Tag: Model Answer

  • [Solved] Ed Gein

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    **Treatment Planning Paperrr** **Write a paperr about a pseudo-client (i.e. a character from a book or movie or TV show) Ed Gein. In the paperr, apply a DSM-5-TR diagnosis and develop a treatment plan. This paperrr should be no more than 10 pages in length and should be written in APA style. Please …

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    **Treatment Planning Paperrr**
    **Write a paperr about a pseudo-client (i.e. a character from a book or movie or TV show) Ed Gein. In the paperr, apply a DSM-5-TR diagnosis and develop a treatment plan. This paperrr should be no more than 10 pages in length and should be written in APA style. Please consider the following questions when constructing your paperrrrr:**
    – **In what ways does your “client” conform with specified DSM criteria? What is your client’s assessment of the presenting concern? •In what ways does your client differ from the DSM criteria? Discuss differential diagnosis.**
    – **How might the client’s cultural background impact his or her diagnosis and treatment plan?**
    – **What historical, political, social, and cultural issues do you need to consider before applying this diagnosis?**
    – **What strengths does the client have that can be integrated into the treatment plan?**
    – **How would you integrate the client’s goals with your goals as the counselor?**
    – **What theory or approach will help the client reach his or her goals and objectives? How would you regularly evaluate, with the client, whether the treatment plan goals were being achieved and whether the means of achieving the goals were satisfactory to the client?**

  • [Solved] Final Clinical Evaluation and Student Feedback

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    – FinalClinicalEvaluationandStudentFeedback.docx **FinalClinicalEvaluationandStudentFeedback.docx** This file is too large to display. [View in new window](https://www.sweetstudy.com/files/finalclinicalevaluationandstudentfeedback-docx) **FinalClinicalEvaluationandStudentFeedback.docx** This file is…

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    – FinalClinicalEvaluationandStudentFeedback.docx

    **FinalClinicalEvaluationandStudentFeedback.docx**

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    **FinalClinicalEvaluationandStudentFeedback.docx**

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  • [Solved] Lesson 2 – Ayurvedic resources

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    1. Read and familiarize yourself with all the Ayurvedic resources in Lesson 2 (Web links, Videos, Journal Articles, etc.) https://www.takingcharge.csh.umn.edu/ayurvedic-medicine https://go.gale.com/ps/i.do?p=HWRC&u=lincclin_mdcc&id=GALE|A668397393&v=2.1&it=r&sid=bookmark-HWRC&asid=c5e82cb2 https:/…

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    1. Read and familiarize yourself with all the Ayurvedic resources in Lesson 2 (Web links, Videos, Journal Articles, etc.)
    https://www.takingcharge.csh.umn.edu/ayurvedic-medicine
    https://go.gale.com/ps/i.do?p=HWRC&u=lincclin_mdcc&id=GALE|A668397393&v=2.1&it=r&sid=bookmark-HWRC&asid=c5e82cb2
    https://www.kanopy.com/en/product/ayurveda-art-being?vp=mdc&frontend=kui
    https://www.nccih.nih.gov/health/ayurvedic-medicine-in-depth
    https://www.verywellhealth.com/what-is-ayurveda-88174
    2. Use the Internet to further explore Ayurvedic Medicine.
    3. Then, write a  summary of your findings. Be sure to:
    1. Describe how Ayurveda is currently used in your neighborhood
    2. Explain how primary and tertiary settings are currently using Ayurvedic Medicine in their practice. Provide examples. In APA format.

  • [Solved] capital budgeting

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    In what types of situations would capital budgeting decisions be made solely on the basis of a project's net present value (NPV)? Identify potential reasons that might drive higher NPV for a given project. Substantiate your response by providing an example to explain your thought process.

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    In what types of situations would capital budgeting decisions be made solely on the basis of a project's net present value (NPV)? Identify potential reasons that might drive higher NPV for a given project. Substantiate your response by providing an example to explain your thought process.

  • [Solved] Psychology homework

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    In-depth study guidance and analytical solution covering Psychology homework.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Business

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    \ IMG_0390.jpeg](https://www.sweetstudy.com/files/img-0390-jpeg-10438979 "IMG_0390.jpeg") \ IMG_0389.jpeg](https://www.sweetstudy.com/files/img-0389-jpeg-10438981 "IMG_0389.jpeg")

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    \
    IMG_0390.jpeg](https://www.sweetstudy.com/files/img-0390-jpeg-10438979 "IMG_0390.jpeg")
    \
    IMG_0389.jpeg](https://www.sweetstudy.com/files/img-0389-jpeg-10438981 "IMG_0389.jpeg")

  • [Solved] POWER POINT

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    – ## RUBRICPOWERPOINT.docx – ## MD4AssgnsilvaApart3b1.docx **## RUBRICPOWERPOINT.docx** **To Prepare:** · Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT. · Reflect on your current healthcare organization and think…

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    – ## RUBRICPOWERPOINT.docx

    – ## MD4AssgnsilvaApart3b1.docx

    **## RUBRICPOWERPOINT.docx**

    **To Prepare:**

    · Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.

    · Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

    · Consider the best method of disseminating the results of your presentation to an audience.

    **The Assignment:** (Evidence-Based Project)

    _Part 4: Recommending an Evidence-Based Practice Change_

    Create an 8- to 9-slide
    **narrated** PowerPoint presentation in which you do the following:

    · Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

    · Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

    · Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

    · Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

    · Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

    · Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

    · Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

    · Add a lessons learned section that includes the following:

    · A summary of the critical appraisal of the peer-reviewed articles you previously submitted

    · An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

    **Alternate Submission Method**

    You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the
    [Kaltura Media Uploader guideLinks to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/WWOW/Canvas/1001/pulse_check/kaltura/index.html). This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only "Screen" and "Audio" are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the "Posting Your Video in the Classroom Guide" found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.

    **## MD4AssgnsilvaApart3b1.docx**

    1

    **Part 3B: Critical Appraisal of Research and Best Practice Proposal**

    Anthony Silva

    Walden University

    Professor Connie Cooper DNP

    NURS-6052C Essential of Evidence Based Practice

    October 10th 2025

    Part 3B: Critical Appraisal of Research and Best Practice Proposal

    The four appraised studies collectively demonstrate that alarm fatigue among critical care nurses is a pervasive issue linked to stress, burnout, and delayed response to patient alarms. While the studies vary in setting and design, they converge on the conclusion that structured alarm management education, supportive institutional policies, and workload optimization significantly reduce alarm fatigue and improve nurse responsiveness.

    **Synthesis of Evidence**

    Two of the studies—Alkubati et al. (2024) and Salameh et al. (2024)—used descriptive cross-sectional designs to identify predictors of alarm fatigue across multiple hospitals in Saudi Arabia and Palestine. Both found that high workload, frequent false alarms, and inadequate training increased alarm fatigue levels. Alkubati et al. (2024) reported that alarm fatigue was prevalent among nurses in critical care units and associated with specific demographic and professional characteristics, suggesting that targeted interventions are needed for high-risk groups. Similarly, Salameh et al. (2024) showed a positive correlation between perceived stress and alarm fatigue, highlighting the psychological burden associated with constant alarm exposure.

    In contrast, Kibar and Özsaban (2025) provided interventional evidence using a quasi-experimental pre-/post-design. Their 90-minute alarm-management training program significantly improved nurses’ knowledge and alarm-handling behaviors and reduced alarm-fatigue scores (p < 0.001). Observational data also revealed faster response times following training, demonstrating tangible behavioral changes. This study offers practical support for implementing structured education as an effective and feasible intervention.

    In line with these results, Nyarko et al. (2024) correlated alarm fatigue with burnout in critical care nurses in Ghana, indicating that institutional alarm policies and years of experience were protective factors. The research highlighted the role of hospital-level policies in the prevention of alarm fatigue and its psychological consequences. Collectively, these findings suggest that individual-level training and organizational-level policy change is needed to maintain change.

    **Best Practice Recommendation**

    The best practice that arises, according to the synthesis, is the use of a comprehensive alarm-management program that integrates (1) systematic nurse education, (2) institutional development of alarm-policies, and (3) stress-reduction programs. Kibar and Ozsaban (2025) results demonstrate the usefulness of brief and targeted training sessions when it comes to fatigue reduction and alarm responsiveness. Alkubati et al. (2024) and Nyarko et al. (2024) emphasize the need to have system-wide policies that define the standards of alarm management and reduce the number of false or unnecessary alerts. Finally, Salameh et al. (2024) note that alarm fatigue is a precursor and an outcome of psychological stress, therefore, technical interventions must be supported by resilience-building interventions and sustainable nurse-to-patient ratios.

    The highlighted best practice can facilitate patient safety by minimizing missed alarms, enhance the welfare of nurses by minimizing stress and burnout, and enhance compliance with international safety standards, such as the recommendations delineated by the American Association of Critical-Care Nurses (AACN). The interventions are both low-risk and cost-effective; therefore, the strategy can be used in a wide variety of critical-care facilities, including resource-constrained ones, where alarm fatigue has been cited as a matter of special concern.

