Demonstrate how your leadership practice improves and sustains care quality.

Application of your learning

There are three pieces of work-based evidence required for this module, each with a maximum word count of 500 words (If you go over this word count it will result in a fail).

Evidence of work-based application should be written in the first person. When addressing this assignment, you need to ensure that you demonstrate the following outcomes:

  • Demonstrate a critical understanding of the theories and practice of reflective practice.
  • Apply theories and methods of reflective practice
  • Demonstrate reflexivity in your leadership practice
  • Demonstrate how your leadership practice improves and sustains care quality.

WBA 1:

  • Demonstrate practical skills to embed diversity, equality and inclusion in your leadership practice
  • Demonstrate taking responsibility for aligning the values of individuals and team with those of the organisation in context
  • (500 words. Minimum 6 reference sources)

WBA 1:  Living the Values

In module 3, you undertook a learning activity called Living the Values (Week 1-2: Activity 10, Living the values).

In this activity you watched a video (https://www.youtube.com/watch?v=NDb8WKkjBzw&feature=youtu.be ) and reviewed a number of guides available from the NHSI on putting values into practice. In each of these guides there were questions and activities that helped put values into practice.

For this piece of work based evidence, you need to select the questions and activities (from the NHSI guides) that are most relevant to your service, and work with your team/colleagues to develop an approach and action plan for putting values into practice. Please illustrate how your approach and action plans are seeking to embed equality and diversity into your values in practice. The assignment is a reflective summary of the approach you and your team/colleagues have taken. Please also include your action plan as an appendix.

 

 

 

Writing for application and reflection

  • The purpose of the evidence you provide is to demonstrate how you are putting your learning into practice at work. This ‘application’ might be reflective, practical or it might relate to enhancing or developing your personal qualities.

 

Calculate the estimated cost of the arena construction at completion.

For the purposes of the scenario, you are to assume that you have been appointed as a Consultant Project Manager to the client company undertaking the Grantchester Arena Project.

Your submission should take the form of a high quality consultancy report document. You may create your own corporate identity for the consultancy firm (name, logotype, brand style etc.) and use it to create your report if you wish.

“Grantchester Arena Project”

A specialist entertainment venue management company, Arena Developments, new to operating in the United Kingdom market, is intending to purchase and develop an inner-city brownfield site as a multi-purpose leisure venue.

The exact configuration of the facility is still being developed, but it is planned to comprise an indoor sports arena capable of hosting ice hockey as well as ball sports (depending on the season) with the arena also being capable of ‘dual use’ as a concert venue.

The central arena will be augmented with restaurant, bar and concession areas for patrons to buy food, drink, sportswear and other merchandise. Provision will

also be made for private boxes within the arena for corporate dining and entertainment as well as facilities for press and broadcast media.

Arena Developments have negotiated to acquire a site in the City of Grantchester. The City Council have fully supported the idea in the expectation that the arena will provide employment opportunities and act as a magnet for visitors to the City. Additionally, they expect that there will also be an increase in business activity as a whole and increased council tax revenue.

The City’s ice hockey club, “Ice Storm” have agreed in principle to enter into a lease agreement to use the ice hockey rink together with a dedicated training gym, administrative offices, changing rooms and a ‘fan zone’.

Most of the local community are supportive of the project, in particular sports fans and concert goers. Local restauranteurs and retailers are less enthusiastic and have concerns about loss of customers for their own businesses.

Environmental groups oppose the scheme being concerned, amongst other things, of pollution during the construction phases and noise and anti-social behaviour once the venue is operational. “Blue Light” services also have concerns about safety in and around the venue and their ability to respond to any major incident should one occur.

The consultancy company for whom you work as a senior project manager has just been appointed by Arena Developments as a member of their consultancy team, responsible for the provision of governance and project management services. Your team will be led by a project director, supported by yourself and a project assistant.

Outline Delivery Plan

The client has completed negotiations to acquire the site and have also reached an ‘understanding’ with the local council with regards to scope and context for a planning application to be made.

It is expected that the project will be delivered in a series of phases:

 

The English League ice hockey season is scheduled to start in September 2024 with the first league game for Ice Storm expected to be on either Saturday 28 or Sunday 29 September, the fixture list having not yet been confirmed.

Financial Arrangements

Arena Development’s accounting year runs from 1 January to 31 December.

In accordance with their operating procedures, all costs for the project from 1 January 2022 until launch are regarded as a ‘project cost’ and therefore accounted for in the project budget and considered an expense in the business case.

