A barrier that causes concerns and prevents the application of evidence-based practice within a school setting is the lack of cooperation, noncompliance, and communication. This is a truth that corresponds when working with school professionals, parents, and children. When individuals have poor interest in applying practice that is relevant in the child’s health needs, it domino’s their school work, poor grades, high absences, frequent hospital or doctor visits. As well as financial burdens on working parents who have to take time out from work to care for their ill ones. School nurses are a vital part of a school team, they help identify and reduce health, safety, and social risk factors that affect school attendance. Research shows that almost 93% of absences are related to health issues (NASN, 2018). The health problems seen in the school setting are asthma, allergies, diabetes, obesity, seizure disorders, anxiety, and attention deficit disorder that are responsible for child chronic absenteeism. This is why it is important to eliminate barriers that interrupt the application of evidence-based practice. Creating a cohesive environment for the student both in school and at home, can help the child maintain wellness, and improve attendance, therefore their learning. A student with diabetes must be educated on the diagnosis, the causes for both low and high blood sugars, teach the signs and symptoms and the consequences of not having their insulin administered. Teaching also applies to those in direct care of the child, whether it is a para, social workers, teachers, and parents. 

Reference

National Association of School Nurses. (2018, June). School nurses: An integral member of the school team addressing chronic absenteeism (Position Statement).  https://www.nasn.org/advocacy/professional-practice-documents/position-statements/ps-absenteeism

reply2

Resistance to change has been an issue and a barrier in attempting to introduce evidence-based nursing practices. Unfortunately, there have been instances when employees were alerted to evidence-based practices which would ensure the patient’s health was not at risk, only to have a supervisor ignore the need. From past experiences, allowing staff to continue performing unsafe procedures was easier for the supervisor than addressing the situation. Therefore, having nurses fully engaged and willing to implement an evidence-based practice (EBP) is ineffective without a culture that supports it (Stillwell, Fineout-Overholt, Melnyk & Williamson, 2010).

     One of the first steps in addressing any issue begins with communication at the administrative level. This step is critical to avoid putting patient’s care at risk. All communication should be documented with examples of the evidence-based practice and changes needed for successful implementation. It is also important to remain diligent with follow-up meetings to ensure the issue is being addressed with steps outlined for resolution.

                                                                           Reference

Stillwell, S.B., Fineout-Overholt, E., Melnyk, B.M., Williamson, M. (2010). Evidence-Based Practice, Step by Step: Asking the Clinical Question. AJN The American Journal of Nursing: March 2010 – Volume 110 – Issue 3 – p 58-61. doi: 10.1097/01.NAJ.0000368959.11129.79

  Please provide a one to two-page paper on the topic. This work should include an opening paragraph clearly restating the questions (DO Not simply copy the questions). Then apply at least one complete paragraph on each of the topics, followed by a closing or summary paragraph. Cites and structure should comply with APA v6 style.  

 

Theo Chocolate Makes a Sweet Difference

“I want to build a model that other companies can look at and emulate. A model that’s based on strong ethics and financial success,” Joe Whinney, founder of Theo Chocolate, says when describing his company.

Seattle-based Theo Chocolate uses the cocoa bean to make the world a better place. The company has become known for its organic, Fair Trade bean-to-bar chocolate. Theo takes cocoa beans and manages the entire process to turn them into high-quality chocolate. The concept for Theo Chocolate came two decades ago when Whinney was traveling through Central America and Africa. He witnessed farmers being exploited by multinational companies and wanted to develop a firm that would sell a high-quality product and benefit the farmers that supplied the ingredients. In 2006, Whinney and his ex-wife Debra Music, who is now chief marketing officer, founded Theo Chocolate. They later relocated to Seattle and built a factory that began producing chocolate in 2006.

Originally, Theo wanted to develop flavors it was excited about, such as coconut curry. However, Whinney and Music realized that they also needed to listen to the consumer and develop more traditional flavors such as chocolate and mint. Their attention to consumer needs is not only ethical but also is an important part of a successful marketing strategy.

The firm decided it wanted to do everything it could to ensure the quality and integrity of its products. This is why it not only sources Fair Trade products but also oversees the production of the chocolate from bean to bar. Its ability to oversee the entire process allows it to control for any disruptions that might compromise the chocolate’s integrity.

“Just being organic and Fair Trade isn’t enough. You will spark consumers’ interest because of our certifications and the integrity of our product, but if it doesn’t taste good, if people don’t enjoy it, then it really doesn’t matter,” Whinney says. “So we put as much or more of an emphasis on quality because without that, then nothing else really matters.”