    **References**

    Alkubati, S. A., Alsaqri, S. H., Alrubaiee, G. G., Almoliky, M. A., Alqalah, T. A. H., Pasay-An, E., Alrasheeday, A. M., & Elsayed, S. M. (2024). Levels and factors of nurses’ alarm fatigue in critical-care settings in Saudi Arabia: A multicenter cross-sectional study.
    _Journal of Multidisciplinary Healthcare, 17_, 793–803.
    [https://doi.org/10.2147/JMDH.S452933](https://doi.org/10.2147/JMDH.S452933)

    Kibar, D., & Özsaban, A. (2025). Impact of alarm management training on adult ICU nurses’ knowledge, behaviour, and fatigue: A quasi-experimental study.
    _Journal of Evaluation in Clinical Practice, 31_(4).
    [https://doi.org/10.1111/jep.70127](https://doi.org/10.1111/jep.70127)

    Nyarko, B. A., Yin, Z., Chai, X., & Yue, L. (2024). Nurses’ alarm fatigue, influencing factors, and its relationship with burnout in the critical-care units: A cross-sectional study.
    _Australian Critical Care._ https://doi.org/10.1016/j.aucc.2023.11.012

    Salameh, B., Abdallah, J., Alkubati, S. A., AlBashtawy, M., & others. (2024). Alarm fatigue and perceived stress among critical-care nurses in the intensive-care units: Palestinian perspectives.
    _BMC Nursing, 23_, 261.
    [https://doi.org/10.1186/s12912-024-01897-x](https://doi.org/10.1186/s12912-024-01897-x)

    **## MD4AssgnsilvaApart3b1.docx**

    1

    **Part 3B: Critical Appraisal of Research and Best Practice Proposal**

    Anthony Silva

    Walden University

    Professor Connie Cooper DNP

    NURS-6052C Essential of Evidence Based Practice

    October 10th 2025

    Part 3B: Critical Appraisal of Research and Best Practice Proposal

    The four appraised studies collectively demonstrate that alarm fatigue among critical care nurses is a pervasive issue linked to stress, burnout, and delayed response to patient alarms. While the studies vary in setting and design, they converge on the conclusion that structured alarm management education, supportive institutional policies, and workload optimization significantly reduce alarm fatigue and improve nurse responsiveness.

    **Synthesis of Evidence**

    Two of the studies—Alkubati et al. (2024) and Salameh et al. (2024)—used descriptive cross-sectional designs to identify predictors of alarm fatigue across multiple hospitals in Saudi Arabia and Palestine. Both found that high workload, frequent false alarms, and inadequate training increased alarm fatigue levels. Alkubati et al. (2024) reported that alarm fatigue was prevalent among nurses in critical care units and associated with specific demographic and professional characteristics, suggesting that targeted interventions are needed for high-risk groups. Similarly, Salameh et al. (2024) showed a positive correlation between perceived stress and alarm fatigue, highlighting the psychological burden associated with constant alarm exposure.

    In contrast, Kibar and Özsaban (2025) provided interventional evidence using a quasi-experimental pre-/post-design. Their 90-minute alarm-management training program significantly improved nurses’ knowledge and alarm-handling behaviors and reduced alarm-fatigue scores (p < 0.001). Observational data also revealed faster response times following training, demonstrating tangible behavioral changes. This study offers practical support for implementing structured education as an effective and feasible intervention.

    In line with these results, Nyarko et al. (2024) correlated alarm fatigue with burnout in critical care nurses in Ghana, indicating that institutional alarm policies and years of experience were protective factors. The research highlighted the role of hospital-level policies in the prevention of alarm fatigue and its psychological consequences. Collectively, these findings suggest that individual-level training and organizational-level policy change is needed to maintain change.

    **Best Practice Recommendation**

    The best practice that arises, according to the synthesis, is the use of a comprehensive alarm-management program that integrates (1) systematic nurse education, (2) institutional development of alarm-policies, and (3) stress-reduction programs. Kibar and Ozsaban (2025) results demonstrate the usefulness of brief and targeted training sessions when it comes to fatigue reduction and alarm responsiveness. Alkubati et al. (2024) and Nyarko et al. (2024) emphasize the need to have system-wide policies that define the standards of alarm management and reduce the number of false or unnecessary alerts. Finally, Salameh et al. (2024) note that alarm fatigue is a precursor and an outcome of psychological stress, therefore, technical interventions must be supported by resilience-building interventions and sustainable nurse-to-patient ratios.