Costs incurred to the end of December 2021 are not included, they will be funded as a business development expense.

The cost of purchasing the site will be £17.5 million, payable on the last day of March 2022.

Funding

A consortium of investment banks has agreed to fund the project in its entirety. Repayments of £27.5 million fall due on 1 January 2023 and for 4 years thereafter as five equal ‘tranches’.

Consultancy Team

The core consultancy team will be engaged for the duration of the project, commencing on 1 January 2022 until the end of the ‘soft launch’. Their fees will be £63,375 per month inclusive of expenses and disbursements.

In addition, specialist resources engaged via an employment agency will be deployed to the project site as follows:

These staff will be expected to work a 5 day 40 hour week and will have four weeks leave per year, for which they will not get paid.

Staff will receive £150 per week expenses, except for the administration assistant who will receive £50 per week.

Office accommodation for the site team in nearby offices will cost £650 per week inclusive of utilities and other expenses.

Remediation and Construction Costs

Remediation costs including site security and demolition are expected to be £18,500,000.

Arena construction costs, including site security and commissioning are expected to be £76,000,000.

Costs for concession areas will be borne by the retailers / operators concerned.

Operating Income (Revenue) Stream

Whilst there will be a small income resulting from the events to be held during the ‘soft launch’ period, these will be off-set by the small audience numbers involved and the additional costs of test management and evaluation as well as disruption to events such as test evacuation and response exercises. Phase 5, therefore is expected to be “cost neutral” with income equal to expenditure and no impact on the project budget.

Thereafter, incomes are expected to show growth as follows:

Assignment Task One Project Planning

1a. Using the data in the scenario, prepare a Gantt chart for the entire programme from inception to the end of the ‘soft launch’. You may assume the project start date is Monday 10 January 2022.

1b. Compile a detailed network diagram and Gantt chart for the Arena construction phase (phase 3). You should allow in your programme for a two week shutdown of construction activity over the year-end holiday period.

1c. Identify the critical path for the construction phase.

1d. Re-present key data in Table 3 to show task durations using Eli Goldratt’s Critical Chain approach. Show also the safety buffer for the phase as a whole. Determine how buffer time should be used either at key milestones within the construction phase or only at the end clearly stating the reasons for your choice.

1e Present a simple Gantt chart to show the critical chain approach and the buffer distribution you have selected to use.

20 marks

Assignment Task Two Budgets and Cost Planning

2a. Using the data in the scenario, prepare a fully itemised cost plan for the project to include the provision of contingencies.

2b. Determine a basis for the provision of contingency within the cost plan (for example, adopting a flat rate for the entire project or risk-related rates for different elements or phases). Make a clear recommendation, stating your reasoning.

10 marks

Assignment Task Three Project Appraisal

3a. Using the budget you prepared in task two with the income streams provided in the scenario, prepare an itemised cash flow for the project for the period 2022 to 2029 inclusive. You should consider the payment profiles for both the remediation phase (phase 2) and the main arena construction phases (phases 3 and 4). You will also need to include an estimate for the revenue receipt in Q4 2024, stating your reasoning for the figure you have chosen.

3b. Using the cash flow data, prepare an initial project appraisal and identify the Payback Period; Return on Capital (RoC); and Net Present Value of the project to support a business case for presentation to the client’s Board. Use a discount rate of 4% per annum.

3c. State any assumptions made and the commercial implications of the results presented including an accept / reject recommendation for the project as a whole

15 marks

Assignment Task Four Resource Management

As the arena construction phase nears completion in Q4 2023, the professional team have re-focussed attention on the logistics and management of phase 4 – the arena fit-out, concession areas and commissioning.

With the main contractor having left site, additional site management resources will be required to co-ordinate and control the fit-out works for each retail and food unit as well as specialist equipment to be installed in hospitality areas, the TV Studio and Media Centre.

It has been decided to recruit a number of assistant project managers to support the construction manager and safety manager plus another administration assistant.

The assistant project managers will cost £300 per day plus £100 per week expenses.

The projected breakdown structure and resource need is as follows:

 

4a. Prepare a resource budget for the assistant project managers and administration assistant (assume that no additional office accommodation is required).

4b. Develop a week-by-week resource histogram (column chart) showing the number of assistant project managers required.

4.c It would be desirable to limit the peak assistant project management resource to a maximum of three as the recruitment agency have expressed concern about their ability to source enough suitable candidates. Suggest how the programme might be revised to achieve this constraint and identify any consequences and the resource budget saving.

