The Case of Horst

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“The Case of Horst
Arthur is a 32 year old African american man who is employed as a nursing instructor at a community college and is married with two children. He seeks counseling from Horst after he becomes involved in an intimate relationship with Mark, an openly gay man. Mark also works at the community college, and their coworkers have gossiped among themselves about their relationship although no one has said anything directly to either of them. Arthur believes he has come to the point in his life when heterosexual marriage is no longer viable for him. He presents with several issues, including coming out to his wife and children and redefining himself as a gay man. He believes his wife suspects the truth and will come to accept who he is, but he fears losing the close realtionship he has enjoyed with his children.
1. What are the issues Horst must address in providing counseling to Arthur?
2. What information will Horst need in order to be a culturally competent counselor in this situation?
3. What skills will Horst need to be a culturally competent counselor in this situation?

Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.

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  • Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
  • Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
  • Relate how you developed the question.
  • Describe the importance of this question to your clinical practice previously, currently, or in the future.
  • Describe what a research-practice gap is.
  • REFERENCE
  • American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: Author.
    • Read Professional Nursing’s Scope and Standards of Practice (description, development, and function), Integrating the Art and Science of Nursing, The Nursing Process, pp. 1–11, 110

Essentials of Nursing Leadership

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Week 1: Essentials of Nursing Leadership – Discussion Post

300 words – APA Format

2 scholarly reviewed articles no more than 5 years old

A leader has the ability to combine commitment for improvement with knowledge regarding how to exercise influence and engage support (Dickson & Tholl, 2014). In the areas of nursing and public health, the focus is on improving health. Porter-O’Grady and Malloch (2015) noted several major tasks of 21st-century healthcare leaders. Applying essentials of leadership select two (2) tasks from the following list of tasks and discuss how you would exercise influence and engage support for each of your selected tasks.

  • Deconstructing the barriers and structures of the 20th century
  • Alerting staff about the implications of changing what they do
  • Establishing safety around taking risks and experimenting
  • Embracing new technologies as a way of doing work
  • Reading the signposts along the road to the future
  • Translating the emerging reality of health reform into language that the staff can use
  • Demonstrating personal engagement with health reform
  • Helping others adapt to the demands of a value-driven health system
  • Creating a safe milieu for the struggles and pain of changing practice and service
  • Enumerating small successes as a basis for supporting staff

Complete the “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey,” located in the Evidence-Based Practice in Nursing and Healthcare appendix.

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In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550.
Section A: Organizational Culture and Readiness Assessment
It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation.
1. Complete the “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey,” located in the Evidence-Based Practice in Nursing and Healthcare appendix.
2. Develop an analysis of 250 words from the results of the survey, addressing your organization’s readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization’s weaker areas.
3. Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or examples. Explain how to integrate clinical inquiry into the organization.
4. Submit a summary of your results. The actual survey results do not need to be included.
Section B: Proposal/Problem Statement and Literature Review
In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following:
1. Refine your PICOT into a proposal or problem statement.
2. Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations.