Category: Nursing

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.
The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.
In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.
To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. *Library tip: Walden Library recommends starting your search broadly with one concept or search word and adding more elements one at a time. Depending on your topic, the evidence will not necessarily address all the aspects of your PICO(T) question in one article. Select the most important concepts to search and find the best evidence available, even if that means assembling evidence from multiple articles.

After studying Module 3: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar disorder both emerged in his late teens.  He says that he started to drink to “feel better” when his episodes of depression made it hard for him to interact with his peers.  He also states that alcohol and cocaine are a natural part of his manic episodes.  He also notes that coming off the cocaine and binge drinking contribute to low mood, but he has not responded well to referrals to AA and past inpatient stays have led to only temporary abstinence.  Yet, Richard is now trying to forge a closer relationship with his adult children, and he says he is especially motivated to get a better handle on both his bipolar disorder and his substance use.  He has been more compliant with his mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual diagnoses addressed with psychotherapy.
What diagnostic information would be most critical to collect in the first visit?
Which diagnostic measures are recommended by the US clinical guidelines for the treatment of this patient’s family problem?
Which evidence based harm reduction strategies would you recommend to treat this patient?
Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient.  (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies?
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 19
Wheeler, K (2020).
Chapter 19
NUR 650 Substance Use Disorder Adults.pptx Download NUR 650 Substance Use Disorder Adults.pptx
St. Thomas University. (2022). Substance use disorder adults [slides].
As part of your readings in this module, please also review the following:
Syllabus
APA and Research GuidesLinks to an external site.

Objective: To critically analyze and discuss various leadership styles within the nursing profession, examining their impact on healthcare delivery, team dynamics, patient outcomes, and overall organizational effectiveness.
Instructions: Write a detailed and comprehensive essay of approximately 20 pages addressing the following aspects:
1. Introduction:
o Define leadership and its importance in the nursing profession.
o Briefly introduce the various leadership styles (e.g., transformational, transactional, democratic, autocratic, servant, situational, and laissez-faire).
2. Historical Context:
o Provide a historical overview of leadership styles in nursing.
o Discuss how leadership in nursing has evolved over the decades.
3. Transformational Leadership:
o Define transformational leadership and its key characteristics.
o Discuss the role of transformational leaders in nursing.
o Analyze the benefits and challenges of transformational leadership in healthcare settings.
o Provide real-life examples or case studies illustrating transformational leadership in nursing.
4. Transactional Leadership:
o Define transactional leadership and its key characteristics.
o Discuss the application of transactional leadership in nursing.
o Analyze the effectiveness and limitations of transactional leadership in nursing practice.
o Provide examples or case studies demonstrating transactional leadership in nursing.
5. Democratic Leadership:
o Define democratic leadership and its key characteristics.
o Discuss the impact of democratic leadership on nursing teams and patient care.
o Analyze the advantages and potential drawbacks of democratic leadership in nursing.
o Provide examples or case studies of democratic leadership in nursing.
6. Autocratic Leadership:
o Define autocratic leadership and its key characteristics.
o Discuss situations where autocratic leadership might be necessary in nursing.
o Analyze the implications of autocratic leadership on nursing staff and patient outcomes.
o Provide examples or case studies where autocratic leadership has been applied in nursing.
7. Servant Leadership:
o Define servant leadership and its key characteristics.
o Discuss the relevance of servant leadership in the nursing profession.
o Analyze the positive outcomes and challenges of servant leadership in nursing practice.
o Provide examples or case studies of servant leadership in nursing.
8. Situational Leadership:
o Define situational leadership and its key characteristics.
o Discuss how situational leadership can be effectively applied in nursing.
o Analyze the flexibility and adaptability of situational leadership in various nursing scenarios.
o Provide examples or case studies illustrating situational leadership in nursing.
9. Laissez-faire Leadership:
o Define laissez-faire leadership and its key characteristics.
o Discuss the impact of laissez-faire leadership on nursing teams and patient care.
o Analyze the potential benefits and risks of laissez-faire leadership in nursing.
o Provide examples or case studies of laissez-faire leadership in nursing.
10. Comparative Analysis:
o Compare and contrast the different leadership styles discussed.
o Analyze how different leadership styles influence nursing practice, team dynamics, and patient outcomes.
o Discuss the situational appropriateness of each leadership style in nursing.
11. Leadership in Crisis Situations:
o Discuss the role of leadership during healthcare crises (e.g., pandemics, natural disasters).
o Analyze which leadership styles are most effective in crisis situations in nursing.
o Provide examples or case studies of effective leadership during healthcare crises.
12. Future of Leadership in Nursing:
o Discuss emerging trends and future directions in nursing leadership.
o Analyze how advancements in technology and changes in healthcare delivery might influence leadership styles in nursing.
o Provide recommendations for developing effective nursing leaders for the future.
13. Conclusion:
o Summarize the key points discussed in the essay.
o Reflect on the importance of understanding and applying various leadership styles in nursing.
o Provide final thoughts on how effective leadership can enhance nursing practice and healthcare delivery.
Formatting Guidelines:
• The essay should be approximately 20 – 25 pages, double-spaced, using a 12-point Times New Roman font.
• Include a title page, abstract, and reference page (not counted towards the 20 – 25 pages).
• Use APA format for citations and references.
• Include at least 15 scholarly sources to support your analysis.
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During this semester you will complete four short case studies, you will determine your topics as related to the subject during the week of the assignment: Evidence-Based Practice, Patient-Centered Care, Informatics, and Ethical Issues. I suggest selecting a topic that has personal interest to you.
This week’s subject is Ethical Issues in Professional Nursing Practice.
Review the following attachment, “Case Study Document”.
Click here
Case Study Document (.pdf)
I
Submission Instructions
Submit a 750-1000 count word case study by using Word document (.docx) by Sunday 23:59 using Turnitin.
Provide a minimum of (5) references to support your case study topic/problem/interventions/outcomes.
APA format must be met (title page, abstract, reference page). Title page, abstract and reference page don’t count towards word count.
NO LATE SUBMISSIONS WILL BE ALLOWED.
After you receive a grade and feedback, correct your case study based on recommendations. Print and add to your Professional Portfolio.

