotion for a particular stage in the life span of a population from a specific culture in your area.
2) Choose one of the Leading Health Indicator (LHI) priorities from Healthy People. https://health.gov/healthypeople/objectives-and-data/leading-health-indicators.
DRUG OVERDOSE DEATHS IN PHOENIX, AZ
a.     Introduction and Conclusion- 15 points/15%
•       Introduction establishes the purpose of the paper and describes why topic is important to health promotion in the target population in your area.
•       Introduction stimulates the reader’s interest.
•       Conclusion includes the main ideas from the body of the paper.
•       Conclusion includes the major support points from the body of the paper.
b.     Relate Topic to Target Population- 25 points/25%
•       Describes the topic and target cultural population.
•       Includes statistics to support significance of the topic.
•       Explains how the project relates to the selected Healthy People topic area.
•       Applies health promotion concepts.
c.      Summary of Articles- 25 points/25%
•       A minimum of three (3) scholarly articles, from the last 5 years, are used as sources. 
•       Articles meet criteria of being from scholarly journals and include health promotion and wellness content.
•       At least one article is related to the chosen cultural group. 
•       Summaries all key points and findings from the articles.
•       Includes statistics to support significance of the topic.
•       Discusses how information from the articles is used in the Health Promotion Project, including specific examples.
d.     Health Promotion Discussion – 25 points/25%
•       Describes approaches to educate the target population about the topic.
•       The approaches are appropriate for the cultural target population.
•       Identifies specific ways to promote lifestyle changes within the target population.
•       Applies health promotion strategies. 
e.     APA Style and Organization – 10 points/10%