15 marks

Assignment Task Five Project Evaluation

The project director to whom you report fears that the main contractor’s schedule to construct the arena is too optimistic. Nevertheless, it is essential that the arena is complete by the end of 2023, so that there is sufficient time for the 6- month phase 4 fit out and commissioning and the 3-month ‘soft launch’ phase.

You and your project assistant have looked at the contractor’s programme and, together, determined optimistic and pessimistic durations for each activity:

5a. Analyse this data and, using the PERT technique, assess the probability of the arena construction works being completed before the end of December 2023.

5b. What conclusions do you make as a result of your findings?

10 marks

Assignment Task Six Earned Value

A progress meeting with the arena main contractor was held in February 2023 and the consultant quantity surveyor tabled a financial report on the budget expended to date (to 31 January 2023):

Using the Earned Value approach determine the following:

6a. Calculate the estimated cost of the arena construction at completion.

6b. Calculate the estimated total duration of the arena construction and identify the estimated completion date.

6c. Comment upon the results.

10 marks

Assignment Task Seven Project Monitoring and Reporting

The main contractor’s progress report, presented at the February meeting identified progress made as follows:

Analyse this information with respect to the project plan you prepared in response to task one and prepare a “traffic light” progress report indicating the status of each task on the following basis:

Red Stage in progress falling more than 5% behind plan
Amber Stage in progress (broadly in line with plan) or not yet started

Green Stage completed or at least 5% ahead of plan

7a. What conclusions do you draw?

10 marks

 

 

Compare the various groups in terms of the characteristics you observed portrayed for each in the advertisements. What generalizations about age and gender do these portrayals convey?

Description

In this project, you will investigate gender and age stereotypes in magazines. Look at one widely circulated magazine and evaluate how ads depict males and females of various ages (adolescence, early, middle, and late adulthood). You should evaluate physical appearance, personality, and behaviors as they are depicted in the magazine ads. You can use the attached data sheet to help organize your impressions. After completing the data collection, write a brief report that answers the following questions. Make sure to include a literature review concerning the importance of media influencing gender stereotypes. Are all age groups represented in advertisements? Who is underrepresented and overrepresented? Why do you think that is so? Compare the various groups in terms of the characteristics you observed portrayed for each in the advertisements. What generalizations about age and gender do these portrayals convey? Compare your findings to those obtained by someone who looked at a different magazine. Are your findings similar or different? What do you conclude if they are similar? Different? If they are different, do the differences sensibly relate to differences in the apparent purpose or style of the magazines?

Identify development needs in relation to leadership practice

Summary:

Application of your learning

There is one piece of work based evidence required for this module with a word count of 500 words (If you go over this word count it will result in a fail).

Evidence of work-based application should be written in the first person. When addressing this assignment, you need to ensure that you demonstrate the following outcomes:

  • Apply theories and methods of reflective practice
  • Demonstrate practical skills in leadership practice at individual, team and organisational levels.
  • Undertake a critical reflection to demonstrate selfawareness, selfreflection, and management of self
  • Identify development needs in relation to leadership practice
  • Demonstrate confidence and ability to challenge poor behaviours and performance

In module you undertook a learning activity called Peer Consulting – task (Week 1: Understanding leadership repertoire, Activity 6 – Peer consulting – task)

For this piece of work based evidence, you need to demonstrate your learning about the process and impact of receiving peer consultation. This needs to include:

  • What you learned about yourself as a leader; and
  • Outline how you will sustain any behavioural changes you may choose to make as a leader

Writing for application and reflection

  • The purpose of the evidence you provide is to demonstrate how you are putting your learning into practice at work. This ‘application’ might be reflective, practical or it might relate to enhancing or developing your personal qualities.
  • Each piece of work based evidence will need to be separately uploaded onto Turnitin

 

Peer Consulting Exercise

 

Peer consulting – task

Peer consulting

Form a pair

Select a peer from any of the participants within your cohort on the programme. It does not necessarily have to be from within your ALS or tutor group. Together you will form a peer consultancy ‘pair’. As peer consultants, you will each give and receive mutual support and challenge to help make progress with a specific leadership issue at work. In other words, you will consult to each other.

If pairing is logistically difficult, you may consider working in a trio to provide each other with peer consultation.

The focus of the peer consultancy is to deepen your understanding of your own leadership behaviours and the impact you have as a leader.

