week3 re do

For nurses working in critical care inpatient units, how does a quiet zone around the medication preparation area compared to no designated quiet zone influence the number of medication errors reported over one year?

COMPREHENSIVE PSYCHIATRIC EVALUATION

Using the patient on the case study below create a Comprehensive Psychiatric Evaluation Note on this patient using the template attached.

Case Study Anorexia Nervosa 

Research Article Critique

Assistance please with formatting

EVIDENCE-BASED PROJECT, PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGEE

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT (attached below)
  • Reflect on your current healthcare organization (Behavioral health hospital-adults) and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection (attached below)
  • 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 ChangeCreate an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization (Behavioral health hospital), 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 (psychiatric related). 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 (attached below)
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides) (attached below)

    Rubric (please follow and read):Part 4: Disseminating Results/ Create a, 8-9-slide narrated PowerPoint presentation of your Evidence-Based Project: Briefly describe the following: your healthcare organization and culture, current opportunity for change, scope of issue, and EBP best practice recommendation. Explain how you would plan knowledge transfer and dissemination. Describe measurable outcomes with the implementation of EBP best practice. Summarize lessons learned. -The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation. -The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

Nursing

Health Disparities Assignment.html

banner

Health Disparities Assignment

Population health is shaped by the social and economic conditions in which we are born, live, and work. Statistics indicate that many of us are one paycheck away from a financial crisis, especially since past recessions and the current state of inflation. In this module, you will explore the impact of poverty on health. In your professional roles and perhaps your own personal lives, you have all been exposed to the issues to some extent. The intent of this module will be to explore in more detail the prevalence of poverty, its impact on health, and barriers to attaining healthy outcomes. 

Resources:

Use the following resources to complete this assignment:

  • Read Nies & McEwen (2019) Chapters 21-23; 25; 28
  • Format your paper using 7th ed. APA formatting (i.e., Title page, headings, Reference page, etc.)

Instructions:

  1. Students will submit answers to the following questions using 3 headings, General Poverty, Food Security, and Homelessness into the appropriate NURS 410 assignment dropbox, using 7th ed. APA formatting.

    Activities  

    1. General Poverty (4 points)  

    1. Play Spent Activity:  

    The Urban Ministries of Durham have a great online poverty simulation that goes through a month in the life of a person living in poverty. To access the simulation, go to this website:  playspent.org  Summarize your experience with this simulation activity  

    • Did you have money left over?  

    • What difficult decisions did you need to make?  

    • What was your overall feeling when the month was over?  

    • Have you experienced similar financial challenges in your life?  

    • What safety nets were there to support you during this time?  

      

    1. Go to Poverty USA website at
      http://www.povertyusa.org/   

    Poverty Tour USA –Read the various information sections – What surprises you?  

    1. Interactive Poverty Map   

    1. Compare the state you live in with at least one other state.  

    1. Poverty Facts   

    1.  What is the definition of poverty and who lives in poverty?  

    1. Snapshots of Poverty   

    1.  Review at least one of the “Stories of Hope”– What are possible health implications?  

      

    1. Food Security (3 points)  

    Click on
    United States Food Drug Administration– Household Food Security  

    • USDA  

    • How is food insecurity defined?  

    • Which populations are most at risk for food insecurity?   

    • What programs are available to improve food access? Consider Supplemental Nutrition Assistance Program (SNAP)  

        

    1. Homelessness (3 points)  

    1. Who are the Homeless and why are they homeless?   

    Go to the website of the National Coalition for the Homeless.  

    • Click on Issues – Read about 2 topics that interest you.  

    • Click on Populations – read about one population.  

    • Click on Public Policy Recommendation – read about one policy recommendation  

      

    1. Describe the face of “homeless”  

    1. What are the numbers?  

    1. Who is homeless?  

    1. Why are they homeless?  

    1. How are health and homelessness related?  

    1. Identify and describe one policy project to reduce/end homelessness.  

      

    1. Go to Minnesota Interagency Council on Homelessness:  

    https://mn.gov/dhs/heading-home-minnesota/   

    1. What is purpose of this organization?  

     

     

     

Discussion Post- Literature Review

What is the importance of a literature review and what should you avoid when conducting a literature review?

Submission Instructions:

  • Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Reflection 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.

questions

Original Work, No Plagiarism, Cite and Reference

Hugo is a graduate student working on a research study that is seeking to explore the efficacy of a new medicine for the prevention of chemotherapy-induced peripheral neuropathy.  As part of his duties, he is asked to make himself available during participant recruitment to clarify any questions that the recruitment personnel or the participants may have. On one of these occasions, a research nurse named Phoebe is obtaining informed consent from a young adult named Simon. 

