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Attached Files (PDF/DOCX): Article 2.pdf, Article 1.pdf, Article 3.pdf
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The theory of cultural marginality is an important perspective on understanding how people who are outside the dominant social and cultural systems. Originally, this was developed within nursing and social sciences, the cultural marginality was described as how people who are excluded, factors such as poverty, homelessness, race, immigration or other stigmatized areas experience barriers that affect their well being. In healthcare settings, these patients often face limited access to services and have negative outcomes. Caring, one of the foundations of nursing plays a critical role in addressing these disparities (Campinha-Bacote, 2024).
Cultural marginality can be defined as the lived experiences of those excluded or undervalued in our society. These patients encounter stigma, judgment and systemic barriers that negatively influences their physical and emotional well being. These challenges include delayed care, difficulty navigating the healthcare system and being overlooked or underrated. The theory shows how deeply these disparities are rooted in societal inequities rather than individual choices. This theory allows nurses to see beyond a patient being noncompliant, but to understand what barriers may be causing the noncompliance.
Caring in nursing serves as a necessary response to vulnerabilities with cultural marginality. Empathy, respect and individualized care can help bridge cultural gaps and create trust between nurses and patients. When nurse practice caring intentionally, they create a safe environment physically and emotionally. This allows support and improves communication, adherence to care and overall more positive outcomes (Campinha-Bacote, 2024).
An example I have is of caring for a middle aged patient that was homeless and admitted for hyperglycemia with diabetes and a foot infection. He had the barriers of lack of nutrition, stable housing, insulin access and negative experiences with the healthcare system before. When I noticed this I tried to build a rapport with him and addressing his concerns with reassurances to try and do better, with acknowledging the challenges he faces on the daily. Interventions I included was using clear and respectful communication, with informed decision making and helping coordination with a social worker for outside resources to improve his life, health and outcome. In the end, he became more engaged and trusting of me and the care we were providing him.
Research supports that connecting cultural marginality and caring in nursing practice gives a more authentic experience and caring relationships for healthcare settings help improve patient outcomes. Research highlights that culturally responsive communication helps build trust and patient engagement (Yarahmadi et al., 2024). Overall, understanding cultural marginality is an important essential for providing compassionate nursing care. Awareness of this theory allows nurses to deliver care that improves lived experiences and supports healing.
Must user Perdue owl for resources
peer review sources only
no later than 5 years old each resource
must include DOI in sources
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Attached Files (PDF/DOCX): Writing assignment 1 (1).docx, Leading Cause of Death_ Example of Paper Structure.docx
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Analyze the incidence, distribution, and control of emerging healthcare concerns in global populations.
View the grading rubric for this deliverable by selecting the Grading rubric in the right menu.
You are preparing to speak at a global health conference about a disease affecting a global population. You plan to present the incidence and prevalence of the disease within the population and discuss efforts to control, eliminate, and eradicate the disease.
Select a disease impacting a population outside of the United States. Create a PowerPoint presentation that addresses the following:
Use a total of 6 PowerPoint slides, including a title slide and a slide for your reference list. Use APA format for citations and references.
For information on creating a PowerPoint with presentation notes, please click .
Hello Dr. Cluver, and classmates.
Please see my calculations and descriptive analysis of pre- and post-intervention weights from the sample study, and the responses to the discussion.
Perform the following calculations:
a. Based on the data set provided, calculate the mean pre-implementation and post-implementation weight values for patients involved in this practice change project.
Pre-implementation:
225+196+190+229+292+188+188+201+179+191=2079
The sum divided by the total number of data points 2079/10= 207.9
mean= 207.9
Post-implementation:
218+190+188+225+288+178+190+190+175+186= 2025
The sum divided by the total number of data points 2025/10= 202.5
mean = 202.5
b. Now calculate the pre-implementation and post-implementation median weight of the patients.
Pre-implementation median weight: Ordinal number.
179, 188, 188, 190, 191, 196, 201, 225, 229, 292
191+196= 387 median: 387/2=193.5
Post-implementation median weight: Ordinal number.
172, 178, 186, 188, 190,190, 190, 218, 225, 288
190+190= 380 median: 380/2= 190
c. Next, calculate the pre-implementation and post-implementation modes.
Pre-implementation: must frequently repeated
179, 188, 188, 190, 191, 196, 201, 225, 229, 292
Modes: 188
Post-implementation:
172, 178, 186, 188, 190,190, 190, 218, 225, 288
Modes: 190
d. Finally, calculate the pre-implementation and post-implementation range of patient weights. If no outliers exist, the range will determine how close the weights are to the patients involved.