    The highlighted best practice can facilitate patient safety by minimizing missed alarms, enhance the welfare of nurses by minimizing stress and burnout, and enhance compliance with international safety standards, such as the recommendations delineated by the American Association of Critical-Care Nurses (AACN). The interventions are both low-risk and cost-effective; therefore, the strategy can be used in a wide variety of critical-care facilities, including resource-constrained ones, where alarm fatigue has been cited as a matter of special concern.

    **References**

    Alkubati, S. A., Alsaqri, S. H., Alrubaiee, G. G., Almoliky, M. A., Alqalah, T. A. H., Pasay-An, E., Alrasheeday, A. M., & Elsayed, S. M. (2024). Levels and factors of nurses’ alarm fatigue in critical-care settings in Saudi Arabia: A multicenter cross-sectional study.
    _Journal of Multidisciplinary Healthcare, 17_, 793–803.
    [https://doi.org/10.2147/JMDH.S452933](https://doi.org/10.2147/JMDH.S452933)

    Kibar, D., & Özsaban, A. (2025). Impact of alarm management training on adult ICU nurses’ knowledge, behaviour, and fatigue: A quasi-experimental study.
    _Journal of Evaluation in Clinical Practice, 31_(4).
    [https://doi.org/10.1111/jep.70127](https://doi.org/10.1111/jep.70127)

    Nyarko, B. A., Yin, Z., Chai, X., & Yue, L. (2024). Nurses’ alarm fatigue, influencing factors, and its relationship with burnout in the critical-care units: A cross-sectional study.
    _Australian Critical Care._ https://doi.org/10.1016/j.aucc.2023.11.012

    Salameh, B., Abdallah, J., Alkubati, S. A., AlBashtawy, M., & others. (2024). Alarm fatigue and perceived stress among critical-care nurses in the intensive-care units: Palestinian perspectives.
    _BMC Nursing, 23_, 261.
    [https://doi.org/10.1186/s12912-024-01897-x](https://doi.org/10.1186/s12912-024-01897-x)

    **## RUBRICPOWERPOINT.docx**

    **To Prepare:**

    · Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.

    · Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

    · Consider the best method of disseminating the results of your presentation to an audience.

    **The Assignment:** (Evidence-Based Project)

    _Part 4: Recommending an Evidence-Based Practice Change_

    Create an 8- to 9-slide
    **narrated** PowerPoint presentation in which you do the following:

    · Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

    · Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

    · Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

    · Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

    · Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

    · Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

    · Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

    · Add a lessons learned section that includes the following:

    · A summary of the critical appraisal of the peer-reviewed articles you previously submitted

    · An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

    **Alternate Submission Method**

    You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the
    [Kaltura Media Uploader guideLinks to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/WWOW/Canvas/1001/pulse_check/kaltura/index.html). This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only "Screen" and "Audio" are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the "Posting Your Video in the Classroom Guide" found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.

    **## MD4AssgnsilvaApart3b1.docx**

    1

    **Part 3B: Critical Appraisal of Research and Best Practice Proposal**

    Anthony Silva

    Walden University

    Professor Connie Cooper DNP

    NURS-6052C Essential of Evidence Based Practice

    October 10th 2025

    Part 3B: Critical Appraisal of Research and Best Practice Proposal

    The four appraised studies collectively demonstrate that alarm fatigue among critical care nurses is a pervasive issue linked to stress, burnout, and delayed response to patient alarms. While the studies vary in setting and design, they converge on the conclusion that structured alarm management education, supportive institutional policies, and workload optimization significantly reduce alarm fatigue and improve nurse responsiveness.

    **Synthesis of Evidence**

    Two of the studies—Alkubati et al. (2024) and Salameh et al. (2024)—used descriptive cross-sectional designs to identify predictors of alarm fatigue across multiple hospitals in Saudi Arabia and Palestine. Both found that high workload, frequent false alarms, and inadequate training increased alarm fatigue levels. Alkubati et al. (2024) reported that alarm fatigue was prevalent among nurses in critical care units and associated with specific demographic and professional characteristics, suggesting that targeted interventions are needed for high-risk groups. Similarly, Salameh et al. (2024) showed a positive correlation between perceived stress and alarm fatigue, highlighting the psychological burden associated with constant alarm exposure.

    In contrast, Kibar and Özsaban (2025) provided interventional evidence using a quasi-experimental pre-/post-design. Their 90-minute alarm-management training program significantly improved nurses’ knowledge and alarm-handling behaviors and reduced alarm-fatigue scores (p < 0.001). Observational data also revealed faster response times following training, demonstrating tangible behavioral changes. This study offers practical support for implementing structured education as an effective and feasible intervention.

