Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective

It is estimated that more almost 7% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Institute of Mental Health, 2017). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to behavioral issues, adolescent substance abuse issues, and even physical ailments. For this Assignment, you examine a PTSD video case study and consider how you might assess and treat clients presenting with PTSD.

  • View the media Presentation Example: Posttraumatic      Stress Disorder (PTSD) and assess the client in the case study. https://www.youtube.com/watch?v=RkSv_zPH-M4

Note: To complete this Assignment, you must assess the client, but you are not required to submit a formal comprehensive client assessment.

The Assignment

Succinctly, in 2 pages, address the following:

  • Briefly explain      the neurobiological basis for PTSD illness.
  • Discuss the DSM-5 diagnostic criteria for PTSD and      relate these criteria to the symptomology presented in the case study.      Does the video case presentation provide sufficient information to derive      a PTSD diagnosis? Justify your reasoning. Do you agree with the other      diagnoses in the case presentation? Why or why not?
  • Discuss one      other psychotherapy treatment option for the client in this case study.      Explain whether your treatment option is considered a “gold standard      treatment” from a clinical practice guideline perspective, and why using      gold standard, evidence-based treatments from clinical practice guidelines      is important for psychiatric-mental health nurse practitioners.

Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Also attach and submit PDFs of the sources you used.

Discuss forms of telehealth that you learned about in the video that were new to you.

These are two discussion questions, could they be just about one page each. Module 2 Your reading assignments this week have taken you through the Human Technology Interface and Informatics tools used to promote patient safety and quality outcomes. For this discussion post, think about all of the different health technologies that exist within healthcare organizations today and describe how they are meant to improve patient safety and quality. Also, how may they negatively impact quality of safety if not used appropriately or effectively? Locate some specific examples from journals in which there was a failure of technology that negatively impacted quality and describe your thoughts on how to avoid these failures. Note: There will be a major Health IT paper near the end of class that also has you select an emerging healthcare technology to write about, so if you read that assignment before completing this discussion post, you may be able to utilize much of your work on this discussion post within that paper as well.

Module 4 For this discussion post, watch the linked Youtube video https:// www.youtube.com/watch?v=8C0qB4w_fk8 (60 minutes) Write a discussion post detailing your thoughts on the video. Discuss forms of telehealth that you learned about in the video that were new to you. Also discuss any forms of telehealth that you have personally had experience with. Finally, discuss specific examples of how you see telehealth as a way to promote population health in both rural communities as well as in the hospital setting. To assist you, this is the APA citation to this Youtube video (you’re welcome!): [Harvard University]. (2015, May 18). TELEHEALTH: How New Technologies Are Transforming Health Care [Video File]. Retrieved from https://www.youtube.com/watch?v=8C0qB4w_fk8

 

https://www.youtube.com/watch?v=8C0qB4w_fk8
https://www.youtube.com/watch?v=8C0qB4w_fk8
https://www.youtube.com/watch?v=8C0qB4w_fk8

Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.).

Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult.

What are the reasons for this trend?

End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature.

Discuss what are the most common communicable diseases in this population, and why.

Discuss the aspects of a Vulnerable Populations in Healthcare

  • Discuss the reason why is this group considered vulnerable.
  • Discuss what are the most common communicable diseases in this population, and why.
  • Discuss barriers to healthcare and access to care for your vulnerable population.
  • Use information technology to identify resources that will improve health outcomes of the vulnerable population.
  • Examine evidence based practices that improve health outcomes of the vulnerable population.
  • Discuss how the issues this group is facing relates to the community/public health nursing.

Discuss community and public health challenges to improving health outcomes.

Community Assessment

Discuss community and public health challenges to improving health outcomes.

· Illustrate an interdisciplinary approach to improve health outcomes of the community.

·  Examine information technology systems used to identify, communicate, and address health concerns of the community.

· Examine evidence-based practices associated with improving outcomes in community and public health.

· Illustrate the impact that barriers to healthcare access and challenges to improve health outcomes have on community and public health.

· Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.

3 page minimun

Discuss management’s role in the alignment, strategic planning, and governance of an organization’s information technology and technology systems.

Week 4 explores the key concepts in health information technology (HIT) project management, healthcare information systems (HIS), security and organization, and data management and analytics. In addition, Week 4 examines the alignment of HIT with strategic planning, government policy, and healthcare reforms. Each of the above-mentioned topics will influence your practice in healthcare management/administration.

Your Learning Objectives for the Week:

  • Assess the efficiency, effectiveness, and current software applications of an IT department.
  • Examine the design, management, and maintenance of clinical information systems to maintain healthcare data security, enhance quality, decrease costs, and improve patient safety in various healthcare settings.
  • Discuss management’s role in the alignment, strategic planning, and governance of an organization’s information technology and technology systems.

Identify and discuss the research questions, sampling and sampling size, research designs, hypothesis, data collection methods, and research findings from each study.

Topic: Evidence Based Practices to Guide Clinical Practices

·       Explain the interrelationship between the theory, research, and EBP.

·       Identify and discuss the research questions, sampling and sampling size, research designs, hypothesis, data collection methods, and research findings from each study.

·       Identify the goals, health outcomes, and implementation strategies in the healthcare setting (EBP) based on the articles.

·       Discuss the credibility of the sources and the research/researchers findings.

 

8-10 slides

APA Format  References ( two research articles from 2017, and your textbook.

What was the alpha for statistical tests?

MSN5300: Advanced Nursing Inquiry, Research, and Evidence-Based Practice Team:____________

Title of Research Study:

Critical Appraisal Worksheet
Elements of Appraisal Discussion
Study Design
 

Was the study a qualitative or quantitative design? Explain how you know.

Practice Problem
 

State the practice problem/issue that is the focus of the study.

 

How does this practice problem/issue affect your nursing practice?

 

Review of Literature
 

Did the literature review identify what was known and not known about the research problem? Did it logically direct the research purpose?

 

Theoretical Framework
If a conceptual model was not used , explain how using a theoretical framework helps to situate the concepts of interest in the study.

 

If a conceptual model or theoretical framework was used , answer the following questions:

 

Describe how it helps explain the phenomenon of concern.

 

How is the framework linked to the research purpose? Would another framework fit more logically with the study?

 

If a proposition or relationship from a theory is to be tested, is the proposition clearly identified and linked to the study hypothesis?

 

Research Question/ Purpose/Hpothesis)
 

What is the research question?

 

State the research purpose.

 

Formulate a null hypothesis for the study.

Variables
 

List all research variables (independent and dependent variable) with corresponding levels of measurement on the NOIR scale.

 

Do variables represent the concepts identified in the framework?

 

How is each study variable defined (both conceptually and operationally)?

 

Are conceptual definitions of variables consistent with operational definitions?

 

Study Design
 

What was the design of the study? Was it the most appropriate design to answer the study question? Explain.

 

If there was an intervention (treatment) in the study:

· what was the intervention? How was it described? Why is this important?

 

· was the treatment appropriate for examining the study purpose? Explain.

 

· was there a comparison group? control group?

 

· how were subjects assigned to the treatment group?

 

· was a protocol developed for administering the treatment? Why is this important?

 

· did the researcher monitor implementation of the treatment to ensure consistency? How might this impact findings?

 

 

Study Sample
 

Did the sample include an understudied or vulnerable population, such as young, elderly, pregnant, or minority subjects? Why is this important?

 

What sampling criteria (inclusion and exclusion) were used?

 

How were the rights of human subjects protected? Explain.

 

What sampling strategy was used? Is this sampling strategy random or non-random? Why is this important?

 

Was the refusal rate for the study provided? If so:

 

· was it greater than 20%?