Identify a leadership issue

Each of you needs to identify a leadership issue at work where you would benefit from some peer support. The way you provide peer consultancy to each other is for you to decide and negotiate. It will be important to consider issues such as logistics, communication and expectations as well as ways of working and what sort of approach each of you wishes to take in your role as peer consultant. You are advised to work together over a period of 3-4 weeks.

Be creative! It may or may not be practical to observe each other in practice. If this is possible, it might be in the form of, for instance, shadowing each other or observing each other in a particular work context (eg. a meeting or event). If you do this, be clear about what specific leadership behaviours or skills you wish to focus on.

Alternatively, you may decide to ask your peer participant to interview some of your team to gather feedback on a particular aspect of your leadership work. You might even invite your peer participant to facilitate a session where this feedback is shared back with you and your team. How you approach any of this is up to you.

The peer consultation does not have to be face to face, although it is likely to be more effective if at least some of the time is direct contact. Skype/FaceTime or phone are all options to consider if distance or logistics are an issue.

Define and develop the role

You do need to be clear about the role of the peer consultant and set clear boundaries and expectations. To glean the most learning, dedicate some time together as a pair/trio to de-brief not only on the leadership issue being explored, but also about the process of working together as peer consultants.

You will need to do some background reading to help you consider which skill sets you need to develop or practise to be an effective peer consultant. In addition, use the resources suggested and read around the subject to ensure that you are demonstrating relevant skills, learning and understanding to your work based assignment, which will be based on this activity.

 

 

Intake 16 Module 6 – Evaluating my leadership behaviours and impact

Peer consulting – resources

Peer consulting

This adapted extract from Schein (2005) is a helpful introduction to your role as a process consultant:

 

‘There are several models of helping – the expert model, the doctor-patient model and the process consultation (PC) model. The key to effective helping, both for the manager and the consultant, is the ability to be a process consultant and not to succumb to the temptations of being the expert or the doctor except where that is appropriate.

 

Process consultation puts the emphasis on helping others to help themselves, not on solving their problems for them or giving them expert advice. If the person being helped just accepts expert advice, he may solve his immediate problem but he may not learn anything about how to solve problems of this nature; skills that would enable him to solve a similar problem in future.’

 

Knowing how to be an effective process consultant is probably more relevant in today’s complex world than it might have been in times past. Even in medicine, specialists are finding themselves in complex relationships with their patients where they are helping their patients to make a beneficial decision rather than just ‘ordering’ a given procedure.

 

A more realistic model of management as well as consulting is to see the process as one of intervening facilitatively. The more managers think about their role, the more they will come to recognise how much they might increase their own effectiveness if they learned some of the philosophies, concepts and skills that process consultants use.’

 

(adapted from Schein 1987, p.8-9)

 

Tips

 

Some tips for your role as peer consultant

 

Your colleague must own and continue to own their own problem. Your goal must be to provide help without taking the problem onto your own shoulders.

Use active, interested listening – without this, the process of consulting will deteriorate rapidly.

See the uniqueness of what your colleague is talking about, develop empathy and try to understand the issue from your colleague’s perspective.

Look for patterns in how the problem manifests itself, how your colleague perceives it, what role he or she takes in it and what their own diagnostic insights are.

Feedback to your colleague is most likely to be beneficial if it is solicited, timely, concrete and balances honesty with empathy.

Core reading

 

Block, P. (2000) Chapter 2: ‘Techniques are not Enough’ in Flawless Consulting: A Guide to Getting Your Expertise Used (2nd edition), San Francisco: Jossey-Bass Pfeiffer (Available here)

 

De Haan, E. & Burger, Y. (2014) Chapter 1: ‘A Wide Scope for Conversations’ in Coaching with Colleagues 2nd Edition: An Action Guide for One-to-One Learning Basingstoke: Palgrave Macmillan (Available here)

 

Gibbs, G. (1988) Learning by doing: a guide to teaching and learning methods. London: Further Education Unit. (Available here)

 

Kline, N (2010) More Time to Think, Pool-in-Wharfedale: Fisher King pp186 – 189 (Available here)

 

Further reading

Schein, E (1987) Process Consultation Vol II: Lessons for managers and consultants Addison-Wesley Publishing Company, Wokingham (Available here)

Identify the study’s key findings and their implications. Analyse the study’s methods (e.g. sample size, number of replicates, choice of statistical analysis); do these influence your conclusions about the study’s importance or implications?