    In line with these results, Nyarko et al. (2024) correlated alarm fatigue with burnout in critical care nurses in Ghana, indicating that institutional alarm policies and years of experience were protective factors. The research highlighted the role of hospital-level policies in the prevention of alarm fatigue and its psychological consequences. Collectively, these findings suggest that individual-level training and organizational-level policy change is needed to maintain change.

    **Best Practice Recommendation**

    The best practice that arises, according to the synthesis, is the use of a comprehensive alarm-management program that integrates (1) systematic nurse education, (2) institutional development of alarm-policies, and (3) stress-reduction programs. Kibar and Ozsaban (2025) results demonstrate the usefulness of brief and targeted training sessions when it comes to fatigue reduction and alarm responsiveness. Alkubati et al. (2024) and Nyarko et al. (2024) emphasize the need to have system-wide policies that define the standards of alarm management and reduce the number of false or unnecessary alerts. Finally, Salameh et al. (2024) note that alarm fatigue is a precursor and an outcome of psychological stress, therefore, technical interventions must be supported by resilience-building interventions and sustainable nurse-to-patient ratios.

    The highlighted best practice can facilitate patient safety by minimizing missed alarms, enhance the welfare of nurses by minimizing stress and burnout, and enhance compliance with international safety standards, such as the recommendations delineated by the American Association of Critical-Care Nurses (AACN). The interventions are both low-risk and cost-effective; therefore, the strategy can be used in a wide variety of critical-care facilities, including resource-constrained ones, where alarm fatigue has been cited as a matter of special concern.

    **References**

    Alkubati, S. A., Alsaqri, S. H., Alrubaiee, G. G., Almoliky, M. A., Alqalah, T. A. H., Pasay-An, E., Alrasheeday, A. M., & Elsayed, S. M. (2024). Levels and factors of nurses’ alarm fatigue in critical-care settings in Saudi Arabia: A multicenter cross-sectional study.
    _Journal of Multidisciplinary Healthcare, 17_, 793–803.
    [https://doi.org/10.2147/JMDH.S452933](https://doi.org/10.2147/JMDH.S452933)

    Kibar, D., & Özsaban, A. (2025). Impact of alarm management training on adult ICU nurses’ knowledge, behaviour, and fatigue: A quasi-experimental study.
    _Journal of Evaluation in Clinical Practice, 31_(4).
    [https://doi.org/10.1111/jep.70127](https://doi.org/10.1111/jep.70127)

    Nyarko, B. A., Yin, Z., Chai, X., & Yue, L. (2024). Nurses’ alarm fatigue, influencing factors, and its relationship with burnout in the critical-care units: A cross-sectional study.
    _Australian Critical Care._ https://doi.org/10.1016/j.aucc.2023.11.012

    Salameh, B., Abdallah, J., Alkubati, S. A., AlBashtawy, M., & others. (2024). Alarm fatigue and perceived stress among critical-care nurses in the intensive-care units: Palestinian perspectives.
    _BMC Nursing, 23_, 261.
    [https://doi.org/10.1186/s12912-024-01897-x](https://doi.org/10.1186/s12912-024-01897-x)

    **## RUBRICPOWERPOINT.docx**

    **To Prepare:**

    · Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.

    · Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

    · Consider the best method of disseminating the results of your presentation to an audience.

    **The Assignment:** (Evidence-Based Project)

    _Part 4: Recommending an Evidence-Based Practice Change_

    Create an 8- to 9-slide
    **narrated** PowerPoint presentation in which you do the following:

    · Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

    · Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

    · Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

    · Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

    · Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

    · Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

    · Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

    · Add a lessons learned section that includes the following:

    · A summary of the critical appraisal of the peer-reviewed articles you previously submitted

    · An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

    **Alternate Submission Method**

    You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the
    [Kaltura Media Uploader guideLinks to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/WWOW/Canvas/1001/pulse_check/kaltura/index.html). This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only "Screen" and "Audio" are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the "Posting Your Video in the Classroom Guide" found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.

    **## MD4AssgnsilvaApart3b1.docx**

    1

    **Part 3B: Critical Appraisal of Research and Best Practice Proposal**

    Anthony Silva

    Walden University

    Professor Connie Cooper DNP

    NURS-6052C Essential of Evidence Based Practice

    October 10th 2025

    Part 3B: Critical Appraisal of Research and Best Practice Proposal

    The four appraised studies collectively demonstrate that alarm fatigue among critical care nurses is a pervasive issue linked to stress, burnout, and delayed response to patient alarms. While the studies vary in setting and design, they converge on the conclusion that structured alarm management education, supportive institutional policies, and workload optimization significantly reduce alarm fatigue and improve nurse responsiveness.

