Peer observation in nursing - There were 49 patients in the experimental group.

 
Scopus, Ebsco CINAHL, and Cochrane Library), identifying peer-reviewed articles published in English language from database inception to 20th June 2021. . Peer observation in nursing

Journal of Psychosocial. Peer observers are encouraged to share their experiences of and feelings about being observed in their own classes in order to foster trust and mutuality in the observation process. The feedback session took about 20 minutes. For the project aims, pre- and post-intervention unit-level data related to nursing-sensitive elements of patient satisfaction and safety were compared. This review has highlighted current nursing practice in vital signs monitoring. Peer review is practice-focused. Provide observation to ensure clinical competence. Peer observation demands the teaching community to observe each other&39;s. You are required to include content on What is involved in a diabetic foot assessment What the person with diabetes should do to monitor their feet What to look for What to expect when the nurse. 5 successfully completed a debriefing survey. peer assessment, team assessment andor 360 degree feedback Analyses performance data and. Apply for a Montgomery Area Mental Health Authority, Inc Certified Adult Peer Specialist job in Montgomery, AL. Peer observers are encouraged to share their experiences of and feelings about being observed in their own classes in order to foster trust and mutuality in the observation process. . Nursing peer review committee members were also. A peer-to-peer model can improve practicing nurses&x27; health and reduce stress, while simultaneously offering nurse practitioner students the opportunity to build their mental health education and get an honest look at the realities of their new workplace. Organizational variables include heavy workload, technology, and observation chart design. COLLEGE OF NURSING AND HEALTH INNOVATION Brandon Respress brandon. Free, fast and easy way find a job of 826. A new study in the January 2023 issue of The Joint Commission Journal on Quality and Patient Safety evaluated the feasibility and fidelity of implementing the Co-Worker Observation System (CORS), a tool and process to address disrespectful behavior through feedback from trained peer messengers, for staff nurses. Moreover, maximum variation of sampling (in terms of sex and academic term) enhanced the confirmability and credibility of the data. J Nurs Educ. Log In My Account ay. Hospital deductibles and copayments apply. edu Melissa Lagrone mlagroneuta. Though some groupings exist around labels such as "peer review of teaching" (PRT) and "peer observation of teaching" (POT), these terms are often used without reference to commonly accepted definitions. This article discusses some of the complexities involved when nurse researchers seek to collect observational data on social processes in naturalistic settings using unstructured or structured observational methods in. The six practice principles of nursing peer review are as follows 8 A peer is someone of the same rank. , 2013, Bradley et al. Jan 3, 2023 Baldwin said the beauty of the peer-reporting system is it allows a trained peer messenger to resolve the issue with the nurse that trigged the report, and the incident is not reported to. Quantitative data were collected by the modified Peer Caring Measurement (PCM) and analyzed using descriptive and inferential statistics. Devaluing of tacit practice may encourage experienced nurses to leave inpatient units, at a time when hospitals struggle to address nursing shortages worldwide. Flow chart to assist in selecting type of structured observation 8. observation, or that this designation significantly impacts coverage, payment and cost-sharing expenses under the Medicare program. Commonly, peer observation involves two colleagues &x27;pairing up&x27; in order to reciprocally observe and provide feedback on each other&x27;s teaching. Variations on this structure can also be effective e. Nursing peer review committee members were also. Paradoxical dualism. Observation Participant and non-participant observation are powerful tools for collecting qualitative data, as they give nurse researchers an opportunity to capture a wide array of informationsuch as verbal and non-verbal communication, actions (eg, techniques of providing care) and environmental factorswithin a care setting. Peer observation is a collegial process of obtaining feedback from a tenured faculty colleague. Nursing management owned every aspect of the peer review process. Delivers nursing care responsibly and accountably as described professionally by the American Nurses Association (ANA) and legally by the State of Michigan. Simple random sampling method was used to select nursing institutions that was included in the study and convenience sampling method was. edu Regina Urban rurbanuta. Oct 24, 2020 Although peer learning has been used for many years in nursing education, there have been inconsistencies in the educational outcomes or reactions. Diana Ivy, Professor of. Evaluates and recognizes changes in patients&39; physical and psychosocial status and revises the plan of care as necessary. The Victorian Childrens Tool for Observation and Response (ViCTOR) charts are age-specific track and trigger paediatric observation charts for use in Victorian hospitals, and are designed. This form is intended for the faculty member who will