 

  • Title
  • Introduce the topic of the paper, why it is important, and why you have chosen it.
  • Outline the study’s hypotheses and methodological approach. You do not need to give fine details of the methods, but provide enough detail so that any discussion of the paper can be understood.
  • Identify the study’s key findings and their implications. Analyse the study’s methods (e.g. sample size, number of replicates, choice of statistical analysis); do these influence your conclusions about the study’s importance or implications?
  • Conclude with an indication of the overall significance of the paper, based on your analysis of its methodology and findings. Summarise any shortcomings or particular attributes of the paper that have influenced your conclusion.

It is encouraged to use figures or tables in this section (e.g. to show a study’s results), this is part of the grading criteria to demonstrate you can use select figures to support your analysis, ensure they are properly referenced.

 

Paper 1: Isolation of Novel Probiotic Lactobacillus and Enterococcus Strains From Human Salivary and Fecal Sources

https://doi.org/10.3389/fmicb.2020.597946

 

Paper 2: Indigenous Probiotic Lactobacillus Isolates Presenting Antibiotic like Activity against Human Pathogenic Bacteria

https://doi.org/10.3390/biomedicines5020031

 

Paper 3: In Vitro and In Vivo Evaluation of Lacticaseibacillus rhamnosus GG and Bifidobacterium lactis Bb12 Against Avian Pathogenic Escherichia coli and Identification of Novel Probiotic-Derived Bioactive Peptides

https://link.springer.com/article/10.1007/s12602-021-09840-1

 

 

Paper4: A Systematic Approach to Identify and Characterize the Effectiveness and Safety of Novel Probiotic Strains to Control Foodborne Pathogens

 

https://www.frontiersin.org/articles/10.3389/fmicb.2019.01108/full

What are the barriers and facilitators to effective nursing practices regarding obesity management at primary care?

Chapter One: Introduction

Study Background

Chronic diseases are a major source of burden to the United Kingdom’s healthcare system. The Office for National Statistics (2020) indicates that more than 40% of people aged 65 and above in England suffer from different types of chronic diseases like cardiovascular diseases, diabetes, hypertension, stroke, and cancer, with obesity and overweight being major risk factors not only in the UK but also worldwide (Pearce et al., 2019; McHale et al., (2020), hence, a significant public health concern. An adult is considered obese if they have a body mass index (BMI) of 30 kg/m2 or more caused by an excessive accumulation of body fat, usually 20% beyond the limits of physical requirement leading to an increase in body weight to the degree that it might adversely affect wellbeing (Agha and Agha, 2017; WHO, 2021; House of Commons, 2021). In many cases, it affects the person’s ability to perform many of the tasks required for physical activities due to strain on their body. Likely causes of obesity range from genetics, physical inactivity, unhealthy diet, emotional and mental health problems (Public Health England, PHE, 2017).

Statistics show that over 39% of adults are overweight globally, while more than 13% suffer from obesity (WHO, 2021). In England, cases of obesity and overweight went up by 23%, from 711,000 in 2018 to 876,000 in 2019 (House of Commons, 2021). Moreover, McHale et al. (2020) found out that obese patients consult primary care more frequently than individuals suffering from other illnesses. It is estimated that there was a 17% increase in hospitalisations linked to obesity in 2019/2020, with over one million people being admitted to hospitals across the UK. Increasing prevalence is directly linked to increasing healthcare costs, and it is projected that the NHS will incur 9.7 billion pounds annually by 2050 (PHE, 2017).

Research strongly points out that obesity is linked to reduced quality-adjusted life expectancy, prompting the development of guidelines for identification and management of obesity (NICE, 2014), policies and campaigns such as Sport England (SE) and recently DOH (2020) ‘call to action campaign’ and Public Health England’s Better Health campaign (PHE, 2021). Furthermore, the NHS (2017) guidelines require that the preventive care integrated with treatment or control of obesity-related diseases be accessible to everyone regardless of health status or age. Concurrently, the WHO (2021) stresses the importance of obesity prevention to reduce the prevalence of non-communicable diseases. Practices aimed at preventing obesity and overweight and those intended to achieve weight loss among the overweight individuals cumulatively contribute to an overall decrease in obesity prevalence (Pearce et al., 2019). As such, nurses should care for patients with obesity through preventive measures and by helping overweight individuals lose weight in the population. Nurses form a critical part of primary care as they coordinate with a multidisciplinary team to care for obese people in the community and hospitals (Braga et al., 2017). Obesity management and care involve health promotion to prevent obesity and treat or control obesity-related diseases (Zhu et al., 2013; Kelly et al., 2016).