    **Synthesis of Evidence**

    Two of the studies—Alkubati et al. (2024) and Salameh et al. (2024)—used descriptive cross-sectional designs to identify predictors of alarm fatigue across multiple hospitals in Saudi Arabia and Palestine. Both found that high workload, frequent false alarms, and inadequate training increased alarm fatigue levels. Alkubati et al. (2024) reported that alarm fatigue was prevalent among nurses in critical care units and associated with specific demographic and professional characteristics, suggesting that targeted interventions are needed for high-risk groups. Similarly, Salameh et al. (2024) showed a positive correlation between perceived stress and alarm fatigue, highlighting the psychological burden associated with constant alarm exposure.

    In contrast, Kibar and Özsaban (2025) provided interventional evidence using a quasi-experimental pre-/post-design. Their 90-minute alarm-management training program significantly improved nurses’ knowledge and alarm-handling behaviors and reduced alarm-fatigue scores (p < 0.001). Observational data also revealed faster response times following training, demonstrating tangible behavioral changes. This study offers practical support for implementing structured education as an effective and feasible intervention.

    In line with these results, Nyarko et al. (2024) correlated alarm fatigue with burnout in critical care nurses in Ghana, indicating that institutional alarm policies and years of experience were protective factors. The research highlighted the role of hospital-level policies in the prevention of alarm fatigue and its psychological consequences. Collectively, these findings suggest that individual-level training and organizational-level policy change is needed to maintain change.

    **Best Practice Recommendation**

    The best practice that arises, according to the synthesis, is the use of a comprehensive alarm-management program that integrates (1) systematic nurse education, (2) institutional development of alarm-policies, and (3) stress-reduction programs. Kibar and Ozsaban (2025) results demonstrate the usefulness of brief and targeted training sessions when it comes to fatigue reduction and alarm responsiveness. Alkubati et al. (2024) and Nyarko et al. (2024) emphasize the need to have system-wide policies that define the standards of alarm management and reduce the number of false or unnecessary alerts. Finally, Salameh et al. (2024) note that alarm fatigue is a precursor and an outcome of psychological stress, therefore, technical interventions must be supported by resilience-building interventions and sustainable nurse-to-patient ratios.

    The highlighted best practice can facilitate patient safety by minimizing missed alarms, enhance the welfare of nurses by minimizing stress and burnout, and enhance compliance with international safety standards, such as the recommendations delineated by the American Association of Critical-Care Nurses (AACN). The interventions are both low-risk and cost-effective; therefore, the strategy can be used in a wide variety of critical-care facilities, including resource-constrained ones, where alarm fatigue has been cited as a matter of special concern.

    **References**

    Alkubati, S. A., Alsaqri, S. H., Alrubaiee, G. G., Almoliky, M. A., Alqalah, T. A. H., Pasay-An, E., Alrasheeday, A. M., & Elsayed, S. M. (2024). Levels and factors of nurses’ alarm fatigue in critical-care settings in Saudi Arabia: A multicenter cross-sectional study.
    _Journal of Multidisciplinary Healthcare, 17_, 793–803.
    [https://doi.org/10.2147/JMDH.S452933](https://doi.org/10.2147/JMDH.S452933)

    Kibar, D., & Özsaban, A. (2025). Impact of alarm management training on adult ICU nurses’ knowledge, behaviour, and fatigue: A quasi-experimental study.
    _Journal of Evaluation in Clinical Practice, 31_(4).
    [https://doi.org/10.1111/jep.70127](https://doi.org/10.1111/jep.70127)

    Nyarko, B. A., Yin, Z., Chai, X., & Yue, L. (2024). Nurses’ alarm fatigue, influencing factors, and its relationship with burnout in the critical-care units: A cross-sectional study.
    _Australian Critical Care._ https://doi.org/10.1016/j.aucc.2023.11.012

    Salameh, B., Abdallah, J., Alkubati, S. A., AlBashtawy, M., & others. (2024). Alarm fatigue and perceived stress among critical-care nurses in the intensive-care units: Palestinian perspectives.
    _BMC Nursing, 23_, 261.
    [https://doi.org/10.1186/s12912-024-01897-x](https://doi.org/10.1186/s12912-024-01897-x)

    – 1
    – 2

  • [Solved] POWER POINT 2

    ✓ Verified Academic Solution Available

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    – ## POWERPOINT2.docx **## POWERPOINT2.docx** **To Prepare:** · Review the Resources and identify one change that you believe is called for in your organization/workplace. · This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Ass…

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    Assignment Prompt & Instructions

    – ## POWERPOINT2.docx

    **## POWERPOINT2.docx**

    **To Prepare:**

    · Review the Resources and identify one change that you believe is called for in your organization/workplace.