be observed to complete in advance of the pre-observation meeting. All individuals, whether patients or co-workers have the right to decide on their participation in care and work. This article discusses some of the complexities involved when nurse researchers seek to collect observational data on social processes in naturalistic settings using unstructured or structured observational methods in. 2, 3 in western countries, the incidence of dvt is reported to be as high as 1040 in medical and surgical patients without preventive measures, and 40 of sudden deaths after gynecological surgery are attributed to pe secondary to dvt. Interpersonal relations with other health care workers are regularly fostered in a courteous and friendly manner as evidenced by managerial observation and peer input. Challenges in using observation relate to adopting the role of participant or non-participant researcher as observer. A list of Stockton tenured faculty specifically trained. The researchers believe the study supports that CORS can be successfully implemented with staff nurses when nursing infrastructure is adequate. CONHS Faculty Highlights Congratulations to Dr. skills explores how nurses can improve their listening and information-gathering. Peer review is practice-focused. Jan 29, 2021 In the peer review model, academic faculty members observe each others teaching and use these observations to generate reflective discussions and collaborative development on their teaching practices (Gosling, 2002); this model usually involves four phases preobservation meeting, observation, postobservation feedback, and reflection. Peer review is practice-focused. The initial program involved designating peer coaches to provide real-time feedback on infection control practices to coworkers and targeting coaches&39; observations using data from both observations shared by coaches in daily huddles and weekly audit data about hand hygiene, masking, and transmission-based precautions. Quantitative analysis of the observation behavior of nurses with rich clinical experience will yield effective educational data for. CINAHL and Medline are the key databases employed in nursing research. Peer Observation of Teaching About Teaching Observations The goal of peer observation of teaching is to foster a culture of teaching excellence and a community of instructors who share a passion for continuous improvement of learning outcomes. Devaluing of tacit practice may encourage experienced nurses to leave inpatient units, at a time when hospitals struggle to address nursing shortages worldwide. Organizational variables include heavy workload, technology, and observation chart design. 9 Report of concernpossibly egregious 5. This is different from Peer Evaluation of teaching, which is the review of teaching with the purpose of assessing and improving the quality of teaching as described contractually. Although feedback through learner evaluations is common, these evaluations can be untimely, non-specific, and potentially biased. It checks description of the phenomena against what the researcher perceives to be fact in a rich experiential context. It involves a person-centred approach to actively engage with people receiving care and their families and carers. A nursing conceptual model gives direction and an orderly way to research in a nursing field. Nursing variables include clinical knowledge, roles and responsibilities, and reporting of deteriorating vital signs. Demonstrates competency through the critical thinking model known as the nursing process. Conclusion Peer mentoring shows promise as an effective strategy to reduce anxiety among novice nursing students. 2 Of the peer messages, 76. Indeed, peer check was performed by five expert supervisors of nursing and experts in qualitative research. 0 (5 reviews). Several studies demonstrate how . Jan 29, 2021 In the peer review model, academic faculty members observe each others teaching and use these observations to generate reflective discussions and collaborative development on their teaching practices (Gosling, 2002); this model usually involves four phases preobservation meeting, observation, postobservation feedback, and reflection. Using actors as simulated patients, a three-station OSCE circuit was repeated three times so that students could rotate through the roles as &39;candidate&39;, &39;examiner&39; and &39;observer&39;. 1636 Although review of these models is beyond the scope of this chapter, common elements of these models are selecting a practice topic (e. Crossref Medline Google Scholar; Flagg R. Peer observation of teaching can be used for both summative and formative purposes. Implications for the Professional Nurse. Ideally, the members of the peer group will support their ill friend. A magnifying glass. A peer is someone of the same rank. 1 PDF View 2 excerpts, cites background. Observation is constantly using sight, hearing, smell and touch combined with your knowledge of the older adult to monitor any changes to their health or social wellbeing. A magnifying glass. Peer observation is about teachers observing each others&x27; practice and learning from one another. One-to-One Observation A Systematic Review. 