Category: Nursing

Discussion geared towards getting along with others for 2nd grades. Please include interactive questions and activity. 

Research, EBP and QI Module 1: Directions for discussion
Please read through these directions for a better understanding of the assignment. At the end you will see a video presentation going over the rubric and how to submit. 
Approximate lengths of each section outlined below.
Step 1 Introduction:
Open up a Word Document and write directly into the word document. Remember you need to save on your computer and another reliable drive or computer. You don’t want to lose your work, so save often and to 2 different places….ALWAYS!  Save as you go and do not wait until your assignment is complete to save or you will risk losing information. 
Write an introduction to the discussion. A good, solid introduction will grab the reader’s attention by stating interesting facts, statistics or points about your topic. Then you should conclude this introductory paragraph by including one, concise thesis or purpose statement. The thesis tells the reader why you are writing the discussion. The entire paragraph should be about 3-5 sentences. Keep in mind that paragraphs should include a topic sentence, 2-3 support sentences (min.) and one concluding statement (thesis sentence).  Review APA manual 7th edition section 3.4 for details on starting your paper and rules on introductions.
Step 2 Concepts:
Use a proper heading with this section, then begin your 2nd paragraph. You can look at APA p. 47-49 for the proper level of headings. In this section you need to differentiate among research, evidence-based practice (EBP) and quality improvement (QI) in a robust discussion. When you differentiate between these concepts, they should explain why they are similar (if applicable) or different and should summarize similarities and differences rather than definitions. In fact, you should be paraphrasing what you review in the textbooks about these concepts and describe how they are applied to your specific phenomenon of interest (POI) and in relationship to your Advanced Practice Nurse role. This section  should be no more than 2 paragraphs. Textbooks/peer reviewed resources serve as great resources here. 
POI TOPIC:  Suicide
Prevention/ Mental Health Depression
ADVANCED CLINICAL PRACTICE ROLE: Psychiatric Mental Health Nurse Practitioner
POI CLINIICAL QUESTION: In adolescents diagnosed with
depression, does regular attendance at mental health clinic visits compared to
participation in group therapy sessions reduce the risk of suicide?
Step 3 Health Disparities
In this section you are taking a deeper dive into health disparities. According to the Centers for Disease Control, health disparities are experienced by socially disadvantaged groups of people based on preventable differences in the burden of disease, injury, violence, or opportunities that would allow you to otherwise achieve optimal health. Health disparities are inequitable and have a direct correlation to unequal distribution of resources. They can be improved though. Addressing the social determinants of health can help by addressing the positive and negatives associated with 5 key domains: economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. In this section you should provide a robust discussion on how a person’s health or burden of disease is impacted by these domains. Be sure to discuss these areas in relation to your POI/APN Role. Support this section with peer reviewed references. You should have 2-3 well developed paragraphs for this section.
Be sure to review the links that were provided to you in the Readings/Resources section of the module: 
Health Disparities LinkLinks to an external site.
Social Determinants of HealthLinks to an external site.
Step 4: Donabedian Model:
In this section of the discussion, you will differentiate among 3 measures: structure, process, and outcomes. Be sure to clearly describe how they are different.  Then you will apply each of the measures (structure, process, outcome)  directly to your POI. Think about why you chose that POI and what you would like to change in practice. What did you describe in your clinical question of the POI approval process?  Is there a new policy, a metric that you want to improve? This should guide the direction of your focus for each of your measures as you determine what is needed to accomplish change. Likewise, this serves as a building block for future assignments. Each measure should be specific rather than generalized so that you can see exactly what is needed to determine success or failure. Below is a comparison of a general versus specific measure. You will re-visit the concept of structure, process, and outcome measures throughout the coursework and program so be sure that you have a good understanding of the concepts now. Be sure to incorporate peer reviewed references throughout your discussion. You should include 2-3 paragraphs for this section. 
Incorrect General Measure that lacks specificity:  Patient satisfaction scores will be improved.
Correct Measure that includes specicity: Patient satisfaction scores will be 85% or higher and evaluated quarterly for improvements. 
Be sure to review the link below for assistance on the measures
Donabedian ModelLinks to an external site.
Step 5 Conclusion:
Include a heading and write your conclusion paragraph. A good conclusion:-never introduces new info.-summarizes what was learned/discussed and does not simply state what you did or re-state only the purpose statement-citations are not expected in this section.
Step 6: Turnitin:
Submit your initial post ONLY to Turnitin. Be sure to review the info. on turnitin so you know how to submit, what to look for when your report is returned, etc.  Rather than focus on the percentage of similarity, review what was highlighted and change anything that can and should be changed. There is some wording that can’t be changed, i.e. quality of life, American Academy of Pediatrics, Institute of Medicine Aims, so don’t worry about those. Focus on changing the areas of similarity that you can change and re-submit the paper. You do not have to submit this report to the assignment area;  faculty will review the reports directly in Turnitin. You do NOT have to submit the cross or peer posts to Turnitin. 
Initial Post References:   
Minimum of 2 peer reviewed  from journals that are current (within 5 years) references in the initial post; no more than 1000 words excluding headings, in-text citations, and references.
Copy and paste your discussion directly into the discussion area. Attachments should not be included in the discussion area. No title page needed. Try to make sure that there is at least 1 space in between all paragraphs and individual references. You do not need to double space this document. You are permitted to use first person for these informal discussions.
Reminders
As you get started be sure to keep the following in mind:
Write your posts in a Microsoft Word document using Times New Roman 12 point font and save it to 2 different sources.  Information is often lost and computers crash, so don’t get caught without a copy of your own work. You will also need to submit your discussion to turnitin, so you will need a word document.  
Copy and paste your initial post directly into the discussion area. No attachments should be included. 
First person is permitted for your discussions only.
Use the edit tools within the discussion to help you with centering titles, headings, italics, etc. However, faculty are aware that hanging indents do not always copy/paste correctly. We will take that into consideration, but all other APA formatting, grammar, syntax, etc. should be strictly adhered to. (The use of Headings (level 1) is expected). 
No title page is needed.  
Submit your initial post to Turnitin only, then review the report by visiting https://www.turnitin.com/Links to an external site. and finding your faculty’s section setup. Make any necessary changes to the initial post and resubmit (as needed) to turnitin by the due date. Re-submission to turnitin is not required, but encouraged if your report shows high similarity. You will NOT submit the report anywhere; faculty will review your reports directly in the Turnitin system.
Post your cross post(s) by the due dates. You are required to respond to at least 1 peer’s initial post. You do not have to submit your Cross Post to Turnitin.  You are encouraged to post to a student’s initial post who does not have any other cross posts. 
All references should be current, no older than 5 years. Quotes should not be used. Students should be paraphrasing material from refereed/peer reviewed journals.
Initial posts should be no more than 1000 words; cross posts should be no longer than 250 words. Word counts do not include in-text citations, headings, or references.
The use of any form of Artificial Intelligence is strictly prohibited on this assignment. 