    · This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.

    · Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

    **The Assignment (5-6-minute narrated PowerPoint presentation):**

    **Change Implementation and Management Plan**

    Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.

    Your narrated presentation should be 5–6 minutes in length.

    Your Change Implementation and Management Plan should include the following:

    · An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)

    · A description of the change being proposed

    · Justifications for the change, including why addressing it will have a positive impact on your organization/workplace

    · Details about the type and scope of the proposed change

    · Identification of the stakeholders impacted by the change

    · Identification of a change management team (by title/role)

    · A plan for communicating the change you propose

    · A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

    **Alternate Submission Method**

    You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the
    [Kaltura Media UploaderLinks to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/WWOW/Canvas/1001/pulse_check/kaltura/index.html) page. This page will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only "Screen" and "Audio" are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the "Posting Your Video in the Classroom Guide" found on the Kaltura Media page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.

    · Broome, M., & Marshall, E. S. (2021).
    _Transformational leadership in nursing: From expert clinician to influential leader_ (3rd ed.). New York, NY: Springer.

    · Chapter 4, “Practice Model Design, Implementation, and Evaluation” (pp. 99–154)

    · Boustani, M., Azar, J., & Solid, C. A. (2020).
    [Agile implementation: A model for implementing evidence-based healthcare solutions into real-world practice to achieve sustainable changeLinks to an external site.](https://ebookcentral.proquest.com/lib/waldenu/reader.action?docID=6448073&ppg=1). Morgan James Publishing.

    · Campbell, R. J. (2020).
    [Change management in health careLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00126450-202004000-00003&LSLINK=80&D=ovft).
    _Health Care Manager_,
    _39_(2), 50–65.

    ·
    [National Institute of HealthLinks to an external site.](https://www.nih.gov/health-information). (n.d.). https://www.nih.gov/health-information

    · Reinhardt, A. C., Leon, T. G., & Summers, L. O. (2022).
    [The transformational leader in nursing practice — An approach to retain nursing staffLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=eue&AN=159013099&site=eds-live&scope=site&custid=s6527200).
    _Administrative Issues Journal: Education, Practice, and Research_,
    _12_(1), 1–12. https://doi.org/10.5929/2022.12.1.1

    **## POWERPOINT2.docx**

    **To Prepare:**

    · Review the Resources and identify one change that you believe is called for in your organization/workplace.

    · This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.

    · Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

    **The Assignment (5-6-minute narrated PowerPoint presentation):**

    **Change Implementation and Management Plan**

    Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.

    Your narrated presentation should be 5–6 minutes in length.

    Your Change Implementation and Management Plan should include the following:

    · An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)

    · A description of the change being proposed

    · Justifications for the change, including why addressing it will have a positive impact on your organization/workplace

    · Details about the type and scope of the proposed change

    · Identification of the stakeholders impacted by the change

    · Identification of a change management team (by title/role)

    · A plan for communicating the change you propose

    · A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

    **Alternate Submission Method**

    You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the
    [Kaltura Media UploaderLinks to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/WWOW/Canvas/1001/pulse_check/kaltura/index.html) page. This page will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only "Screen" and "Audio" are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the "Posting Your Video in the Classroom Guide" found on the Kaltura Media page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.

    · Broome, M., & Marshall, E. S. (2021).
    _Transformational leadership in nursing: From expert clinician to influential leader_ (3rd ed.). New York, NY: Springer.

    · Chapter 4, “Practice Model Design, Implementation, and Evaluation” (pp. 99–154)

    · Boustani, M., Azar, J., & Solid, C. A. (2020).
    [Agile implementation: A model for implementing evidence-based healthcare solutions into real-world practice to achieve sustainable changeLinks to an external site.](https://ebookcentral.proquest.com/lib/waldenu/reader.action?docID=6448073&ppg=1). Morgan James Publishing.

    · Campbell, R. J. (2020).
    [Change management in health careLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00126450-202004000-00003&LSLINK=80&D=ovft).
    _Health Care Manager_,
    _39_(2), 50–65.