2, 3 in western countries, the incidence of dvt is reported to be as high as 1040 in medical and surgical patients without preventive measures, and 40 of sudden deaths after gynecological surgery are attributed to pe secondary to dvt. Makes observations of. COMMUNICATION & PRESENTATION. Hospital inpatients receive Part A benefits and are also entitled to post-hospital skilled nursing facility (SNF) coverage after three consecutive hospital inpatient days. Multiple models of EBP are available and have been used in a variety of clinical settings. A questionnaire was used to assess the knowledge of nurses and an observation checklist was used to. Quantitative data were collected by the modified Peer Caring Measurement (PCM) and analyzed using descriptive and inferential statistics. The descriptive statistics for the no-observation versus the observation conditions are presented in Table 1. Peer review provides a mechanism to ensure that new nursing standards of care are addressed. Hospital deductibles and copayments apply. Nov 27, 2015 In this study, we describe the use of peer observation to evaluate student performance during a home visit simulation scenario using a standardised patient to explore whether serving as a peer observer supports vicarious learning to promote skill development in areas of assessment, communication, critical thinking and technical skills. Conclusions Findings from this study indicate that integrating peer observation into simulation experiences can enhance student learning, particularly in the areas of assessment and communication. 20 (c) A person must establish a nursing peer review committee to conduct nursing peer review in accordance with NPR Law (Chapter 303 of the Texas Occupations Code) and the NPA (Chapter 301 of the Texas Occupations Code) for vocational nurses if the person regularly employs, hires, or. Makes observations of. Peer observation can be either formative or summative. Peer review fosters a continuous learning culture of. For example, areas of focus could include pedagogical approaches, curriculum planning, assessment strategies or opportunities for student voice and agency within the lesson. Practice points. While such discreet practice is productive for everyday clinical work, the invisibility of nursing observations undermines the status of acute inpatient psychiatric nurses. Peer observation gives teachers an opportunity to learn from each other in a non-threatening environment. Shadowing enhanced students' negotiating style, a result attributed to close contact, concentrated activity, a role model, and cognitive learning activities to support retention. A peer or supervisor observes handoff, then provides feedback to the handoff giver and receiver, httpslinks. Geosciences, an international, peer-reviewed Open Access journal. Published 11th Feb 2020. The observation process can lead to Improvement To. Peer observation in nursing. 2016;55 (11)651-654. The Co-Worker Observation System (CORS) is a tool and a process to address disrespectful behavior through feedback from trained peer messengers. So if the aim of a study is to understand nursing practices, set in the context of the nursing practice environment, then an observational study should be considered. The six practice principles of nursing peer review are as follows 8 A peer is someone of the same rank. Teaching experience, not evaluation. Provision 2. 01 M copper sulphate (CuSO 4) and 30 ml prepared extract of C. It checks description of the phenomena against what the researcher perceives to be fact in a rich experiential context. Abstract Objective To pilot test and refine an infection control peer coaching program, Infection Control Amplification in Nursing Centers (ICAN), in partnership with providers. I&x27;m Janice Sisco, BSN, MHA, RN, Manager of the Medicine Observation Unit. noun (1) An assessment of a patient&x27;s condition, or analysis of data collected on one or more patients by the investigatorstaff as required by protocol. Aim To use a formative objective structured clinical examination (OSCE) for skills acquisition and development in giving feedback, whilst facilitating awareness of the importance of communication skills in clinical practice. The nurse should observe the patient, noting their gait, posture and ease of movement, communication ability, physical appearance and general mental alertness orientation . Design Whittemore and Knafl&39;s (2005) five-step strategy for integrated literature reviews served as a framework for this. 5 successfully completed a debriefing survey. Although the methods used are not exclusive to ethnography, it is the depth of fieldwork and the continuous process of engaging with participants and their natural environments that is central and adds strength to the findings of ethnographic studies. NAs at this. Principle 3 Feedback is timely, routine, and a continuous expectation. The most common sites of measuring the peripheral pulses are the radial pulse, ulnar pulse, brachial pulse in the upper extremity, and the posterior tibialis or the dorsalis pedis pulse as well as the femoral pulse in the lower extremity. Nursing peer review committee members were also. View job listing details and apply now. ears, nose, mouth). Case Study Mr. A peer-to-peer model can improve practicing nurses&x27; health and reduce stress, while simultaneously offering nurse practitioner students the opportunity to build their mental health education and get an honest look at the realities of their new workplace. This article discusses some of the complexities involved when nurse researchers seek to collect observational data on social processes in naturalistic settings using unstructured or structured observational methods in. Feedback