Pre-implementation range: 292-179= 113
Post-implementation range: 288-172= 116
Based on your analysis of the descriptive statistics, what determinations related to the mean weights following implementation of the evidence-based intervention can be made?
The descriptive analysis of this sample showed a reduction in patient weight after implementing an evidence-based exercise intervention. The mean weight decreased from 207.9 lb. to 202.5 lb., and the median dropped from 193.5 lb. to 190.0 lb. This indicates a general reduction, not just an isolated improvement. The mode changed from 188 lb. before the intervention to 190 lb. after. The range stayed about the same (113 lb. pre-implementation; 116 lb. post-implementation). This suggests that variability did not increase.
As you reflect upon the weights of the patients, you observe that patient #5 has weights that are outliers. What does this do to your understanding of the data?
Interpretation of the mean should be contextualized with other measures of central tendency, particularly given the presence of an outlier. Patient #5s higher weight likely increased the overall mean. However, the noticeable decrease in both the mean and the median supports the conclusion that the intervention was associated with a consistent reduction in weight across the group, rather than by a single participant. As Harbison and Simmons (2024) highlight, examining the mean, median, and range confirms the reliability of the measures in small samples, and in this case, the measures of central tendency remain aligned and stable. This underscores the importance of using multiple descriptive measures when evaluating outcomes in small samples.
Limitations of the Study
The small sample size (n=10) limits precision and generalizability, increasing vulnerability to sampling variation or subgroup over-representation (Coughlan et al., 2007). In the absence of a control group, the influence of external factors cannot be excluded.
Overall Assessment
Descriptive statistics indicate that the intervention was associated with a meaningful average weight reduction of 5.4 lb. in this study sample, with consistent central tendency observed throughout. A larger, representative sample in controlled studies is necessary to confirm broader effectiveness.
References
Coughlan, M., Cronin, P., & Ryan, F. (2007). Step-by-step guide to critiquing research. Part 1: Quantitative research. British Journal of Nursing, 16(11), 658663.
Harbison, L., & Simmons, K. (2024, October 1). Fundamentals of descriptive statistics. Journal of Dental Hygiene : Jdh, 98(5), 5154.
RESPOND TO THIS PEER PLEASE. THIS IS HER DISCUSSION POST. ATTACHED ARE INSTRUCTIONS ON WHAT THE RESPONSE TO PEER DISCUSSION POST SHOULD INCLUDE. PLEASE/THANKYOU
Attached Files (PDF/DOCX): DNP_Discussion_Guidelines and Rubric 11224.docx
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The purpose of this paper is to interpret the two articles identified as most important to the group topic.
Course outcomes: This assignment enables the student to meet the following course outcomes.
1. Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)
4.Evaluate published nursing research for credibility and clinical significance related to evidence-based practice. (POs 4 and 8)
Group Paper Topic: Nursing incivility and its impact on performance and retention of staff”
PICOT Question: In hospital bedside nurses (P), how does the use of violence prevention programs (I) compared to standard practice (C) affect staff retention rates (O) within six months (T)?
1.The paper will include the following:
a.Clinical Question (10 points/8%)
1.Describe the problem: What is the focus of your groups work?
2.Significance of problem: What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.
3.Purpose of the paper: What will your paper do or describe?
b.Use Evidence Matrix Table Template: Data Summary – (50 points/42%)
Categorize items in the Evidence Matrix Table, including proper intext citations and reference list entries for each article.
1.References (recent publication within the last 5 years)
2.Purpose/Hypothesis/Study Question(s)
3.Study Variables
4.Study Design
5.Sample Size and Selection
6.Data Collection Methods
7.Major Findings (Evidence)
c.Description of Findings (50 points/42%)
Describe the data in the Evidence Matrix Table, including proper intext citations and reference list entries for each article.
1.Compare and contrast variables within each study.
2.What are the study design and procedures used in each study; qualitative, quantitative, or mixed method study, levels of confidence in each study, etc.?
3.Participant demographics and information.
4.Instruments used, including reliability and validity.
5.How do the research findings provide evidence to support your clinical problem, or what further evidence is needed to answer your question?
6.Next steps: Identify two questions that can help guide the groups work.
d.Conclusion (5 points/4%)
Review major findings in a summary paragraph.
1.Evidence to address your clinical problem.
2.Make a connection back to all the included sections.
3.Wrap up the assignment and give the reader something to think about.
e.APA Format (5 points/4%)
1.Correct grammar and spelling
2.Include a title and reference page
3.Use of headings for each section:
oProblem
oSynthesis of the Literature
-Variables
-Methods
-Participants
-Instruments
-Implications for Future Work
4. Conclusion
5. Adheres to current APA formatting and guidelines
6. Include at least two (2) scholarly, current (within 5 years) primary sources other than the textbook
7. 4 pages in length, excluding appendices, title, and reference pages
(Use only these two articles to write this paper).
