An important part of building evidence-based practice is the development, refinement, and use of quality diagnostic tests and measures in research and practice. Discuss the role of sensitivity and specificity in accuracy of a screening test?
Please include 400 words in your initial post with two scholarly references .
Attached you can find the rubric to following
Using a variety of instruments (Windshield Survey, Community Assessment Tool, Screening interviews, etc.) while in your community, you will assess the community location. This will lead to a list of identified, prioritized health needs and your recommendations for intervention.
You will complete a windshield survey of your community. The objective of a windshield survey is to assess a community in a short, simple way, compiling data to help form an analysis of that community. Simply put, a windshield survey is the equivalent of a community head-to-toe assessment. There are 6 elements that should be included in your windshield survey (See Community Assessment Template Download Community Assessment Template). You will drive through your community and document your findings on a PowerPoint presentation. Take pictures of your community to enhance your PowerPoint presentation.
Topic 1: Healthy People 2030
Healthy People is an initiative of the Office of Disease Prevention and Health Promotion (ODPHP) that addresses health challenges and set projections every 10 years, with the main purpose of improving health indicators nationwide. After completing your readings select three objectives/topics (health problems) of Healthy People 2030 that you consider relevant for your community or region. Of those relevant topics define the one you consider the most crucial or concerning to you. This topic will be from now on the one that to be used for all your class discussions and assignments. It will be “your selected health problem”.
Topic 2: U.S. Preventive Services Task Force (USPSTF).
The U.S. Preventive Services Task Force (USPSTF) is an independent organization of experts in health promotion that recommends strategies to improve health indicators. Review this source at https://www.uspreventiveservicestaskforce.org/uspstf/ and determine the recommendations and expectations for your selected health problem.
Please note the grading rubric for the discussion board.
As a reminder, all discussion posts must be a minimum of 250 words, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.
Please see the attached files and rubrics on the portfolio discussion response.
CAM treatment
Soap Note 1 “ADULT” Wellness check up (10 points)
Visit http://www.aha.org/advocacy-issues/communicatingpts/pt-care-partnership.shtml and review the American Hospital Association’s Patients’ Bill of Rights. Discuss how health care professionals can ensure that patients’ rights are upheld and protected. Please make sure to provide citations and references (in APA, 7th ed. format) for your work. Limit is 500 words
What steps do you take to locate primary and peer-reviewed research articles when performing a literature search?
What resources are available to you to engage in a meaningful and successful literature search?
As you have explored throughout this course, Walden University provides vast resources for student support to ensure success in their academic program of study. When it comes to research and using Library resources, several support mechanisms are available to you as well.
Taking the first step to think about a research topic or area of interest and filtering that topic using a series of keywords and operations will be a fundamental component for performing a literature search in Walden Library’s databases. While the ultimate goal is to produce a set or results that match your search criteria, you must keep in mind that that the quality of the research articles obtained will likely vary. Thus, you must critically examine and analyze the aims of the research produced and how it aligns, confirms, or negates your topic or area of research. As you develop proficiency in this area, you will discover that you can extract content themes and frameworks to enhance future research and the need to identify additional research support.
For this Assignment, consult the Walden Library webinars and resources provided. These resources serve as a general good first step for performing literature searches and engaging with the databases of research available to you. Think about a research topic or area of interest to focus on for this Assignment. Then, search the Walden Library to locate and retrieve peer-reviewed research articles that pertain to your topic or area of interest.
6-paragraph assignment in which you do the following:
Compare and contrast the growth and developmental patterns of two toddlers of different ages using Gordon’s functional health patterns. Describe and apply the components of Gordon’s functional health patterns as it applies to toddlers.
Word limit 500 words. Please make sure to provide citations and references (in APA, 7th ed. format) for your work.
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or suggesting an alternative approach to the ethical issue described by your colleague. use 2 reference for each. Less than 1 page
1.Organizations use professional ethics to provide a framework for what behaviors are accepted and expected. Professional ethics can be defined as “rules of acceptable conduct that members of a given profession are expected to follow” (American Psychological Association, n.d.). As a doctorally prepared nurse, it is critical to understand the impact that an organization’s professional ethics can have on the success of an organization as well as patient outcomes. A recent study conducted by Torkaman et al. (2020) investigated the relationship between professional ethics and organizational commitment and was able to show a positive correlation between professional ethics and nurses’ commitment to their organization. A DNP-prepared nurse would be able to identify the importance of leveraging professional ethics in order to increase retention rates. The DNP-prepared nurse could offer reimbursement for staff who attend ethics-based training to highlight the organization’s emphasis on these principles, strengthening nurses’ perceptions of the value of professional ethics within their organization.
Autonomy
Autonomy in healthcare refers to the notion that patients should have the right to make their own decisions about their treatment. Ethical dilemmas may arise when patients do not have the capacity to make decisions, and others (family members, Emergency Room (ER) staff, or legal guardians) have to step in to make these critical decisions for the patient. Rejno et al. (2020) created vignettes to examine the importance of autonomy and dignity. In one of these vignettes, a patient named David was in a motor vehicle accident and had to be sedated and placed on a respirator. The ER team providing care to David has no knowledge of his wishes for care and, therefore, has to use their own judgment to provide life-saving measures. In situations like this, “healthcare professionals can find support from basic ethical values, ethical guidelines such as those provided by the ICN and from learning not to prejudge what the dignity of identity might be for David; additionally, it is essential to protect the identity of every patient, viewing each as a unique person whose life stories are acknowledged, in order to preserve their dignity” (Rejno et al, 2020). The DNP-prepared nurse should consider creating an ethics committee to help provide support and guidance to staff who need to provide care for patients who are unable to make decisions on their own.