is timely, routine, and a continuous expectation. Code 217. Objective observation is visible and measurable signs that are usually factual. J Nurs Educ. Appropriate medical care 6. Observation allows a first-hand account of behaviours, events, actions and interactions to be obtained, 3 4 thus allowing a picture of actual practices to be captured. Earth-observation technology has unique advantages in long-time series regional data accumulation, multi-parameter high-frequency monitoring, multi-factor comprehensive analysis, and emergency relief support. Teachers invite colleagues into their classes to observe what their students are doing, then reflect and meet to discuss ways to enhance teaching and learning. MentorshipPeer Support. who the &x27;peer&x27; is in peer observation is an important consideration (gosling 2002), with the most successful interactions being collegial partnerships between those who are equals in terms of teaching and learning, although not necessarily in administrative terms (bell & mladenovic 2008; anderson, parker & mckenzie 2009; kell & annetts 2009;. Peer observations generally consist of pre-observation, observation, and post-observation, and may include a reflective summary. While such discreet practice is productive for everyday clinical work, the invisibility of nursing observations undermines the status of acute inpatient psychiatric nurses. All methods require skill on the part of the researcher, and all produce a large amount of raw data. medicine, nursing, and pharmacy) participated in the workshop from . observation, or that this designation significantly impacts coverage, payment and cost-sharing expenses under the Medicare program. Peer Observation of Teaching About Teaching Observations The goal of peer observation of teaching is to foster a culture of teaching excellence and a community of instructors who share a passion for continuous improvement of learning outcomes. Research projects can originate from a need identified by a unit practice council, a clinical nurses observation, or a question identified in the literature. Commonly, peer observation involves two colleagues pairing up in order to reciprocally observe and provide feedback on each others teaching. To be most effective, formative evaluations should be confidential and should remain the property of the instructor being observed. The six practice principles of nursing peer review are as follows 8 A peer is someone of the same rank. Understanding the difference between subjective and objective nursing data helps nurses differentiate between what the patient is reporting and what the medical evidence suggests. While such discreet practice is productive for everyday clinical work, the invisibility of nursing observations undermines the status of acute inpatient psychiatric nurses. Variations on this structure can also be effective e. observation, or that this designation significantly impacts coverage, payment and cost-sharing expenses under the Medicare program. 2 Of the peer messages, 76. , 2017). Simple random sampling method was used to select nursing institutions that was included in the study and convenience sampling method was. Peer review is practice-focused. Using actors as simulated patients, a three-station OSCE circuit was repeated three times so that students could rotate through the roles as &39;candidate&39;, &39;examiner&39; and &39;observer&39;. No observation was done in the first three. Nursing variables include clinical knowledge, roles and responsibilities, and reporting of deteriorating vital signs. The Co-Worker Observation System (CORS) is a tool and a process to address disrespectful behavior through feedback from trained peer messengers. Feedback is timely, routine, and a continuous expectation. Wellbeing data mayo wellbeing index and AES data. (2010). Local peer observation of teaching is considered an important mechanism for. The importance of baseline observation in Nursing practice Learning Outcome One You will identify what effective communication is, how it is used in nursing, and reflect on the. It checks description of the phenomena against what the researcher perceives to be fact in a rich experiential context. It checks description of the phenomena against what the researcher perceives to be fact in a rich experiential context. The six practice principles of nursing peer review are as follows 8 A peer is someone of the same rank. Considers factors related to safety, effectiveness, cost and impact on practice in the delivery of nursing services. Sep 11, 2011 Peer review is practice-focused. It also opened the dialogue for identifying opportunities for peer assessment and feedback to support work-based education and skills development. The feedback session took about 20 minutes. Observation epitomises the idea of the researcher as the research instrument and involves going into the field, describing and analysing what has been observed (Mays &. Since then, these. Provides direct patient care according to physician&39;s order and appropriate protocols as evidenced by documentation in patient&39;s medical record and direct supervisor or peer observation. This study aimed to determine the effectiveness of peer learning in nursing students using Meta-Analysis. Despite the limitations, the results presented in the meta-analysis suggest a basis for evidence-based peer learning for nursing students. Feedback isn&39;t anonymous. 8 Professional integrity 5. Asking for feedback Clinical nurses&39; perceptions of a peer review program in a community hospital . Pediatric hospitalists play a critical role in the . 20 Research shows new graduates report more negative safety practices and more errors than experienced nurses. Peer Observation of Teaching About Teaching Observations The goal of peer observation of teaching is to foster a culture of teaching excellence and a community of instructors who share a passion for continuous improvement of learning outcomes. , Wellman, N. 2016;55 (11)651-654. Nursing observation is the purposeful gathering of information from people receiving care to inform clinical decision making. 19 (c) and (d) (3) (B). the porn store, sams club horario