Answer the following question about the CDC in a 5 slide powerpoint presentation. Identify a change management theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model would be the best.
In a separate word doc, answer these questions
In 250-500 words, answer the following:Describe the communication tools and techniques used by your team. What were the strengths and weaknesses of the group when collaborating to complete this project?
What strategy, or approach, would improve your collaborative practice in future projects?
When working in a health care setting, how would interprofessional collaboration work to support quality and the improvement of patient outcomes?

Overview:
This week we are going to explore Occupational Wellness. This is one piece of the Eight Dimensions of Wellness to help us create a healthier life. 
Occupational Wellness is:
“Preparing for and participating in work that provides personal satisfaction and life enrichment that is consistent with your values, goals, and lifestyle
Contributing your unique gifts, skills, and talents to work that is personally meaningful and rewarding” (Stoewen, 2017, p. 861).
To be part of the ‘Healthy Workforce’ you read about this week, you will be in search of Occupational Wellness. In Week 1, you identified the kind of leader you work best with. In this assignment, you will take this a step further and identify additional characteristics of an environment in which you will thrive. 
Instructions:
In a 2-page submission, record your answers on a Word document. 
1. Describe what success looks like to you in the workplace. Are you intrinsically or extrinsically motivated to do your job well? Give examples.
2. Describe your perfect nursing job. Dream big! Include in the discussion the kinds of tasks you enjoy, the kinds of clients you want to care for, and/or what the work culture would resemble. Be specific in your description. This is the kind of environment you will seek when you begin searching for nursing jobs.
3. How do you think a manager should or does contribute to an employee’s Occupational Wellness? Is a manager responsible for your Occupational Wellness? Why or why not? Discuss.
4. Consider this statement: “Happy workers are more productive.” Do you agree or disagree with this statement? Give examples of how you have experienced this in the workforce.
5. Many organizations have a formal mentorship/preceptorship program for new graduate nurses. Discuss the benefits of having such a program to the mentor, the mentee, and the organization. How could a mentorship contribute to Occupational Wellness?
Book (chp 5), need intext citations:
https://online.vitalsource.com/reader/books/9780323792080/epubcfi/6/32%5B%3Bvnd.vst.idref%3Dch005_103-136_b9780323792066000051%5D!/4/2%5Bc0025%5D/2/2%5BCN%5D

Explore the differences between
nursing leadership and management. How can strong leadership influence the
nursing team’s performance and patient care quality?