Issues in My Own Practice
Over the years, I have worked in many different inpatient psychiatric settings, one being a consistently nationally-ranked hospital by US News and World Report. One of the main differences that I observed in this organization was a strong emphasis on professional ethics. Staff members took great pride in the fact that they were providing evidence-based best patient care in an organization that set forth professional expectations, which, for the most part, staff strived to follow. When staff are provided with clear expectations, they feel more supported, are better equipped to deliver quality care, and are more invested in the organization.
In the inpatient psychiatric setting, autonomy is an issue that we deal with quite regularly. Oftentimes, patients are so mentally ill that they do not want to take medications that would help them to stabilize. When this is the case, the Psychiatrist has to petition the court to have the patient committed and medicated against their will. Staff members have to physically restrain these patients and provide intramuscular medications to them against their will. As you can imagine, this frequently brings up ethical questions of patient autonomy. In order to provide support, ethics committees are a valuable tool to help staff process complex patient cases.
References
American Psychological Association. (n.d.) Dictionary of Psychology. https://dictionary.apa.org/professional-ethicsLinks to an external site.
Rejno, A., Ternestedt, B.-M., Nordenfelt, L., Silfverberg, G., & Godskesen, T. E. (2020). Dignity at stake: Caring for persons with impaired autonomy.Links to an external site.Links to an external site. Nursing Ethics, 27(1), 104–115. https://doi.org/10.1177/0969733019845128
Torkaman, M., Heydari, N., & Torabizadeh, C. (2020). Nurses’ perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations. Journal of Medical Ethics & History of Medicine, 13(17), 1–10.
2. Ethics are one of the main pillars of nursing care and uphold the quality and integrity of interventions delivered. Ensuring that ethical considerations are taken when constructing the framework for a healthcare organization can ensure that those involved feel connected to a deeper and valuable meaning within their work and are also meeting the ethically based qualifications to deliver said care (Torkaman et al., 2020).
Along with ensuring the providers are qualified to deliver appropriate care, the setting must also be appropriate for the level of patient acuity. Telehealth has undoubtedly increased access to care, providing resources to individuals who may not have sought psychiatric support prior to virtual appointments. An ongoing assessment by federal and state regulators has been the appropriateness of prescribing certain medications, including buprenorphine products for medication-assisted treatment (MAT) in the use of substance use disorders. Additionally, fully virtual psychiatric providers have also experienced the need to carefully screen the mental health symptoms for severity and ensure a patient is appropriate for telehealth level of care (LOC).
The Doctor of Nursing practice (DNP) is a change agent supportive of guiding these processes not only at their but as regulations change and adapt. The DNP can play an integral role in collecting new data on care outcomes and translating this data into information that can be disseminated to and understood by non-healthcare professionals. Doing so can promote the ongoing availability of telehealth measures, with focus on increasing access to care. The DNP serves as an expert reviewer to examine outcomes with particular attention to interventions that provide therapeutic outcomes and assessing for gaps in practice. This is of particular concern with telepsychiatry, as progressive steps have been implemented over time to proactively identify individuals who may be at risk for self-harm or are experiencing high-acuity symptoms out of reasonable scope of telehealth care (Fiorini et al., 2020).
Much like general psychiatry services, there are even fewer psychiatric providers providing specialty substance use disorder treatment. Throughout the pandemic, access was increased to MAT treatment and the previous requirement for a specialty waiver and training to prescribe buprenorphine was waived and consolidated by the Omnibus bill (SAMHSA, 2023). This allows all prescribers with schedule III authority to prescribe buprenorphine products to their patients with opiate use disorder, pending state law allowability. Prescribers have also been permitted to prescribe to patients via telehealth, given all other aspects of MAT treatment are completed including urine drug screening and engagement in psychotherapy per state requirements Mahmoud et al., 2022). These permissions may not continue if they are not continuously extended, and the patients utilizing the prescribers who are available in their area due only to telehealth will be without a MAT prescriber once they end. DNPs can present and advocate for ongoing advancements in safe but broadened prescribing practices for MAT, with respect for the seriousness of buprenorphine prescribing and also the management and severity of opiate use disorder in the United States.
References
Fiorini, R. A., De Giacomo, P., & L’Abate, L. (2020). Towards resilient telehealth support for clinical psychiatry and psychology: a strategic review. Studies in Health Technology and Informatics, 213, 275–278.
Mahmoud, H., Naal, H., Whaibeh, E., & Smith, A. (2022). Telehealth-based delivery of medication-assisted treatment for opioid use disorder: a critical review of recent developments. Current Psychiatry Reports, 24(9), 375–386. https://doi.org/10.1007/s11920-022-01346-z
Substance Abuse and Mental Health Services Administration (SAMHSA). (2023). Waiver elimination (MAT Act). https://www.samhsa.gov/medications-substance-use-disorders/waiver-elimination-mat-act
Torkaman, M., Heydari, N., & Torabizadeh, C. (2020). Nurses’ perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations. Journal of Medical Ethics and History of Medicine, 13(17), 1–10. https://doi.org/10.18502/jmehm.v13i17.4658
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