Today the firm employs 100 people and produces a successful line of chocolate bars, confections, caramels, and specialty items. Although the chocolate bars are priced higher than competitors, consumers know that they are supporting fair trade and organic practices that benefit the farmers. One of Theo’s greatest marketing tools is the tours it provides to visitors of its facilities. From the beginning, Theo’s founders wanted to educate consumers about Fair Trade and tell the story behind its chocolate to give consumers an appreciation for the work that goes into it and the farmers who supply the beans.

These stories have become even more important with an initiative Theo has embarked upon to help farmers from the Democratic Republic of the Congo (DRC). Theo has launched a line of chocolate bars from the DRC. These bars cost a little bit extra at $5 a bar, but the extra money goes toward improving the farmers’ lives. Whinney pays the farmers in the DRC from whom he sources chocolate two to three times the market rate.

In addition to purchasing cocoa and paying farmers higher wages, the partnership has also provided education to 2,000 farmers on how to improve cocoa crop yields. Whinney is committed to developing trust and mutually beneficial relationships among suppliers, companies, and consumers.

Theo Chocolate embodies all four levels of social responsibility as it is profitable, obeys relevant laws, acts ethically, and engages in philanthropic activities. Although some believe that a company should focus on profits over community relations or stakeholder well-being, Theo Chocolate demonstrates that a firm can create positive change and be profitable at the same time.

Questions

1. How has Theo Chocolate incorporated its model of philanthropy and social responsibility into a successful business concept?
2. What advantages does Theo Chocolate have by sourcing cocoa from the Congo, even though the chocolates ends up costing consumers more?

Discussion for Henry Adams’s, “The Dynamo and the Virgin”

Henry Adams remains, even now, an important figure for literary and historical study. Adams’s The Education of Henry Adams is a key historical text to understand the end of the 19th century and the dawn of the “modern” era of the 20th century. His history/autobiography is important, not for the facts that it records, but for Adams’s descriptions of his reactions to the incredible changes and scientific discoveries occurring during that era. 

One of those key events was the World’s Fair of 1900 at Paris. The Fair offered the first public display of mechanical engines able to harness electricity. The vision of technology able to control such invisible forces made a deep and disturbing impression upon Adams. He records these impressions in the most famous chapter of his autobiography: “The Dynamo and the Virgin.” 

Adams uses the terms “Dynamo” and “Virgin” as symbols to represent different forces working their way through history.

1. Find 2 key passages from the text where Adams describes what the “Virgin” symbolizes to him. What was the influence of this force?

(Hint: “Virgin” refers to the image of women in religion and art. Throughout ancient history, women were the inspiration to make men achieve things, like make great art, music, sculpture, architecture—even more.)

2. Find 2 key passages from the text where Adams describes what the “Dynamo” symbolizes to him. What kind of force does the Dynamo symbolize?

(Hint: Look up some old black and white photos of electric dynamos. They were these towering machines with large antennae that had electricity running up and down them. These original electricity-harnessing machines are what Adams saw. They symbolize the new power of science and technology.)

3. Adams sees the world moving slowly away from the power of the Virgin and toward the power of the Dynamo. Why does this movement disturb Adams, especially as a historian? Find 2 passages to support your answer.

(Hint: Do you think Adams is comfortable with the new rising power of science? Does he understand how these new electric machines work? 

 ANSWER SHOULD BE IN  the Sandwich method and add the page numbers for the passages. You should use this method of writing the short essays for my discussion questions .pls add the page numbers for the quotes.  

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Grammarly plagiarism report must be submitted with this assignment. 

Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.

Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family. Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA Format and include:

• Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?
• Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.
• Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?
• Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met?
• Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.
• In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.

Below is the Rubric guideline

 

Scoring Rubric: Cultural Considerations in Mental Health Nursing

Criteria Points

• Title page, Grammar, punctuation, and in-text citations are present and correct. – 1
• Paper includes a description of the client including age, race, religion, marital status, children and living environment. – 1
• Assessment: Includes what the nurse would assess in regard to culture. -1
• Diagnosis: Paper includes at least three nursing diagnoses, including at least one cultural diagnosis. – 2
• Planning: Paper includes outcomes with at least one NOC labels and at least three indicators. – 1
• Implementation: Paper includes interventions with at least one NIC label and a list of three or more activities. – 1
• Evaluation: Paper includes a statement of how the care plan will be evaluated using objective and measurable criteria. – 1
• Paper includes a discussion of whether the plan was successful and what could have been done differently. If the plan has not yet been carried out, the paper will discuss institutional changes that might be made in that setting for cultural safety. – 1
• Paper includes proper introduction and conclusion and is 3-4 pages in length. – 1