After watching the video Prep Talks: Healthcare Emergency Preparedness and Response, answer the following questions about the first scenario discussed, Memorial Medical Center during Hurricane Katrina:
Which clients would you have prioritized first for evacuation and why? Do you agree with the decision to prioritize “do not resuscitate” clients last? Why or why not?
Hospital staff had made the decision to hasten the death of some of the do not resuscitate clients who they felt would not survive the wait for rescue.
What ethical dilemmas does this pose?
What legal obligations do the staff have for the clients?
Would you have felt comfortable administering the medications ordered?
Do you think the healthcare workers arrested should have had these charges brought against them? If yes, do you think the case should have gone to court?
For the second scenario discussed, Harris County, Texas during Tropical Storm Harvey, answer the following questions:
In what ways did preparedness and planning fail in this situation?
What improvements should be made to improve the triaging and prioritization of rescue?
How can social media be used to facilitate response in emergency management?
Are there any legislative laws in place in the state of Florida to guide healthcare providers in care of clients during a disaster?

Students are required to submit reflective journal entries at specific points throughout the course. These reflective narratives help students identify important learning events that happen throughout the course and the practicum.
Write a reflective journal (250-500 words) to outline how your experience at your practicum site related to the following reflective questions:
You have developed a list of resources needed for your project implementation in Topic 6. To complete this reflective journal, discuss with your preceptor the relationship between policy, regulatory requirements, and economics on care outcomes. Discuss how regulatory requirements and financial resources available will impact your project. How do you think this will impact the care that your practicum site will be able to provide?
Reflect on the relationship you discussed above as well as your practicum site experience. Provide an example from your practicum site of these relationships or discuss an example from your professional or personal experience. 
While APA style is not required for the body of this assignment, solid academic writing is expected.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

All instructions are attached , Apa format , 5 resources no more than 5 years old . Assessment 1 & 2 are attached as well . 

After studying Module 6: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been reporting frequent episodes of losing his balance and falling, and eight weeks ago was hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this visit, he also complains of becoming increasingly confused.
What information would be most critical for you to collect in the first visit?
What is the primary goal for the treatment of this patient?
Identify potential obstacles for change.  Which educational approach would the PMHNP provide to overcome these obstacles?
How would you teach the patient about the Beers list and Halcion? 
Discuss a medication in detail that could be safely substituted to treat insomnia in geriatric patients.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in the current APA style.
Provide support for your work from at least 2 academic sources less than 5 years old. 
Your initial post is worth 8 points.
Read
Tusaie, K. R., & Fitzpatrick, J. J. (2016).
Chapter 14
NUR 650 Geriatrics and Mental Illness.pptx Download NUR 650 Geriatrics and Mental Illness.pptx
St. Thomas University. (2022). Geriatrics and mental illness [slides].
As part of your readings in this module, please also review the following:
Syllabus
APA and Research GuidesLinks to an external site.

