discussion reply

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by suggesting additional strategies your colleague could implement to bring about needed change in their community.use 3 reference each.

 1.    I am currently employed at a freestanding psychiatric hospital located on the south shore of Massachusetts.  We provide inpatient psychiatric services to adolescents, adults, and geriatric patients who suffer from mental illness.  Since the Covid-19 pandemic, we have seen an increase in the community’s need for mental health services.  A recent study conducted by Blue Cross Blue Shield of Massachusetts found that the need for services has increased exponentially due to the effects of the pandemic.  Currently,  “one in three Massachusetts residents over the age of 19 reported needing behavioral health care for themselves or a close relative; however, 26% percent said they were not able to get it” (Becker, 2022).  As an organization, we need to find a way to increase access to mental health services in our community.

How the Doctor of Nursing Practice (DNP) Prepared Nurse Can Increase Access to Mental Health Services

 As a DNP-prepared nurse, it is my goal to serve as an agent of positive change at the local level to the patients who are under my organization’s care as well as the community at large.  In order to reduce accessibility issues as a DNP-prepared nurse, it will be critical for me to consider the American Association of Colleges of Nursing essential number 8 and “conceptualize new care delivery models that are based in contemporary nursing science and that are feasible within current organizational, political, cultural, and economic perspectives” (American Association of Colleges of Nursing, 2006).  One thought I have for my organization would be to integrate outpatient services such as partial hospitalization programs so that we can increase accessibility to mental health services in the community.  One significant challenge, both nationally and for my organization, is the shortage of nursing staff.  In order to increase the services we provide, it will be imperative for my organization to build partnerships with local agencies.  Wegner et al. (2000) determined that “groups of people who share a concern, a set of problems, or a passion about a topic, and who deepen their knowledge and expertise in the area by interacting on an ongoing basis” will have more success.  In order to recruit nurses to my organization, I aim to partner with local universities and colleges to provide a site for their psychiatric clinical rotations.  If student nurses have a positive clinical experience at my organization, they will be more likely to consider employment with us in the future which will, in turn, allow us to expand the services we provide and increase accessibility to mental health care.

References

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf

Becker, D. (2022). The pandemic has led to a surge in mental health need in Mass., survey finds. https://www.wbur.org/news/2022/02/08/massachusetts-pandemic-mental-healthLinks to an external site.

Wenger, E., McDermott, R., & Snyder, W. M. (2000). A guide to managing knowledge: Cultivating communities of practice. Harvard Business School.

2.There is a very large homeless population within my community, and with that unfortunately comes high rate of substance use disorders. The most recent census of this six hundred plus square mile county was approximately 170,000 individuals, ten percent of whom were living below the poverty level (United States Department of Commerce, 2023). Despite the known concerns for homelessness in Monroe County, there remains to be only three small shelters that are seasonally available to those in need, open between the hours of 7:00pm and 5:00am EST. As a very rural area, the lack of available resources leaves individuals living in homeless communities in wooded areas. Multiple individuals have been found to be passed away due to exposure in the winter months. While community members are also aware of the concern for substance use disorders, there have been very direct and disheartening efforts preventing the opening of treatment centers in the area. Signs have been posted in front yards with slogans such as ‘no drug addicts in our back yard.’

            Addressing socioeconomic determinants of health and the wellness of this community is one of many roles of the Doctor of Nursing Practice (DNP) (American Association of Colleges of Nursing, 2006). These two community health issues are very much related. The ongoing gap in access to substance use disorder treatment perpetuates the cycle of substance-related crime, associated health concerns treated in the local emergency department, and inability to treat the often-underlying mental health concerns leading to self-medication (Mitchell et al., 2023). As a social change agent, the DNP can not only research evidence-based interventions to provide community-based care to individuals in need but also educate community members on why this is important, and how their efforts to prevent this from happening harms not only those in need but the populace as a whole (American Association of Colleges of Nursing, 2006).

            The DNP acts as an expert support when advocating for health policy in local, state, or federal government. Meeting with members of local government to provide evidence-based testimony regarding the detrimental impact the blocking of substance use treatment facilities has on the community is one step in creating increased access to care. Individuals in need of substance use treatment often experience shame and ambivalence to seek the support they so greatly need; it is essential to educate lawmakers about how the additional stigma placed upon individuals by the formal supports who should be enabling their ability to access treatment severely impedes community wellness (Stewart et al., 2023).

            Engaging directly with the homeless shelters currently available to review current barriers to availability is the first step to increasing accessibility. Two of the three shelters are run by volunteer organizations, and the third is a locally funded organization that is a part of the community health department. As a DNP, gathering data and evidence to support the implementation of an intervention is essential to buy in from any stakeholder and can be achieved by evaluating the number of individuals who seek shelter at these resources, and those who are able to stay the night (McEwen & Wills, 2019). Presenting this data to local officials to along with evidence-based data regarding the benefits of this community initiative, such as reduction in deaths associated with exposure and the current use of law enforcement to relocate homeless individuals from areas deemed inappropriate for their inhabitation, can support approval for shelter expansions.

