Clinical Practice Essays (Examples)
Study Document
Drug Abuse And Horse Assisted Therapy
...Clinical practice Literature Review
As Masini (2010) shows, animal-assisted therapy can be quite useful in helping patients engaging in substance abuse treatment. Masini (2010) highlights the benefits of equine-assisted psychotherapy in particular, as do Hauge, Kvalem, Berget, Enders-Slegers & Braastad (2014), who note that engaging clients with horses can facilitate the perception of having a stronger social support. As social support is a necessary part to overcoming or battling substance abuse, the animal-assisted intervention can be seen as a positive influence (Birtel, Wood & Kempa, 2017; Muela, Balluerka, Amiano, Caldentey & Aliri, 2017).
Animal-assisted therapy can have a positive effect on engagement and retention of individuals in substance abuse treatment. Kelly and Cozzolino (2015), for example, have shown that at-risk youth have been aided by animal-assisted therapy in their attempts to overcome issues of substance abuse. Animal-assisted therapy represents a “goal-oriented adjunct to traditional therapy programs” (Kelly & Cozzolino, 2015, p. 421).……
References
References
Birtel, M. D., Wood, L., & Kempa, N. J. (2017). Stigma and social support in substance abuse: Implications for mental health and well-being. Psychiatry Research, 252, 1-8.
Contalbrigo, L., De Santis, M., Toson, M., Montanaro, M., Farina, L., Costa, A., & Nava,F. (2017). The efficacy of dog assisted therapy in detained drug users: A pilot study in an Italian attenuated custody institute. International journal of environmental research and public health, 14(7), 683.
Hauge, H., Kvalem, I. L., Berget, B., Enders-Slegers, M. J., & Braastad, B. O. (2014). Equine-assisted activities and the impact on perceived social support, self-esteem and self-efficacy among adolescents–an intervention study. International journal of adolescence and youth, 19(1), 1-21.
Kelly, M. A., & Cozzolino, C. A. (2015). Helping at-risk youth overcome trauma and substance abuse through animal-assisted therapy. Contemporary Justice Review, 18(4), 421-434.
Kern-Godal, A., Arnevik, E. A., Walderhaug, E., & Ravndal, E. (2015). Substance use disorder treatment retention and completion: a prospective study of horse-assisted therapy (HAT) for young adults. Addiction science & clinical practice, 10(1), 21.
Klemetsen, M. G., & Lindstrom, T. C. (2017). Animal-assisted therapy in the treatment of substance use disorders: A systematic mixed methods review. Human-Animal Interaction Bull, 5, 90-117.
Masini, A., PhD. (2010). Equine-assisted psychotherapy in clinical practice. Journal of Psychosocial Nursing & Mental Health Services, 48(10), 30-34. doi: http://fir.tesu.edu:2074/10.3928/02793695-20100831-08
Muela, A., Balluerka, N., Amiano, N., Caldentey, M. A., & Aliri, J. (2017). Animal-assisted psychotherapy for young people with behavioural problems in residential care. Clinical Psychology and Psychotherapy, 24(6), O1485-O1494. doi: http://fir.tesu.edu:2074/10.1002/cpp.2112
Study Document
Management Of Type 2 Diabetes Literature Review
...Clinical practice Literature Review for Capstone Project
Introduction
In the management of type 2 diabetes (T2D), medication adherence is a crucial issue. One of the strategies to ensure medication adherence among T2D patients is nurse-led intervention meant to change the behavior of patients. This study, therefore, seeks to determine how a nurse-led behavior change intervention compares to standard care in patients with T2D in increasing adherence to medication in a period of four months. This section is a literature review that analysis eight literature materials.
A comparison of research questions
In all the articles, the research questions incorporate the aspect of nonadherence to medication/management strategies, however, there are varying aspects in the details of each research question. In Costa et al. (2015), the study focused on chronic diseases in general, and not specifically on T2D. In Whitehead et al. (2017), the intervention is not led by nurses and it not only limited……
References
References
Balducci, S., D’Errico, V., Haxhi, J., Sacchetti, M., Orlando, G., Cardelli, P., ... & Lucisano, G. (2019). Effect of a Behavioral Intervention Strategy on Sustained Change in Physical Activity and Sedentary Behavior in Patients With Type 2 Diabetes: The IDES_2 Randomized Clinical Trial. Jama, 321(9), 880-890.