Each student will interview:  School Nurse
·       Introduction
Introduction explains
clearly which nurse role is being presented and who you have interviewed. Use
your nurse’s initials.
·      Resume
BEFORE
your interview, review the requirements needed for your nurse’s position.
-Provide the needed education, training, and certificates.
-clinical experience
-roles and responsibilities
-Professional associations/organizations related to your nurse’s role.
Compare and contrast your nurse’s
responses to their requirements for their position.
·      Benefits
From
your research and interview respond to the follow and present in your
presentation
-Explain the benefits and/or barriers to this selected nurse’s role.
-Research the salary range (do not ask your nurse for this information, check
job postings) and financial benefits.
-Research and provide the local, state, and national number of open positions.
-Describe the workplace environment (this will come from your interview and any
information you found in your internet research).
·      Core Functions
Describe
clearly the core public functions of your select nurse.
-Describe the performance of the essential services of your selected nurse’s
role.
Conclusion

Briefly, which two countries’ healthcare systems did you choose to investigate and why?
Drawing on The Commonwealth Fund’s Country Profiles and the Kurani & Wagner analysis for the Kaiser Family Foundation, briefly summarize the healthcare system in each country as well as some health measure statistics/outcomes you found most compelling in them.
What might account for any differences you found in your selected countries (and implicitly back to the US as well)? 
Finally, how has your review of these other countries affected your own views of the US healthcare system?  For example, is there any structure, practice or outcome that the US would benefit from adopting?