References

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf

McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.  

Mitchell, E., Waring, T., Ahern, E., O’Donovan, D., O’Reilly, D., & Bradley, D. T. (2023). Predictors and consequences of homelessness in whole-population observational studies that used administrative data: a systematic review. BMC Public Health23(1), 1610. https://doi.org/10.1186/s12889-023-16503-z

Stewart, R. E., Cardamone, N. C., Schachter, A., Becker, C., McKay, J. R., & Becker-Haimes, E. M. (2023). A systematic review of brief, freely accessible, and valid self-report measures for substance use disorders and treatment. Drug and Alcohol Dependence243, 1–11. https://doi.org/10.1016/j.drugalcdep.2022.109729

United States Department of Commerce. (2023). QuickFacts: Monroe County Pennsylvania. https://www.census.gov/quickfacts/fact/table/monroecountypennsylvania/PST045222

bioethical decision making model

Choose a patient-care situation in which the RN should intervene and advocate for the patient.  An example of such a situation might be when a patient has not been given complete informed consent.

  • Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.
  • Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model. Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.  

You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.

hello

  • Based on your readings, current literature within 5 years, scholarly peer-reviewed journals, and research on the topic of nursing leadership development specific to your program.
  • Clearly demonstrate the integration of evidence into nursing practice as it relates to nursing leadership in your program.
  • Clearly demonstrate the concepts of nursing leadership and ethical decision-making as they relate to nursing leadership development in your program.
  • this should include;
        a. Introduction
           i. Define leadership
           ii. Explain how leadership is developed
           iii. Why is leadership development important for nursing today?
       b. Compare and contrast theoretical leadership theories as they relate to  leadership development
       c. Discuss how leadership is an integral component of the advanced generalist masters prepared Nurse
       d. Examine empowerment as it relates to the development of Nursing leaders
       e. Analyze the process of leading through mentoring as it relates to the creation of future caring followers
       f. Explain effective communication and collaboration strategies that lead to healthy, safe interdisciplinary teams
       g. Guided by Dr. Jean Watson’s (2012) theory of human caring science critically evaluate how caring can be integrated in all levels of Nursing practices
       h. Create your own personal definition of nursing leadership examining concepts you can adopt in your practice setting leading to improved outcomes for patients, families, colleagues, and self.

  • 5 pages (not including title page or reference page) using the required title page with your major clearly labeled
  • Minimum of 5 scholarly sources not including the textbook to support your facts
  • Clear and logically written with proper grammar, spelling, and punctuation
  • Proper APA format on citations and sources

Reflection of the Scenario

 

1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario. 

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.

discussion 3 553

 

Therapeutic communication is important to ensure patients are part of treatment planning. Provide discussion (250-350 words) of the following:

  1. How would you evaluate a patient’s ability to understand your instruction and their current knowledge base about their problem? What characteristics of the patient would be helpful?
  2. How would you be certain that the patient understands your medication instruction?
  3. What methods of therapeutic communication would be useful in advanced practice?

instructions: length of 1 page to 1/2 is long enough. APA style. Has to have 3 references.

W4 Observation Experience

Degree:  Master of Science in Nursing 

There are many ways of knowing. Think about how you learn in both your personal and professional life. Discuss various ways you have gained knowledge through your observational experiences during your capstone practicum by answering the following questions:

  • What is the focus of your capstone practicum?
  • What have you observed thus far?
  • How do you determine if the information presented is valid and accurate?
  • Review the “hierarchy of evidence” model and determine where you seek most of your information for both your personal and professional life and why.
  • Provide personal examples.
  • Include at least 2 scholarly articles supporting your statements.

Nursing

Purpose

The purpose of this assignment is to investigate informatics in healthcare and to apply professional, ethical, and legal principles to its appropriate use in healthcare technology.

Course outcomes: This assignment enables the student to meet the following course outcomes:

CO 4: Investigate safeguards and decision‐making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO 4)

CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6)

CO 8: Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care. (PO 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 200 points

Preparing the assignment

Your faculty member will provide a scenario for you to address in your paper. Choose an ending to the scenario, and construct your paper based on those reflections. Choose one of the following outcomes for the end of the scenario:

1. A HIPAA violation occurs, and client data is exposed to the media.

2. A medication error has harmed a client.

3. A technology downtime that impacts patient care occurs, and an error is made.

4. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to patient data.

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. Include the following sections:

a. Introduction – 20 points/10%

· Presents a clearly designed thesis statement or argument.

· Provides a clear and concise overview of the content.