The informed consent form includes information on the purpose of the study, a double-blinded, randomized intervention trial to test the efficacy of a medicine for the prevention of chemotherapy-induced peripheral neuropathy.  The form explains the risks and benefits of participation at length, including the anticipated side effects of the new medicine. 

The benefits are thought to outweigh the risks.  The participants in the treatment arm of the study may benefit from the medicine's hypothesized prevention of chemotherapy-induced peripheral neuropathy. Participants in both groups will receive close monitoring of neuropathy symptoms and evidence-based care while being in the study. Finally, the form explains that the information collected may help to lead to the discovery of an agent that may reduce chemotherapy-induced peripheral neuropathy, of which there are currently no none effective preventative treatments. 

As Phoebe is reviewing the informed consent form, Simon appears somewhat uncomfortable and apprehensive. Hugo thinks that his response may be related to the surroundings and/or situation. They are sitting in the exam room shortly after Simon learned of the treatment options for advanced stage colorectal cancer and the doctor left without answering all of his questions. Simon also has additional oncology appointments shortly after the consent discussion. 

Hugo is also struck by Simon's interaction with Phoebe. He nods and his occasional brief responses sound more like someone receiving a set of instructions than an indication of understanding.

During the time it takes to complete the informed consent form, which is quite lengthy, Hugo begins to wonder whether Simon truly understands the research study and his part in it.  Hugo also questions whether Simon understands what randomization is and how this technique will affect him as a research participant. Hugo is distracted from his thoughts by movement from across the room. Simon is ready to place his signature on the informed consent form. He seems to be eager to do so. The form states that study subjects have the right to refuse to participate and that they may withdraw at any time, but Hugo begins to question whether Simon truly has a choice in giving his consent. Do the benefits from this study, overwhelm any concerns he may feel regarding being in the study?

Hugo is unsure how to address his discomfort with the informed consent process that he has just witnessed and he begins to deliberate about what course of action he should take to address his concerns.

Discussion Questions:

1. How could the informed consent form or the process of obtaining informed consent be modified to address Hugo's concerns?

2. What types of questions or techniques could have Phoebe provided to assess Simon's understanding of the study?

3. How would you describe “randomization” to a prospective study participant?

4. How would you respond to a participant who says “can we skip the rest of this and sign the form” during the informed consent discussion?

 

collecting data and making decisions

Using statistics (collecting data and making decisions) helps prevent the number of mistakes or wrong decisions that are made.  By using data, there is a clearer answer to a decision as opposed to going with a gut decision, which may not be consistent for a variety of reasons.  What are your thoughts on using data to make most or all of the decisions for a patient?  After this data is collected and analyzed using the method that was described in the initial question. Do you think it is appropriate to run these kinds of experiments continuously together this kind of information? Or do you think there are downsides to using the scientific method in this way?

2nd Response to disc 7

PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

Barrier #2; Nurses are not visible in healthcare policy making. 

According to Anders (2021), nurses are professionals who are directly involved in patient care. Engagement front line nurses have with patients, and other healthcare professionals, make them ideal healthcare policy advocates. They have appropriate academic education and clinical expertise to serve as experts in sharing their knowledge with policymakers and others. Any other profession cannot replicate the situational knowledge of the healthcare needs of patients that this large workforce offers.  

However, nurses’ access to policy-making processes is limited. The author supports the concept of barrier by explaining that despite nursing’s intrinsic involvement in the advocacy of the individual patient, the nursing voice is often not heard at a public level. Since nurses represent approximately 50% of the global health workforce, they should be actively involved in policy-making processes. However, nursing representation at the government and boardroom level is still slim (Anders, 2021).  

The author suggests how nurses can participate in policy development. Meaningful policy change can occur at the institutional level, where nurses are accustomed to functioning. Nurses’ involvement in self‐governance within hospitals presents opportunities for staff nurses to participate in the clinical governance at a local level. Nurses can also begin as a member contributing to online discussions, blogs, or social media interest groups sponsored by the association, then progress to active participation in any number of subcommittees, and finally run for office. 

                          References  

Anders R. L. (2021). Engaging nurses in health policy in the era of COVID-19. National Library of Medicine 56(1), 89–94. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7675349/Links to an external site.