-The cross posts should provide new or supplemental information to the original posting or raise additional areas for discussion.
-At least 2 peer reviewed references for each post. First post:
Significance of Collaboration
Interprofessional collaboration specializes in bringing together different professionals from different fields to provide optimal patient care (Peltonen et al., 2019). Interprofessional collaboration is also critical for addressing patient needs and providing safe, practical, and well organized care (Peltonen et al., 2019). Moreover, Interprofessional collaboration improves the caliber of care, facilitates communication, minimizes healthcare errors, and maximizes resource management (Schot et al., 2019). Interprofessional Collaboration
The IPEC is vital for patient care and can help prevent adverse events and promote a culture of safety within healthcare organizations. (Interprofessional Education Collaborative, 2023, p. 19). As it stands, there are currently 33 IPEC core competencies and sub competencies for interprofessional collaborative practice. Stepping into the role of a nurse practitioner, I will commit to RR1 which is vital to optimal healthcare for patients. RR1 is listed under Roles and Responsibilities and Focuses on knowledge, attitudes and skills of team members in the healthcare setting (Interprofessional Education Collaborative, 2023, p. 19). These skills help team members provide patient centered care that is cost effective, timely, efficient, and equitable.
When searching websites to generate more effective interpersonal conflict management skills, ChatGPT identified active listening, empathy, and collaborative problem-solving as the top three behaviors for achieving greater effectiveness (OpenAI, 2024). Active listening is a crucial skill for Nurse Practitioners (NP). Active listening can help NPs build relationships with patients, gather vital information, and provide optimal care (Kim et al., 2020). Active listening can also help ensure NPs accurately diagnose and treat their patients (Kim et al., 2020). New studies reveal that inadequate listening practices impact over 70% of the healthcare workforce. This leads to miscommunications, errors, disputes, and delays in care (McKenna et al., 2020)
Empathy is a vital element between NPs and their patients. For example, Nembhard et al., (2022) found that greater empathy is associated with better clinical outcomes and patient care experiences. Taking on one’s thoughts and emotions in order to truly understand their experience helps not only build the NP patient relationship but also builds lasting trust (Yu et al., 2022). Collaborative problem solving in the healthcare system is addressing issues by gathering different professionals to share ideas and find solutions (Javed et al., 2020). NPs can use collaborative problem solving by utilizing other health professionals when providing optimal patient care. Defensive Behaviors
As I prepare myself to become a NP, one of my concerns is becoming defensive with a patient. It is so crucial to remain calm and actively listen to the patient. Jim Tamm’s presentation on “Cultivating Collaboration: Don’t Be So Defensive!” points out that as we become defensive our IQ can drop 20 points creating an even more disastrous outcome (TED, 2015). Communicating logically and in a calm manner while addressing concerns of the patient is top priority. Joy Dolls “Collaboration in Health Care: The Journey of an Accidental Expert?” speaks to burnout of health professionals (TED, 2018). Joy relates burnout to lack of collaboration between health professionals. I feel as a nurse and future NP, burnout is ever present and looking into ways to prevent it is critical. Cultivating meaningful relationships with other health professionals and creating a safety net, reduces burnout and promotes optimal patient care (TED, 2018). second Post:
Significance of Collaboration
Interprofessional collaboration involves professionals from different disciplines working together to provide comprehensive patient care. It is essential for addressing the complex needs of patients and delivering high-quality, patient-centered care (Laura, 2024). In today’s healthcare environment, interprofessional collaboration leads to improved patient outcomes, better coordination of services, and a more holistic approach to healthcare (Laura, 2024). Additionally, it can enhance the quality of care, streamline communication, reduce medical errors, and optimize resource utilization (Laura, 2024).
Interprofessional Collaboration
The sub-competency I will commit to as a psychiatric mental health nurse practitioner (PMNHP) from the core competencies of Interprofessional Collaborative Practice is TT5, interpersonal conflict management (Interprofessional Education Collaborative, 2023, p. 19). When prompted to “formulate three behaviors to accomplish more effective interpersonal conflict management skills,” the ChatGPT-generated text indicated “active listening, empathy, and cultural competency” (OpenAI, 2024).
The ability to actively listen is essential for PMHNPs. Developing effective active listening skills can foster growth and empathy in appointment sessions. In a recent meta-analysis study, Swift et al. (2021) discovered that active listening significantly improved patient care outcomes. Patients whose preferences were considered were found to be twice as likely to complete their treatment and report positive outcomes (Swift et al., 2021). Furthermore, research suggests that clients’ perception of active listening can lead to positive emotional responses and help build trust (Kawamichi et al., 2015, as cited in Ricks & Brannon, 2023).
Empathy is a skill and a crucial element in the therapeutic relationship between PMHNPs and their patients. It creates an understanding and inviting space for patients, which can improve attitudes toward individuals with mental illness and help reduce the stigma associated with cognitive disorders (Tippin & Maranzan, 2019, as cited in Roman-Sanchez et al., 2022). Moreover, several studies have indicated that empathy and caring for mental health patients help protect nurses from burnout and improve their connection with their patients (Roman-Sanchez et al., 2022).
It is essential to demonstrate cultural competence by considering various cultural aspects during interpersonal interactions, conflict resolution, and overall patient care (Green & Johnson, 2015). Understanding how culture influences one’s perspective on healthcare and mental wellness is also crucial for providing effective and empathetic care to individuals from diverse cultural backgrounds (Mahoney et al., 2006). By understanding the impact of cultural aspects on perceptions, communication styles, and conflict resolution preferences, as a future PMHNP, I will promote an approach that respects cultural differences, promotes inclusivity, and encourages patient understanding.
Defensive Behaviors
As I prepare for a future interprofessional collaborative member role, I reflect on how I respond when feeling defensive. Tamm’s TED talk made me realize that my early indicators of defensiveness include increased pulse rate, tearfulness, and obsessive thinking (TED, 2015). To address this, I will concentrate on slowing down my thoughts and employing positive self-talk, which assists me in being less defensive and creates room for conflict resolution (TED, 2015). Doll’s TED talk also emphasized the importance of psychological safety in interprofessional collaborative teams (TED, 2018). When team members feel psychologically safe, they communicate openly, share perspectives, and contribute to problem-solving and decision-making (TED, 2018). Psychological safety promotes mutual respect, trust, and support, creating a conducive environment for effective collaboration and conflict resolution, ultimately improving patient care, job satisfaction, and overall team well-being (TED, 2018).

To prepare
Review the Learning Resources,
particularly the chapter on evidence-based practice from McEwen and
Wills, and readings in the White, Dudley-Brown, and Terhaar text.
With
your understanding of evidence-based practice in mind, observe for
examples of evidence-based practice (EBP) in the health care
organization where you practice, and/or examples of nursing practice
that are tradition bound and lack an evidence base.
Consider conditions that support EBP within health care organizations and recommendations for application of EBP.
With these thoughts in mind …
Post a blog on the topic of evidence-based practice
in the health care organization where you practice. Drawing on your
understanding of EBP and your firsthand observations within your
organization, include the following content in your blog:
Briefly describe one specific example of evidence-based practice that produced/is producing significant patient outcomes. Or,
if you are lacking examples, describe a recent patient experience that
might have been improved through application of evidence-based practice.
Explain your reasoning. Note: To maintain confidentiality, do not refer to individuals by name or with identifying details.
Evaluate
the overall application of evidence-based practice within your health
care organization, including conditions that support it or roadblocks to
overcome. Explain your reasoning, including how you have arrived at
your conclusions.
Describe how you can advocate for application of evidence-based practice within your health care organization.