Costa, E., Giardini, A., Savin, M., Menditto, E., Lehane, E., Laosa, O., ... & Marengoni, A. (2015). Interventional tools to improve medication adherence: review of literature. Patient preference and adherence, 9, 1303.
Guo, Z., Liu, J., Zeng, H., He, G., Ren, X., & Guo, J. (2019). Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial. Patient preference and adherence, 13, 1353.
Johansen, M. Y., MacDonald, C. S., Hansen, K. B., Karstoft, K., Christensen, R., Pedersen, M., ... & Iepsen, U. W. (2017). Effect of an intensive lifestyle intervention on glycemic control in patients with type 2 diabetes: a randomized clinical trial. Jama, 318(7), 637-646.
Mohd, M. M. A. H., Phung, H., Sun, J., & Morisky, D. E. (2016). Improving adherence to medication in adults with diabetes in the United Arab Emirates. BMC public health, 16(1), 857.
Sapkota, S., Brien, J. A., Greenfield, J., & Aslani, P. (2015). A systematic review of interventions addressing adherence to anti-diabetic medications in patients with type 2 diabetes—impact on adherence. PloS one, 10(2), e0118296.
Supachaipanichpong, P., Vatanasomboon, P., Tansakul, S., & Chumchuen, P. (2018). An Education Intervention for Medication Adherence in Uncontrolled Diabetes in Thailand. Pacific Rim International Journal of Nursing Research, 22(2), 144-155.
Whitehead, L. C., Crowe, M. T., Carter, J. D., Maskill, V. R., Carlyle, D., Bugge, C., & Frampton, C. M. (2017). A nurse?led education and cognitive behaviour therapy?based intervention among adults with uncontrolled type 2 diabetes: A randomised controlled trial. Journal of evaluation in clinical practice, 23(4), 821-829.
Study Document
Transitioning From Student To Nurse Leader
...Clinical practice Becoming a professional nurse takes a long time, and some students may become so accustomed to the rigors of an academic regimen that they are ill-prepared to enter the workforce after graduation. Therefore, it is important to develop viable plans for the future before the pinning ceremony is performed and the diplomas are handed out. To this end, the purpose of this paper is to provide a clear vision for the future by setting achievable goals and formulating appropriate strategies for achieving these goals through the creation of a one-year and five-year professional nursing career plan. The one-year plan describes my plans immediately following graduation including the identification of selected potential employers• and the details concerning what is required to apply for these positions. In addition, a description of the ways in which I intend to maintain a holistic balance in my personal and professional life during the first year……
References
References
About Saint Peters University Hospital. (2019). Saint Peters University Hospital. Retrieved from https://www.saintpetershcs.com/Locations/Saint-Peter-s-University-Hospital .
de la Fuente, E. I. & García, J. (2015, May 1). Psychometric properties and scales of the Granada Burnout Questionnaire applied to nurses. International Journal of Clinical and Health Psychology, 15(2), 130-134.
Kuehn, M. B. (2018, October 1). Creating a healthy work environment for nursing faculty. Creative Nursing, 16(4), 193-196.
Nursing school degrees. (2019). Becoming an RN in New Jersey. Retrieved from https:// www.nursing-school-degrees.com/nurse-licensure/become-a-nurse-in-new-jersey.html
Tollefson, M. & Kite, B. (2018, Winter). Effectiveness of student-led stress reduction activities in the undergraduate classroom on perceived student stress. College Student Journal, 52(4), 505-511.
Welcome to Robert Wood Johnson. (2019). Robert Wood Johnson University Hospital. Retrieved from https://www.rwjbh.org/rwj-university-hospital-new-brunswick/ .
Study Document
Psychological Health
Evidence-Based Programs and practice in psychological health
Introduction
Numerous years of research and studies in clinical psychology have illustrated that how individuals process received information, particularly with an attentional bias (AB) to scary information as well as bias in … data processing that might underpin unhelpful disease representation and manipulate health behaviors. Therefore, this paper is a study that aims to review evidence-based practice and programs within psychological health via literature review on various studies that exist on this matter.