    ·
    [National Institute of HealthLinks to an external site.](https://www.nih.gov/health-information). (n.d.). https://www.nih.gov/health-information

    · Reinhardt, A. C., Leon, T. G., & Summers, L. O. (2022).
    [The transformational leader in nursing practice — An approach to retain nursing staffLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=eue&AN=159013099&site=eds-live&scope=site&custid=s6527200).
    _Administrative Issues Journal: Education, Practice, and Research_,
    _12_(1), 1–12. https://doi.org/10.5929/2022.12.1.1

  • [Solved] Motivation Psychology #2

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Self-motivation impacts job performance. The workplace allows for a multitude of ways in which employees can be motivated, both internally and externally. In addition, there are many ways employees can have their own needs met through this process. Imagine that you are a human resource professional …

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    Assignment Prompt & Instructions

    Self-motivation impacts job performance. The workplace allows for a multitude of ways in which employees can be motivated, both internally and externally. In addition, there are many ways employees can have their own needs met through this process.
    Imagine that you are a human resource professional within a manufacturing organization that has 500 employees. The company is having issues relating to the motivation of its employees. Employee surveys have indicated that they feel that their needs (both physiological and psychological) are not being adequately met in the workplace. The company management wants to make sure that this issue is addressed. You have been asked to prepare a presentation demonstrating the role of self-motivation in job performance that will be shown to department managers across the organization, including specific examples showing how the concepts can be applied.
    ##### **Assessment Prep**
    **Locate** a minimum of 2 peer-reviewed journal articles in the [University Library](https://library.phoenix.edu/home) that relate to motivation and needs (either physiological or psychological). At least 1 of your articles should fit in with the theory you choose to discuss in your presentation.
    ##### **Assessment Deliverable**
    **Create** a 10- to 12-slide presentation (including an introduction and conclusion slide) addressing the following:
    – Define 2 types of needs―physiological and psychological―in relation to human motivation in a work setting. Also, do the following:
    – Apply at least 1 theory (such as self-determination, drive theory, cognitive evaluation, or Herzberg’s two-factor theory) to show how the needs affect behavior and motivation in the workplace. One of your journal articles needs to be used as a cited source in this portion.
    – Explain the importance of self-motivation in the workplace and how this relates to the 2 types of needs you defined.
    – Describe how self-motivation improves management skills and how this will benefit employees.
    – Explain how organizations are affected by unmet employee/human needs. Provide at least 1 specific example that demonstrates this connection.
    – Explain how managers might improve employee experiences and help them become more self-motivated, using at least 1 specific example.
    **Include** a title slide, a reference slide, and detailed speaker notes of at least 50 words per slide.
    **Cite** at least 2 peer-reviewed journal articles.
    **Format** your citations and references according to APA guidelines.
    **To maintain transparency and academic integrity, you must disclose the use of AI when submitting an assignment. This applies whenever you incorporate AI-generated content into your writing. If you use AI to complete a discussion response or an assignment, include a statement describing the specific AI tool(s) or resources you used and how you used them. Please see** [**The Center for AI Resources**](https://multimedia.phoenix.edu/ai-resources/using-ai-at-uopx) **for complete details about using and citing AI.**
    **Submit** your assessment.
    ##### **Assessment Support**
    – Review the [grading rubric](https://multimedia.phoenix.edu/cms/202447869) for guidance on deliverable expectations.
    – Review the [Create a Presentation](https://multimedia.phoenix.edu/cms/202336143) section for guidance on how to make and record a presentation.
    – Review [Create a Presentation in PowerPoint](https://support.microsoft.com/en-us/office/create-a-presentation-in-powerpoint-422250f8-5721-4cea-92cc-202fa7b89617), [Add Speaker Notes to Your Slides](https://support.microsoft.com/en-au/office/add-speaker-notes-to-your-slides-26985155-35f5-45ba-812b-e1bd3c48928e), and [Record Your Presentation](https://support.microsoft.com/en-us/office/record-your-presentation-ddc4432c-79f6-4add-b85e-1009815d955c) from Microsoft for guidance on how to begin a presentation using Microsoft PowerPoint.
    – Review [Find the Perfect PowerPoint Presentation Template](https://create.microsoft.com/en-us/powerpoint-templates) for a variety of different presentation templates or use the [Presentation Assessment Template](https://multimedia.phoenix.edu/cms/202341800).
    – Review “ [What is a Peer-Reviewed Journal?](https://www.youtube.com/watch?v=-nwBFx2iaOI)” and “ [Locating a Peer-Reviewed Journal](https://www.youtube.com/watch?v=vtsKoHcES3o)” from the University Library for assistance on locating and using peer-reviewed journal articles.
    – Review the following resources for writing guidelines and APA information:
    – [Center for Writing Excellence](https://multimedia.phoenix.edu/cms/cwe/)
    – [Reference and Citation Generator](https://multimedia.phoenix.edu/cms/citation)
    – [Grammar Assistance](https://multimedia.phoenix.edu/cms/202010168/)

  • [Solved] Promoting Organizational health

    ✓ Verified Academic Solution Available

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    In-depth study guidance and analytical solution covering Promoting Organizational health.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.