Performs specialized nursing functions as educationally prepared. . Peer observation in nursing

Journal of American College Health, 41, 255257. . Peer observation in nursing criminal patterns in brief nyt

The patient should always be a first and primary concern. Organizational variables include heavy workload, technology, and observation chart design. The effects of peer learning in a laboratory were greater than in a clinical site. Peer review fosters a continuous learning culture of patient safety and best practice. Begins to utilize observation skills for data collection, reporting and recording patientresident observations. In her courses, Prof. great teachers teach us, Journal of Professional Nursing, vol. Emotional support, empathy and respect 4. , 2013, Bradley et al. Assures quality health care through use of various measures such as record review, peer review, direct observation, and assessment of individual, family, and community for the desired outcome. View Unit 4 Peer Observation Assessment (POA) AMSL10202FA22 BEGINNING AMER SIGN LANG II. Thus, peer learning caused an increase in self-confidence, accuracy, and skill in the students&x27; performance and a decrease in stress and practical mistakes. When the peers performed nursing care together, they discussed what to do and how to do it beforehand and while performing. Peer review is practice-focused. Make sure you are. Serves patients meals and delivers to nursing unit. Because nurses spend a lot of time with patients, they have a major impact on patient experiences. 12 Mar 2018. Oct 24, 2020 Although peer learning has been used for many years in nursing education, there have been inconsistencies in the educational outcomes or reactions. Involve the family, parents and carers in the assessment process. This article has been double-blind peer reviewed. Methods Medical and nursing students took part in a formative OSCE. The met Using observational methods in nursing research. Hospital inpatients receive Part A benefits and are also entitled to post-hospital skilled nursing facility (SNF) coverage after three consecutive hospital inpatient days. Involvement of, and support for. Peer observation of classroom and clinical teaching has received increased attention over the past decade in schools of nursing. Peer review fosters a continuous learning culture of. Peer review fosters a continuous learning culture of. A magnifying glass. who the &x27;peer&x27; is in peer observation is an important consideration (gosling 2002), with the most successful interactions being collegial partnerships between those who are equals in terms of teaching and learning, although not necessarily in administrative terms (bell & mladenovic 2008; anderson, parker & mckenzie 2009; kell & annetts 2009;. However, with careful and systematic analysis 12 the data yielded with. The goal of nursing observation is to develop rapport, and contribute to assessment and recovery. This article presents a background to peer observation and highlights its relevance to health-care professionals. A peer is someone of the same rank. It indicates, "Click to perform a search". We conclude that peer learning is a rapidly developing aspect of nursing education which has been shown to develop students&x27; skills in communication, critical thinking, and self-confidence. Qualitative research is critical for studies about regulatory issues in nursing and across all health professions. Objective observation is visible and measurable signs that are usually factual. Physical assessment is defined as the process in which a health care professional examines a patient's body for signs and symptoms of the disease. Log In My Account ay. 4 to 83. Verified employers. nursing is the observable actions that are affected by the nurses beliefs and feelings about meeting the patients need for help. Want create site With you can do it easy. 19 hours per week in a range of activities, of a total of 29. 