Furthermore, nurses educate and counsel patients on the importance of weight management and healthy living (RCN, 2021). Various studies postulate that nurses can also advocate for policies that encourage weight management and obesity prevention (Kelly et al., 2016). Such policies may involve government funding of activities such as gym subscriptions or rewarding health outcome goals such as weight loss (Braga et al., 2017). Other roles of nurses in obesity management may involve advocating for the government, insurance companies, and professional bodies to formulate more policies that remove barriers to obesity management services access. Therefore, nurses are an integral part of obesity management in hospitals and within the community. The current integrative literature review explores the role nurses play in obesity management at the primary care level in the UK.

Focus and Scope of the Study

Obesity management involves nurses, but it entails a multidisciplinary effort within the healthcare system. However, this integrative literature review will focus on nurses’ role in promoting obesity management practices at the primary care level. Equally, the study will not focus much on the patient’s role although, it may mention the role of the patient-nurse relationship in obesity management. Accordingly, the study will explore the nurses’ attitudes and perspectives on obese people and other factors influencing their role in obesity management and control.

Significance of the Study

Obesity and overweight management are a priority in the UK due to the high obesity prevalence, especially among adults and adolescents. This reality highlights the crucial role nurses and other healthcare professionals play in the healthcare system. However, much of the existing literature on the role of nurses in obesity management does not give special attention to the UK health system (Braga et al., 2017). Besides, most of the studies generalise the role played by healthcare providers in obesity management and prevention without a specific focus on nurses (Pearce et al., 2019). One of the studies examining healthcare providers’ perspectives and beliefs on weight management in the UK revealed that they were less enthusiastic about obesity management practices (McHale et al., 2020). As a result, there is an urgent need to focus more on the obesity management practices in the UK and how nurses handle them. The current study adds to the existing literature by integrating previous research on hospital practices in obesity management, with a specific focus on the role of nurses in primary care.

Consequently, the study is significant to the nursing profession as it will provide more insights into the facilitators and barriers to quality obesity management service provision. It will also help the relevant stakeholders understand the attitudes and perceptions of nurses towards obese individuals and how they affect service provision. In addition, policymakers and professional bodies like NICE may find this study helpful in formulating the relevant guidelines for nurses to promote obesity management practices. The study may further benefit scholars and students who may want to explore the topic in future.

Research Questions

The study applied the PICO (Population, Intervention, Comparison, and Outcome) framework to formulate a focused research question. Studies indicate that using PICO to frame a research question enhances conceptual clarity and specificity of the clinical problem (Eriksen and Frandsen, 2018). In addition, Aveyard and Bradbury-Jones (2019) posit that the PICO framework enables the researcher to identify the keyword, thereby aiding in the literature search by generating more precise results. Therefore, the framework was essential in this review to help formulate a clear and precise research question regarding current nursing practices around obesity management. The table below shows how the PICO framework developed the research question.

Population Intervention Comparison Outcome
Obese patients Current nursing practices at primary care Null Obesity management

Table 1: PICO framework for the research question (Source: Researcher)

Consequently, the main research question is: what are the current nursing practices around obesity management at the primary care level in the United Kingdom? Therefore, the study will seek to address the following specific research questions:

  1. What are the barriers and facilitators to effective nursing practices regarding obesity management at primary care?
  2. What are the primary care nurses’ perceptions and opinions on caring for people living with obesity?
  3. How do primary care nurses identify and care for people living with obesity in hospitals?

Research Aim and Objectives

The study aims to explore the current nursing practices for managing obesity at primary care in the UK. Accordingly, the study seeks to achieve the following objectives:

  1. To find out the factors influencing primary care nursing practices concerning obesity.
  2. To explore primary care nurses’ attitudes towards people living with obesity.
  3. To determine how nurses identify and manage patients living with obesity in primary care.
  4. To identify what primary care nurses are doing to support people living with obesity.
write a book report on Jane McAlevey’s book, No Shortcuts: Organizing for Power in the New Gilded Age.

Book Report Assignment

Social Movements and Social Justice

Sociology/Anthropology 332

 

Objective

You will write a book report on Jane McAlevey’s book, No Shortcuts: Organizing for Power in the New Gilded Age. The objective of this assignment is to help you (i) extend your knowledge of a particular social movement or social movement issue, (ii) identify, analyze, and describe major themes and evidences in social movement literature, (iii) apply sociological theories and concepts in social movement analysis, and (iv) communicate sociological analysis of social movement literature through oral and written expressions, (v), provide useful, theoretically-informed, practical insights and assistance “to “movements that are not moving.”