Group Paper Topic: Nursing incivility and its impact on performance and retention of staff”
PICOT Question: In hospital bedside nurses (P), how does the use of violence prevention programs (I) compared to standard practice (C) affect staff retention rates (O) within six months (T)?
The Impact of Workplace Incivility on the Retention of Nurses in Hospitals
Altmiller, S. P. (2024). The Impact of Workplace Incivility on the Retention of Nurses in Hospitals (Order No. 31766544). Available from ProQuest One Academic. (3148358024). .
McCright, M. , Blair, M. , Applegate, B. , Griggs, P. , Backus, M. & Pabico, C. (2019). Nursing Management (Springhouse), 50 (8), 10-13. doi: 10.1097/01.NUMA.0000558480.62072.24.
Start the paper like this (SEE Below)
Clinical Question
Nursing incivility is a widespread problem in hospital settings and affects nurses at all levels of practice (McCright, 2019). Incivility includes behaviors such as gossiping, ignoring coworkers, disrespectful communication, and bullying. These behaviors interfere with teamwork, increase stress, and reduce job satisfaction (McCright, 2019). Bedside nurses are especially affected because they work in high-pressure environments where collaboration is essential. The significance of this issue is well supported in nursing research. Nurses who experience incivility report higher levels of stress, emotional exhaustion, and decreased confidence (Altmiller, 2024). These effects may lead to impaired judgment, reduced productivity, and an increased risk of patient errors (McCright, 2019). Incivility also contributes to high turnover rates. Replacing a single bedside nurse can cost hospitals tens of thousands of dollars, creating financial strain and staffing instability.
Requirements: 4 pages
This case study comes from the Apply It: Critical Thinking Exercise section of the chapter. Read the case study, then choose ONE of the discussion questions. Create a post of at least 100 words, that includes the following information…
briefly describe the health issue presented, and answer one case study question
include a link to a resource that supports the information you discussed
provide TWO (2) word-part breakdowns of associated medical terms relating to the health issue (explaining the word root, the combining form, the suffix, and the prefix)
Then post one response to a classmate of at least 30 words, expanding on the content of their post, and provide one additional word part breakdown in your response (different from those in your initial post and different from any term detailed in the classmates post).
Leg muscles save back muscles … Mandatory OSHA meeting Tuesday at noon. Bring lunch, states the company memo. Sandor Padilla, a 28-year-old cargo loader, sighs, Third meeting this year, and its not even June yet! He has only two minutes to reach the tarmac. Oh well, cargo waits for no man, he thinks as he jogs off to work.
Sandor enjoys his job. It keeps him fit but lets his mind follow more creative avenues. Today, his thoughts stray to his daughter Reinas fifth birthday party, just two weeks away. A pony or a clown? Hot dogs or tacos? he muses. Single parenting has its moments. As he is busy thinking of other things, the heavy crate slips, driving him into a squatting position that injures his thigh muscles. His cry of pain brings Janet Wilson, his supervisor, running to help.
The first aid station ices his leg to reduce swelling and pain. After the supervisor completes the incident report, Sandor is taken to the emergency room. Dr. Basra, the orthopedic specialist on call, diagnoses a tendon strain resulting in a torn left rectus femoris. A myorrhaphy is required to treat this injury. After several days in the hospital, Sandor is sent home with a Vicodin prescription for pain and orders for physical therapy sessions three times a week. He is not expected to return to work for at least 90 days.
AirFreight Systems receives the first report of injury and compares it with the supervisors incident report. Ruling: Safety Violation. No Liability. Return to work in 30 days or dismissal.
Attached Files (PDF/DOCX): Article 2.pdf, Article 1.pdf, Article 3.pdf
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directions: Describe a significant nursing concern that your project will address and support it with relevant literature. State the project purpose and explain how
the project is relevant to your future role as a PMHNP. Explain how the project reflects Boyers Scholarship Model. must include 5 APA citation peer reviewed articles from peer reviewed articles in the last 5 years.
subject: This review of literature project examines whether combining antipsychotic medication with individual psychotherapy is more effective than antipsychotic medication alone in reducing positive symptoms of schizophrenia spectrum disorders over a 618 month treatment period.
Rubric: Significant nursing
concern supported
with relevant
literature Project
purpose clearly
stated and
explanation for
project relevant to
future role as a
MSN prepared
nurse. Clearly
explains how the
project reflects
Boyers
Scholarship.