Background
When it comes to the treatment … was utilized for this review. Firstly, a keyword search was carried out to identify any relevant studies. The used keywords were “evidence-based psychology practice,” evidence-based cognitive biases,” “evidence-based psychology health,” and “evidence-based psychological interventions.” A thorough cross-search was also carried out using different keyword combinations via the … two, every identified reference was screened following two standards: First, the research had to……
References
References
Australian Psychological Society. (2010). Evidence?based psychological interventions in the treatment of mental disorders: A literature review. Victoria: Australian Psychological Association.
Barth, J., Munder, T., Gerger, H., Nüesch, E., Trelle, S., Znoj, H., ... & Cuijpers, P. (2016). Comparative efficacy of seven psychotherapeutic interventions for patients with depression: a network meta-analysis. Focus, 14(2), 229-243.
Castelnuovo, G. (2017). New and old adventures of clinical health psychology in the twenty-first century: standing on the shoulders of giants. Frontiers in psychology, 8, 1214.
Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive-behavioral therapy: A review of meta-analyses. Cognitive therapy and research, 36(5), 427-440.
Hughes, A. M., Gordon, R., Chalder, T., Hirsch, C. R., & Moss?Morris, R. (2016). Maximizing the potential impact of experimental research into cognitive processes in health psychology: A systematic approach to material development. British journal of health psychology, 21(4), 764-780.
Kirkham, J. G., Choi, N., & Seitz, D. P. (2016). Meta?analysis of problem solving therapy for the treatment of major depressive disorder in older adults. International Journal of Geriatric Psychiatry, 31(5), 526-535.
Lenz, A. S., Hall, J., & Bailey Smith, L. (2016). Meta-analysis of group mindfulness-based cognitive therapy for decreasing symptoms of acute depression. The Journal for Specialists in Group Work, 41(1), 44-70.
Linde, K., Rücker, G., Sigterman, K., Jamil, S., Meissner, K., Schneider, A., & Kriston, L. (2015). Comparative effectiveness of psychological treatments for depressive disorders in primary care: network meta-analysis. BMC family practice, 16(1), 103.
Study Document
Separation Anxiety Disorder SAD
… goal for Chloe is to help her recognize her anxious feelings and physical responses.
Part 3: Applying Research to a Case Study (Evidence-Based practice)
Annotated Bibliography
Introduction
The manifestation of anxiety early in childhood is an indication of significant distress and disturbances in life. Separation Anxiety Disorder … of its ease of access and reliability. The search was conducted through the use of the keywords/phrases: “Social Anxiety Disorder,” Cognitive Behavior Theory,” “clinical trial OR random allocation OR single-blind method.” The search results were further analyzed using the abstract, in order to ensure inclusion of the ……
References
References
Minde, K., Roy, J., Bezonsky, R., & Hashemi, A. (2010). The effectiveness of CBT in 3–7 year old anxious children: Preliminary data. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(2), 109.
Ruocco, S., Gordon, J., & McLean, L. A. (2016). Effectiveness of a school-based early intervention CBT group programme for children with anxiety aged 5–7 years. Advances in School Mental Health Promotion, 9(1), 29-49.
Schneider, S., Blatter-Meunier, J., Herren, C., Adornetto, C., In-Albon, T., & Lavallee, K. (2011). Disorder-specific cognitive-behavioral therapy for separation anxiety disorder in young children: a randomized waiting-list-controlled trial. Psychotherapy and psychosomatics, 80(4), 206-215.
Van der Sluis, C. M. (2016). Anxiety disorders in young children: Parent and child contributions to the maintenance, assessment and treatment. (Ph.D. Thesis, University of Amsterdam).
Study Document
Psychological Test Evaluation Beck Anxiety Inventory BAI
… discriminating tool for anxious and non-anxious people. Therefore, it is widely used as a screening tool for anxiety in a wide range of clinical environments. Thus, it would be accurate to say that it is used by multicultural communities.