 

· how might this have affected the representativeness of the sample?

 

Was the attrition rate for the study provided? If so:

– what was it?

 

– did the researchers provide a rationale for the attrition of study participants?

 

– how did attrition influence the final sample as well as study results?

 

How large is the sample?

 

How was sample size determined? Why is this important?

 

Research Instruments
 

What instruments or tools were used to collect data?

 

How did you determine if the instruments are valid? reliable?

 

Respond to the following questions that are relevant to the measurement approaches used in the study. For measurements not used, indicate N/A.

 

1. Scales and questionnaires

(a) Were the instruments clearly described?

 

(b) Were techniques for completion and scoring of the instruments provided?

 

(c) Were validity and reliability of the instruments described?

 

(d) Did the researcher reexamine the validity and reliability of instruments for the present sample?

 

2. Observation

(a) Were phenomenon that were to be observed clearly identified and defined?

 

(b) Was interrater reliability described?

 

(c) Were techniques for recording observations described?

 

3. Physiological measures

(a) Were physiological measures clearly described? If appropriate, are brand names (ex., Hewlett-Packard) of instruments identified?

 

(b) Were accuracy, precision, and error of physiological instruments discussed?

 

(c) Were physiological measures appropriate for the research purpose and objectives, questions, or hypotheses?

 

(d) Were methods for recording data from physiological measures clearly described? Was recording of data consistent?

 

Data Collection
 

State the data collection procedures.

 

How often were data collected and for how long?

 

Was the data collection process conducted in a consistent manner? Why is this important?

 

Did any adverse events occur during data collection? If adverse events did occur, how were they managed?

 

Data Analysis
 

What statistical tests were used to analyze data?

 

Were statistical tests used an appropriate fit with the level of measurement of the dependent variable? Explain.

 

What assumptions in the data (if any) must be met for the type of statistical tests used? How do you know if these assumptions were met?

 

Did the researcher address any problems with missing data and if so, how was this problem managed?

 

How were data displayed in the published research study? Describe.

 

What was the alpha for statistical tests?

 

Describe how statistical significance was demonstrated (or not) for each variable.

 

Study Results and Interpretation
 

Were study results statistically significant? How did you determine statistical significance?

 

What is your statistical interpretation of study results?

 

Were findings discussed in relation to answering the research question? In other words, was the research question/hypothesis answered? Describe.

 

Were study findings clinically significant? If so:

· discuss implications of the study for nursing practice.

 

· what changes could you make in your practice based on the results of this study?

 

What were the study conclusions? Did conclusions fit the results from the data analyses? Were the conclusions based on statistically significant and clinically important results? Explain.

 

Were study limitations described? Discuss. Do you think the study had weaknesses not identified by the researcher? If so, explain.

 

Did the researcher generalize the findings appropriately? Who will benefit from results of the study? Discuss.

 

Were there any unexpected findings? Discuss.

 

Recommendations for Future Research
 

Discuss study recommendations.

 

Is need for further research identified?

 

Study Rigor
 

In your opinion, did the researchers address aspects of rigor adequately in each step of the research process? Discuss.

 

Would you recommend using the results as evidence for nursing practice? Provide evidence to justify your answer.

 

 

 

Adapted from: Gray, J.R., Grove, S. K., & Sutherland, S. (2017). Burns and Grove’s The practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St.

Louis: Elsevier.

KmR MSN5300 Rev. 7.2021

Which areas of the hospital or clinic were most concerned with your well-being and feelings?

Write a 500-750-word on the Stages-of-Life and the influence of age in health care from a patient’s perspective. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.

Suggested questions:

  1. Do you feel that your stage-of-life had any effect on your interaction with health care professionals?
  2. Which areas of the hospital or clinic were most concerned with your well-being and feelings?
  3. Was your family with you during this hospital stay or outpatient visit?
  4. Was your family included in your treatment, such as post-procedure instructions?