· Offers a compelling argument to elicit the readers attention and generate interest.

b. HIPAA, Legal, and Regulatory Discussion – 20 points/10%

· Identify client privacy and HIPPAA standards as they relate to the impact of technology on nursing care.

· Review healthcare regulations as they relate to the impact of technology on nursing care.

· Describe legal guidelines on appropriate use of technology.

c. Scenario Ending and Recommendations – 50 points/25%

· Presents the selected or assigned scenario ending as the focus of the assignment.

· Evaluates the actions taken by healthcare providers selected or assigned scenario evolves.

· Recommends actions to mitigate the injury sustained in the selected scenario ending.

· Supports recommendations with evidence from recent scholarly publications.

d. Advantages and Disadvantages – 50 points/25%

· Presents at least two advantages of using the specified technology in healthcare.

· Presents at least two risks of using the specified technology in healthcare.

· Describes professional and ethical principles guiding the appropriate use of technology in healthcare.

· Support advantages and risks with evidence from recent scholarly publications.

e. Conclusion and Reflections – 40 points/20%

· Summarizes the selected or assigned scenarios ending including the recommendations.

· Establishes a clear link between the discussion and the thesis statement or argument.

· Discusses thoughtful insights and implications based on the outcomes.

· Describes how new insights will impact future behavior as a healthcare professional.

f. APA Style and Organization – 20 points/10%

· References are submitted with assignment.

· Uses current APA format and is free of errors.

· Grammar and mechanics are free of errors.

· Paper is 4-5 pages, excluding title and reference pages.

· At least three (3) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.

For writing assistance, visit the Writing Center.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.

· A scenario is to be used to complete the RUA: We Can But Dare We paper that is due at the end of week 4. Below is the scenario; please do not use any other scenario for this assignment. Logistics and details, including scenario ending choices, regarding the paper can be found in the RUA: We Can But Dare We grading rubric found in the Unit 4 module.

Scenario:

You are an emergency department nurse responding to a severe freeway accident. As a triage registered nurse determining the severity of each case and maintaining proper flow, it is your duty to review all patients impacted by this event. While reviewing patients coming in, you stumble across a familiar name, which happens to be the name of a famous actor, Governor Gru. Upon determining this, you happen to take a photo of the data and post about the finding on your social media account.

To complete this paper, please choose an appropriate scenario ending listed in the RUA We Can But Dare We rubric (which is also attached to this announcement).

 

THIS IS AN INDIVIDUAL ASSIGNMENT. Each of you will write your own paper.

This assignment will be submitted to Turn It In and will be screened for integrity violations. TRY NOT use quotes of any kind. (1 is acceptable). If you paraphrase and cite all content you will significantly reduce your similarity score.

 FOLLOW THE RUBRIC to receive full points! 

Please reach out to your assigned faculty member with questions!


NR360 Information Systems in Healthcare

We Can, But Dare We? Guidelines

© 2023 Chamberlain University. All Rights Reserved.

NR360_ RUA_We_Can_But_Dare_We_Guidelines_SEP23 1

Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present

Introduction

(20 points/10%)

20 points

10 points

5 points

0 points

Required criteria

1. Presents a clearly designed thesis statement or argument.

2. Provides a clear and concise overview of the content.

3. Offers a compelling argument to elicit the reader’s attention and generate interest.

Meets all requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

No requirements for this section presented.

HIPAA, Legal, and Regulatory Discussion

(20 points/10%)

20 points

10 points

5 points

0 points

Required criteria

1. Identify client privacy and HIPPAA standards as they relate to the impact of technology on nursing care.

2. Review healthcare regulations as they relate to the impact of technology on nursing care.

3. Describe legal guidelines on appropriate use of technology.

Meets all requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

No requirements for this section presented.

Scenario Ending and Recommendations

(50 points/25%)

50 points

43 points

38 points

19 points

0 points

Required criteria

1. Presents the selected or assigned scenario ending as the focus of the assignment.

2. Evaluates the actions taken by healthcare providers selected or assigned scenario evolves.

3. Recommends actions to mitigate the injury sustained in the selected scenario ending.

4. Supports recommendations with evidence from recent scholarly publications.

Meets all requirements for section.

Includes no fewer than 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirements for section.

No requirements for this section presented.

Advantages and Disadvantages

(50 points/25%)

50 points

43 points

38 points

19 points

0 points

Required criteria

1. Presents at least two advantages of using the specified technology in healthcare.

2. Presents at least two risks of using the specified technology in healthcare.

3. Describes professional and ethical principles guiding the appropriate use of technology in healthcare.

4. Support advantages and risks with evidence from recent scholarly publications.

Meets all requirements for section.

Includes no fewer than 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirements for section.

No requirements for this section presented.