Describe the reliability evidence of test results (test-rest, … ranked for measuring anxiety at the onset. Now, an existing literature review on how popular the BAI in psychology training or settings of practice has not been analyzed systematically. However, Piontrowsky and Gallant pointed out that BAI is the most visible scale for anxiety in the literature … out that BAI is the most visible scale for anxiety in the literature of research between 2000 and 2005. Still, the area of clinical assessment is widely competitive with many mental health scales emerging in both the research and professional literature. Furthermore, as from the middle of … professional literature. Furthermore, as from……
References
References
Arnold, L. M., Clauw, D., Wang, F., Ahl, J., Gaynor, P. J., &Wohlreich, M. M. (2010). Flexible dosed duloxetine in the treatment of fibromyalgia: a randomized, double-blind, placebo-controlled trial. The Journal of rheumatology, 37(12), 2578-2586.
Beck, A. T., & Steer, R. A. (1993). Beck Anxiety Inventory manual. San Antonio, TX: Psychological Corporation.
Beck, A. T., Epstein, N., Brown, G. & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897.
Biggs, Q. M. (2008). Transportation trauma and psychological morbidity: Anxiety, depression, PTSD, and perceived control in a hospitalized sample. (Doctoral dissertation, University of North Texas).
DeFeo, J. (2005). Beck Anxiety Inventory. NCTSN Measure Review Database. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.506.4912&rep=rep1&type=pdf
Gillis, M. M., Haaga, D. A., & Ford, G. T. (1995). Normative values for the beck anxiety inventory, fear questionnaire, Penn state worry questionnaire, and social phobia and anxiety inventory. Psychological Assessment, 7(4), 450.
Halfaker, D. A., Akeson, S. T., Hathcock, D. R., Mattson, C., &Wunderlich, T. L. (2011). Psychological aspects of pain. Pain procedures in clinical practice (pp. 13-22). Hanley &Belfus.
Julian, L. J. (2011). Measures of anxiety: state?trait anxiety inventory (STAI), Beck anxiety inventory (BAI), and Hospital Anxiety and Depression scale?anxiety (HADS?A). Arthritis care & research, 63(S11), S467-S472.
Study Document
Eating Disorder
Eating Disorder/Electrolyte Imbalances Case Study
PERSONAL/SOCIAL HISTORY
What data from the histories are relevant and has clinical significance to the nurse?
Relevant data from present problem: Self-injurious behavior (SIB), increasing weakness, lightheadedness and the likelihood of syncopal episode.
clinical significance: The data would help identify personal/biological factors causing the patient’s condition.
Relevant data from social history: Sexual abuse by her stepfather, living … factors causing the patient’s condition.
Relevant data from social history: Sexual abuse by her stepfather, living with a single mom, and sexual behaviors.
clinical significance: It would help identify social/family factors contributing to the condition.
What is the relationship of your patient’s past medical history (PMH) and … started FIRST.
· Underline what PMH problem(s) FOLLOWED as domino(s).
PATIENT CARE BEGINS
What VS data is relevant and must be recognized as clinical significant by the nurse?
Relevant VS data: T: 96.2 F/35.7 C (oral), BP: 86/44 MAP:……
Study Document
How Millon S Personality Theory Can Be Understood
...Clinical practice Personality theories and PTSD
Alternative Theoretical Positions and Applications
The idea of personality is broadly accepted as being fundamental in psychology, but its dynamics as well as the ways that it may be identified and assessed are questions in which psychologists have been in substantial disagreement. Millon had been focused on perpetually creating a systematic program to describe standard as well as abnormal personality functioning and also to determine various kinds of personality types and conditions according to deductive thinking. This varies with the rising inductive technique that identified proportions of personality functioning and realignment according to factor evaluation of the personality lexicon qualities. The present system consists of 13 personality designs or kinds according to groups generally observed in a number of communities to varying degrees. The primary personality designs established by Millon had been all variants from the Passive, Active along with Pleasure-Pain proportions. Over his years of……
References
References
Pincus, A. L., & Krueger, R. F. (2015). Theodore Millon\\'s contributions to conceptualizing personality disorders. Journal of personality assessment, 97(6), 537-540.