913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021. Engages in activities related to the professional role and seeks to continually advance knowledge and competence related to nursing practice while completing self and peer evaluation of nursing practice. Peer evaluation is a systematic feedback process by which students critically appraise, assess, make judgments, and review the quality of their colleagues&39; behaviors and skills. So if the aim of a study is to understand nursing practices, set in the context of the nursing practice environment, then an observational study should be considered. Citation Parkinson B (2016) Using evaluation to improve teaching and revalidation. Evaluates and recognizes changes in patients&39; physical and psychosocial status and revises the plan of care as necessary. The three core approaches to data collection in qualitative researchinterviews, focus groups and observationprovide researchers with rich and deep insights. The Co-Worker Observation System (CORS) is a tool and a process to address disrespectful behavior through feedback from trained peer messengers. Provides direct patient care according to physician&39;s order and appropriate protocols as evidenced by documentation in patient&39;s medical record and direct supervisor or peer observation. While such discreet practice is productive for everyday clinical work, the invisibility of nursing observations undermines the status of acute inpatient psychiatric nurses. We included nine trials (eight RCTs, one controlled before and after study) involving 1846 people. A peer or supervisor observes handoff, then provides feedback to the handoff giver and receiver, httpslinks. Observations should be performed at least once per hour if the patient Has previous observations within the shaded orange or red zone (unless modified) Was transferred from PICUNICU (as clinically indicated) Is receiving PCA, Epidural, or Opioid infusion Is receiving an Insulin infusion has ICP monitoring is receiving oxygen therapy. Objective nursing data is gathered and assessed using any of the nurse&x27;s symptoms. Objectives The aim of this review was to explore how nurse education prepares students to participate in the peer review process and to deal with the benefits and challenges of giving and receiving peer feedback. 1636 Although review of these models is beyond the scope of this chapter, common elements of these models are selecting a practice topic (e. Dining Observation - Each survey team member will be assigned a dining area. Using the six peer-review practice principles below (which are based on the ANA Guidelines) helps ensure a consistent, evidence-based approach to peer review. Peer review is practice-focused. When the peers performed nursing care together, they discussed what to do and how to do it beforehand and while performing. Involvement of, and support for. Additionally, it was observed that associates are voluntarily and involuntarily leaving their roles. Sithccc 018 Assessment 2 -Practical Observation-edited; Preview text. Delivers nursing care responsibly and accountably as described professionally by the American Nurses Association (ANA) and legally by the State of Michigan. 9 Report of concernpossibly egregious 5. OhioHealth, WE Care Peer Support Just-In-Time Training, 9212021 10000 PM - 9212024 15900 PM, OhioHealth leadership identified a staffing gap among clinical associates. Background Observation is an important skill for making appropriate nursing decisions and engaging in good practice. Psychiatric inpatients&x27; experience of nursing observation A United Kingdom perspectives. com2fnursing-peer-review-principles-and-practice2fRK2RS7NlV1rHaJ6Ltk5Y8nGl0Be5O0fs- referrerpolicyorigin targetblankSee full list on myamericannurse. Research projects can originate from a need identified by a unit practice council, a clinical nurses observation, or a question identified in the literature. However, experts&x27; observation behavior and cognitive processes cannot be easily verbalized or documented in an objective and accurate manner. Formative peer observations give the instructor opportunities to reexamine their teaching with an observer who is a colleague. Objective nursing data is gathered and assessed using any of the nurse&x27;s symptoms. Peer Observation Cover Letters. Peer review provides a mechanism to ensure that new nursing standards of care are addressed. A peer-to-peer model can improve practicing nurses health and reduce stress, while simultaneously offering nurse practitioner students the opportunity to build their mental health. CONHS Faculty Highlights Congratulations to Dr. Peer review fosters a continuous learning culture of. Data is collected via an interview with the patient and or significant others. While such discreet practice is productive for everyday clinical work, the invisibility of nursing observations undermines the status of acute inpatient psychiatric nurses. such as bedside teaching in nursing or experimental demonstrations in physics (Buchanan & Parry, 2019; Georgiou et al. Sample figure of estimating reactivity 9. This study aimed to determine the effectiveness of peer learning in nursing students using Meta-Analysis. 11 May 2022. Performs comprehensive assessments and re-assessments of the patient&x27;s condition and care needs including the psychosocial, physical, educational and cultural aspects as evidenced by supervisor. The initial program involved designating peer coaches to provide real-time feedback on infection control practices to coworkers and targeting coaches&39; observations using data from both observations shared by coaches in daily huddles and weekly audit data about hand hygiene, masking, and transmission-based precautions. Methods Medical and nursing students took part in a formative OSCE. Clinicians measure the carotid pulse in the neck. Pre-Observation Two-part process consisting of 1) examining the course materials, and 2) having an intentional conversation with the instructor about class expectations and context to provide necessary background for. Qualifications Required Associate&39;s Degree Nursing. Apply for a Montgomery Area Mental Health Authority, Inc Certified Adult Peer Specialist job in Montgomery, AL. . decree and declare prayer points pdf