Conclusion and Reflections

(40 points/20%)

40 points

34 points

30 points

15 points

0 points

Required criteria

1. Summarizes the selected or assigned scenarios ending including the recommendations.

2. Establishes a clear link between the discussion and the thesis statement or argument.

3. Discusses thoughtful insights and implications based on the outcomes.

4. Describes how new insights will impact future behavior as a healthcare professional.

Meets all requirements for section.

Includes no fewer than 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirements for section.

No requirements for this section presented.

APA Style and Organization

(20 points/10%)

20 points

18 points

16 points

8 points

0 points

Required criteria

1. References are submitted with assignment.

2. Uses current APA format and is free of errors.

3. Grammar and mechanics are free of errors.

4. Paper is 4-5 pages, excluding title and reference pages.

5. At least three (3) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.

Includes all requirements for section.

Includes 4 requirements for section.

Includes 3 requirements for section.

Includes 1-2 requirements for section.

No requirements for this section presented.

Total Points Possible = 200 points

© 2023 Chamberlain University. All Rights Reserved.

NR360_ RUA_We_Can_But_Dare_We_Guidelines_SEP23 4

image1.png

Directions: Module 11 D- Reflection

due 11-15-23 @10am

Healthcare statistics dp 2

 Your new staff was very interested to learn about the many online federal and state health care databases and the different types of statistical information available in each database. Like other health care organizations, Choice Hospital wants to maintain its financial stability and improve the quality of patient care. The new CEO of Choice Hospital would like to gain a better understanding of utilization rates and other measures of performance that can be used to track and demonstrate quality improvement. As the HCA, you and your team are asked to conduct preliminary research in the following areas:

  • Identify databases for statistical information on the utilization rates and other measures of quality performance (e.g., average length of stay [ALOS], patient wait times, and death rates) and select a healthcare statistic. 
  • Define your chosen healthcare statistic and explain how it was calculated. 
  • Explain to your staff the purpose of research questions and how the data obtained from research questions are used for informed decision-making.
  • Describe hypothesis testing and how it is used in research.
  • Formulate a hypothesis related to your chosen healthcare statistic.

question

I need the paper I have attached to provide a concise description of my study.

Provide a concise and accurate description of the study. Describe the research question, significance, and aims for achieving the stated goals. Avoid discipline-specific technical language.

Below is JUST an Example what it should look like this is ONLY an EXAMPLE:

Gender-based violence (GBV) is a global public health crisis affecting female youths in sub-Saharan Africa (SSA). Studies have shown a high prevalence of GBV within SSA, ranging from 42.3% to 67.7%. Healthcare providers (HCPs) are crucial as survivors' first point of contact and are responsible for creating a safe environment. However, there is a notable gap in their training on GBV in SSA, leading to revictimization and survivors not seeking necessary care. While educational interventions have shown promise in improving health outcomes and reducing GBV, most research in this area has been conducted in high-income countries (HICs), leaving the relevance and effectiveness of such interventions in SSA uncertain. Effective interventions to address GBV in resource-limited healthcare settings necessitate understanding locally appropriate strategies. This research project aims to evaluate the effectiveness of an educational training program on GBV for healthcare providers in Nigeria. The study will be conducted at Obafemi Awolowo University (OAU), a first-generation Teaching Hospital under the Federal Ministry of Health, renowned for providing quality healthcare. Interested participants will attend an in-person educational workshop, enabling direct engagement and interaction. By piloting a GBV survey before and after the training program, the project aims to systematically examine knowledge, attitudes, and self-efficacy related to GBV screening and response (encompassing sexual violence, intimate partner violence, and stalking) among sub-Saharan African healthcare providers.

This research will develop a comprehensive understanding of GBV prevention and response measures, explicitly focusing on the unique context and resource limitations of healthcare settings in SSA. The project aims to bring together healthcare providers from nursing and midwifery within the teaching hospital, enabling comparisons related to knowledge, attitudes, and self-efficacy related to GBV screening and response. Findings from this project will inform the development of contextually appropriate prevention and response measures that can be implemented in other Nigerian states and eventually across the entire country. Baseline data will be obtained through pre-and post-surveys, focusing on GBV prevention practices and needs and resources related to GBV in healthcare. This data will inform future intervention pathways and contribute to developing sustainable and effective strategies. Stakeholder engagement at the teaching hospital will be facilitated through various means, including written materials such as policy briefs, case scenarios, lectures, and referrals to relevant resources. This project aims to foster long-term and sustainable change in addressing GBV by raising awareness among healthcare providers across Nigeria. This project fills a critical knowledge gap in provider training on GBV in SSA and contributes to developing evidence-based interventions. It can improve the quality of care provided to GBV survivors, reduce revictimization, and promote sustainable change in addressing GBV. By developing contextually appropriate prevention and response measures, this project has the potential to empower healthcare providers and enhance their preparedness to respond to GBV, ultimately leading to improved health outcomes, reduction in GBV incidents, and promote lasting change.