I have provided the needed revisions to my assignment. 
Format
Introduction: Identify a clinical problem in your unit such as patient falls, catheter-associated urinary tract infections, or central line-associated bloodstream infections, to name a few. You will need to introduce the problem and the purpose of the paper.
Background: In this section, you inform the reader why this is important. How many people does this affect and how much does it cost healthcare – as an example, and why this is relevant.
Problem Statement: The problem statement is two to three sentences, clearly stating what the problem is and the clinical question that needs to be answered.
PICOT: Create and identify the PICOT question that will guide your EBP/QI project.
PLEASE MAKE ALL CHANGES AND ADDTIONS IN HIGHLIGHTED YELLOW 

Identifies/addresses a relevant topic and a thesis that provides direction for the content that is engaging and thought provoking. The thesis clearly and concisely states the position, premise, or hypothesis and is consistently the focal point throughout the presentation/paper. Demonstrates a sophisticated understanding and careful, critical analysis of the research topic and thesis (argument). Compares/contrasts perspectives, considers counter arguments or opposing positions, and Evaluates original and thoughtful conclusions with future implications.
Produces compelling and accurate evidence to support in-depth analysis to the central position beyond the required (4) research sources with at least 2 sources from a periodical database. Research sources are relevant, accurate, recent (less than 5 years old) and reliable and add to the strength of the content.
For a slide presentation that is a group project collaboration among team members is evident and there are peer reviews completed. Slide presentation rules: · 6×6 bullet points, · Font ≥ 20 · Notes associated with each slide. · Includes the required number of slides, excluding Title and Reference slides in the count. · The presentation uses appropriate images or animation.
APA 7th Edition guidelines for formatting are consistently followed. Includes in-text citations and references. May use 1st person writing as appropriate with the 7th edition APA.

Understanding that prescribing medication is not the same for all individuals is imperative to becoming a safe and effective psychiatric nurse practitioner. In clinical practice, you will see many patients in different stages of their lives and need to consider these in developing your prescribing treatment plan.
For this Assignment, you will choose a vulnerable patient and develop a 2- to 3-page Medication Guide for them and their family. In your guide, you will consider their ages, birth-assigned sex, FDA approvals, and considerations for increased or decreased risk for side effects. You will choose the most appropriate medication for each of these individuals. Support your answers with evidence-based, peer-reviewed scholarly literature. APA style format title page, citations and references will apply.
Note: You will not set up this Medication Guide as a paragraph-formatted paper but, instead, as a creative, visually appealing guide.
TO PREPARE FOR THIS ASSIGNMENT:
Select a vulnerable patient from the list provided.
Consider age, birth-assigned sex, FDA approvals, and risk and side-effect consideration.
Select the most appropriate medication for your selected patient based upon the information provided.
Review the textbook for commonly prescribed antidepressants, Fast Facts for Psychopharmacology for Nurse Practitioners.
Conduct research through the FDA websiteLinks to an external site..
Review prescriber information for professionals of the medications.
Note: These can be located free online with web search.
Review national guidelines for prescribing for these vulnerable individuals:
Depression Treatments for AdultsLinks to an external site.
Depression Treatments for Older AdultsLinks to an external site.
Depression Treatments for Children and AdolescentsLinks to an external site.
THE ASSIGNMENT
Step 1: Choose one of the following vulnerable patients to create a Medication Guide for the patient:
Patient 1: 26-year-old female with a diagnosis of major depressive disorder and social anxiety disorder who is increasing in isolation and poor self-care. She is in her third trimester of pregnancy.
Patient 2: 16-year-old male with a diagnosis of major depressive disorder, severe. He has seen a therapist weekly for the past 6 months and has had minimal change in symptoms. He has expressed thoughts of wanting to die.
Patient 3: 72-year-old male with diagnosis of major depressive disorder and panic disorder. He has cardiac history and takes antihypertensive medications.
Patient 4: 8-year-old Asian female with a diagnosis of severe depressive disorder presents to the office with a report of worsening symptoms. She has never taken psychotropic medication before.
Step 2: Create a Medication Guide for a patient. In your guide, you should provide the following specific instructions for the patient:
Describe the chosen classification of medications, from the classification category, for your chosen vulnerable patient. Explain your rationale for your choice.
Explain what dose you would start the chosen medication with and the frequency.
Discuss how the medication works to treat their symptoms.
Explain how long they should take the medication.
Discuss the typical or common side effects of the medication.
Explain the urgent or emergent considerations for the patient taking the medication.
The Medication Guide should also include:
Directions you would provide the patient on how to take the prescribed medication
Instructions on what the patient should do if a medication dose is missed
List of any other medications, over-the-counter medications, and/or supplements/herbals the patient should avoid while taking the prescribed medication
List of foods the patient should avoid when taking this medication
Date when the patient should return for follow-up visit with you
Discussion about the legal and ethical considerations for the medication being prescribed
Answers in consideration of Social Determinants of Health on how you would:
Assist the patient who cannot not afford to pay financially for the medication you are recommending/prescribing; and/or
Has difficulty with transportation that impacts their ability to present for regular appointments with you
Discuss how financial hardship and lack of transportation could relate to Social Determinants of Health, as well as why they are important considerations for you as a prescriber.
Assignment:
Medication Guide should be based on patient 2.  There should be 3 references.   References should be no older than 5yrs.