Millon, T., Millon, C. M., Meagher, S. E., Grossman, S. D., & Ramnath, R. (2004). Personality disorders in modern life. John Wiley & Sons.
Rossi, G., & Derksen, J. (2015). International adaptations of the Millon Clinical Multiaxial Inventory: Construct validity and clinical applications. Journal of personality assessment, 97(6), 572-590.
O’Connor, B. P., & Dyce, J. A. (1998). A test of models of personality disorder configuration. Journal of Abnormal Psychology, 107(1), 3.
Lecic-Tosevski, D., Gavrilovic, J., Knezevic, G., & Priebe, S. (2003). Personality factors and posttraumatic stress: Associations in civilians one year after air attacks. Journal of Personality Disorders, 17, 537–549.
Strack, S., & Millon, T. (2007). Contributions to the dimensional assessment of personality disorders using Millon\\'s model and the Millon Clinical Multiaxial Inventory (MCMI–III). Journal of Personality Assessment, 89(1), 56-69.
Bajraktarov, S., Gudeva-Nikovska, D., Manuševa, N., & Arsova, S. (2017). Personality Characteristics as Predictive Factors for the Occurrence of Depressive Disorder. Open Access Macedonian Journal of Medical Sciences, 5(1), 48–53. https://doi.org/10.3889/oamjms.2017.022
Framingham, J. (2018). Millon Clinical Multiaxial Inventory (MCMI-III). Psych Central.
Study Document
Electronic Health Records EHR
… various sources and give a progressively thorough perspective on patient consideration despite the fact that this has demonstrated challenges to accomplish in genuine practice. EHRs likewise may give access to apparatuses like clinical choice help updates and reports that guide clinicians and groups in conveying care dependent on the best accessible proof. The paper shares the … to drive significant interoperability and empower outside applications ought to be inserted in EHR work processes.
Challenges and Barriers to Electronic Charting
Numerous practice would concur that changing to another electronic health record (EHR) framework is no simple undertaking. By working intimately with the best EHR merchant … to another electronic health record (EHR) framework is no simple undertaking. By working intimately with the best EHR merchant dependent on a restorative practice's needs, the progress can be smooth and the initial phase in counteracting a considerable lot of the regular difficulties that……
References
References
Gagnon, D., Simonyan, E.K., Ghandour, G., Godin, M., Labrecque, M., Ouimet, M.R. (2016). Factors influencing electronic health record adoption by physicians: A multilevel analysis, Int J Inform Manage, 36, pp. 258-270.
Hasanain, H. (2014). Cooper Solutions to overcome technical and social barriers to electronic health records implementation in Saudi public and private hospitals, J Health Inform Dev Ctries, pp. 46-63.
Kierkegaard, P. (2019). Electronic health record: Wiring Europe\\\\'s healthcare: Computer Law & Security Review. 27 (5): 503–515.
Murphys, E.V., & Yale, J. (2014). Clinical decision support: effectiveness in improving quality processes and clinical outcomes and factors that may influence success. Biol Med; 87, pp. 187–97.
Study Document
Nursing And Adaptive Response
… itself from injury or infection. It is the third line of defense after inflammatory response and innate immunity (Huether & McCance, 2017). Advanced practice nurses should understand patient’s adaptive responses to alterations caused by disease processes. This paper explains the pathophysiology of tonsillitis, irritant contact dermatitis (ICD), … scenario 1, 2 and 3 (see Appendix A). In addition, it presents the mind map of tonsillitis that shows epidemiology, pathophysiology, risk factors, clinical presentation, diagnosis, and adaptive responses.
Scenario 1: Acute Tonsillitis
The conclusion from scenario 1 (see Appendix A) is a 2-years-old female patient suffering … heart rate of 128 beats per minute, respiratory rate of 24 beats per minute, and temperature of 102.30F. These symptoms and signs are clinical presentations of acute tonsillitis.
Tonsillitis is the inflammation of the palatine tonsil (part of the waldeyer ring) by viral or bacterial infections (Skovbjerg … inflammatory mediators (cytokines) are released.……
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