 

Description

Your book report should be 8-9 typed pages long (double-spaced, one-inch margins). Overall, your book report should focus on the central argument(s) (thesis) of the book followed by a thorough description of evidence presented in the book to back up the author’s claims. In the introduction of the book report, you will identify the author’s thesis and explain it in your own words. You will include a brief introduction of the topic or the summary of the book to provide a meaningful context for the thesis statement. In your Introduction you will also tell the reader the three distinct pieces of evidence or cases—that is, the three chapters from McAlevey, each one is a case—that you will analyze in your report.

 

In the next section you will analyze the evidence—the three cases. I recommend providing a heading for each section (Ex: The Chicago Teacher’s Strike) to let the reader know in advance what case you are writing about. In these sections you will provide a review of the case and in the process you will engage the author’s central argument, and argue whether the evidence she has provided supports—or does not support—her central claim. You are also encouraged to bring in other concepts and theories we have used throughout the semester—such as disruption—and show how they help illuminate the case.

 

In the conclusion, provide an overall assessment of the evidence the author provided and whether it backs up the thesis.

 

Your book report should include the following sections:

 

  1. Title page
  2. Introduction
    1. Identify the thesis statement
    2. Summarize the background of the book/topic, and identify your three pieces of evidence

 

  • Evidence (Evidence 1, 2, & 3)
    1. Describe the evidence
    2. Explain how this evidence does or does not support the thesis statement.
    3. Identify and apply relevant sociological concepts and theories in the description and explanation

 

  1. Conclusion
  1. Re-state the thesis statement
  2. Assess the sociological analysis of evidences and their link to the thesis statement

 

These following questions may help you to orient your reading and writing.

  1. What is your overall opinion of the book? On what basis has this opinion been formulated? What kind of evidence does the author provide to make his or her points?
  2. If someone asked what this book is about or what have you learned reading the book, what would you say?

 

 

 

Citation

All you will need for sources is the McAlevey book, and other works assigned for class. Therefore, for the report, when you cite from texts or take ideas from them, you can simply use scientific notation—examples, (McAlevey 2016: 10), (Piven 2006 :15), Nilsen and Cox 2013: 65). You DO NOT need a separate bibliography page.

 

 

 

 

What methods of data collection were used, and why do you think the researcher used these methods?

Research Skills: From Methods & Procedures to Analysis & Reporting (7PADMPAR) (1500 words +10%) Look at the five studies provided in the folder ‘Coursework 1 studies for review’. Choose four out of the five studies. For each of your chosen four studies, answer the questions set below: 1. What research design is used, and why do you think the authors chose this method? 2. What were the independent (or predictor) and dependent (or outcome) variables(s)? What other variables not mentioned in the study might be useful to record and why? 3. What methods of data collection were used, and why do you think the researcher used these methods? 4. What evidence, if any, is there of the reliability and/or validity of the chosen measures? 5. What are some of the weaknesses of this type of study design? You can consider general weaknesses of the design and, if applicable, discuss how they affect the chosen study. Could you use a different study design to address the same research question? If not state why, and if yes, what other study design could be used? Guidance: • Remember you need to choose four studies – do not write answers for all five studies. • For each of the four studies you have chosen, you need to answer all the questions above. • This means you have around 375-400 words per study. Each study is worth 25% of the overall coursework. Some studies may require more detail than others and thus take up relatively more words – you will need to judge what is appropriate. We are interested in how well you summarise information; you need to make judgements about what to include and what to leave out. • We have not given a suggested word count for each question. It is likely that your answers to questions (1) and (2) will be short compared to the other questions. However, there is likely to be some variability for the different studies e.g. some studies may call for more detail in questions (3) and (4) than other studies. • We expect to see evidence of wider reading and support for the points you raise. We suggest around 3-4 relevant references per study. Please list references after your answers for each study. Your reference list/s will not contribute to the word count (in-text citations are included). • You could cite methods used by other studies in the field, taken from original research articles or reviews. You can also cite textbooks. You could also find references for the measures e.g. questionnaires or protocols, used by the study. Don’t forget to access the Research Skills and Dissertation Centre for more lectures on study design. Please do not include lectures as references. • We do not expect you to comment on the statistical design of the study. Other than stating the main variables to show us that you understand what is being investigated, please avoid commenting on the statistical analysis or results. You also do not need to comment on sample size.

What observations did you make during the interview and review of systems? 

Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation

Comprehensive psychiatric evaluations are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will document information about a patient that you examined during the last 2 weeks, using the Comprehensive Psychiatric Evaluation Template provided. You will then use this note to develop and record a case presentation for this patient.

To Prepare

  • Review this week’s Learning Resources and consider the insights they provide about assessment and diagnosis. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
  • Select a patient that you examined during the last 2 weeks who presented with a disorder other than the one present in your selected case for Week 5.
  • Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning Resources. There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain. All psychiatric evaluations must be signed, and each page must be initialed by your Preceptor. When you submit your document, you should include the complete Comprehensive Psychiatric Evaluation as a Word document, as well as a PDF/images of each page that is initialed and signed by your Preceptor. You must submit your document using SafeAssign.
    Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Late Policies.
  • Develop a video case presentation, based on your evaluation of this patient, that includes chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis, including differentials that were ruled out.
  • Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.
  • Ensure that you have the appropriate lighting and equipment to record the presentation.

Assignment

Record yourself presenting the complex case for your clinical patient. In your presentation:

  • Dress professionally and present yourself in a professional manner.
  • Display your photo ID at the start of the video when you introduce yourself.
  • Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
  • Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.
  • Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.

Be succinct in your presentation, and do not exceed 8 minutes. Address the following:

  • Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?
  • Objective: What observations did you make during the interview and review of systems?
  • Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis and why?
  • Reflection notes: What would you do differently in a similar patient evaluation?

 

About patient to use

Pt is a 45 yr old pt who was referred to the office by another patient. Pt wants a second opinion on the diagnosis that was given to him by his psychiatrist. He stated that he has issues with anxiety, has difficulty completing tasks, thinking clearly, and difficulty focusing/reading. He states that he sometimes gets panic attacks. Pt has dentures(full) in the upper area, He also complains of back pain. Pt was instructed by the doctor not to tell us what his diagnosis was.

Pt currently takes Zoloft 50mg, Gabapentin 800mg, Motrin 800mg prn. Pt states that he worries a lot about his life/death. Has difficulty sleeping but states that he takes trazodone 50mg. Denise any history of suicide attempts.

Dx: ADD(pt was given an ADD questionnaire to complete hence the diagnosis), GAD

Meds: Adderall 10mg BID morning and 2pm

Alprazolam 1mg once daily

Duloxetine (Cymbalta) 30mg BID

Continue Zoloft 50mg

Gabapentin 300mg 1 in morning and 2 caps at night.

A week supply of meds. Wil follow up with patient next week.

Learning Resources

Required Readings (click to expand/reduce)

 

Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

  • Chapter 27, “Assessing Psychotic Disorders”

 

Recommended:

American  Psychiatric Association. (2013). Medication-induced movement disorders and other adverse effects of medication. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 709–714). Author.

 

American Psychiatric Association. (2013). Schizophrenia spectrum and other psychotic disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm02

 

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan and Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Wolters Kluwer.

  • Chapter 7, “Schizophrenia Spectrum and Other Psychotic Disorders”
  • Chapter 29, “Psychopharmacological Treatment”
    • Section 29.2, “Medication Induced-Movement Disorders”
  • Chapter 31, “Child Psychiatry”
    • Section 31.15, “Early-Onset Schizophrenia”

Walden University. (2020). College of Nursing practicum manual: Master of science in nursing (MSN) and post-master’s certificate programs. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

Walden University Field Experience. (2020a). Field experience: College of Nursing.  https://academicguides.waldenu.edu/fieldexperience/son/home

Walden University Field Experience. (2020b). Student practicum resources: NP student orientation. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

Explain the critical-thinking process that led you to the primary diagnosis you selected.

Assignment: Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders

 

Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.

For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.

To Prepare:

  • Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms.
  • Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

By Day 7 of Week 7

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
  • Objective: What observations did you make during the psychiatric assessment?
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

 

Learning Resources

Required Readings (click to expand/reduce)

 

American  Psychiatric Association. (2013). Medication-induced movement disorders and other adverse effects of medication. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 709–714). Author.

 

American Psychiatric Association. (2013). Schizophrenia spectrum and other psychotic disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm02

 

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.

  • Chapter 7, Schizophrenia Spectrum and Other Psychotic Disorders
  • Chapter 29.2, Medication Induced-Movement Disorders
  • Chapter 31.15, Early-Onset Schizophrenia