June 2023 – Page 1205 – Homework Handlers

Assignment: Policy/Regulation Fact Sheet

June 3, 2023/in Uncategorized /by SK

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

Briefly and generally explain the policy or regulation you selected.
Address the impact of the policy or regulation you selected on system implementation.
Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.

June 3, 2023/in Uncategorized /by SK

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

Describe the eight steps to integrating evidence-based practice into the clinical environment.

June 3, 2023/in Uncategorized /by SK

Assignment:

Integrating Evidence-Based Practice

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with (2) sources (1 outside source and the textbook) using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Part 1:

Describe the eight steps to integrating evidence-based practice into the clinical environment. What barriers might you face in implementing a new practice to address your research topic (as identified in Module 1)? this topic is delirium in the adult ICU setting Describe strategies that could be used to increase success including overcoming barriers.

Part 2:

Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.

Assignment Expectations:

Length: 1000 – 1500 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source and the textbook are required for this assignment.
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.
Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)
File name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment 1.docx)

Also use the following articles in writing the paper: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554074/

Please use the attached PDF files the APA citation for these would be:

Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health.

Chapter 11

Leadership Strategies and Evidence-Based Practice Competencies to Sustain a Culture and Environment That Supports Best Practice

Factors Influencing EBP Implementation

Studies have found that resistance to accepting EBP is declining; however, factors that still influence EBP implementation include:

Beliefs and attitudes about EBP
Knowledge about EBP
Organizational commitment to EBP
Organizational support for EBP
An organizational culture responsive to change
Support of EBP ideas/initiatives

Interventions Vital to Consistent Implementation of EBP

EBP education combined with active repetitive skills building
EBP mentorship and support
A culture and an environment that supports EBP
Leaders and managers who support and role model EBP
Strategies that overcome system barriers to EBP

Question

Research studies over the last two decades have found that some barriers to EBP have changed in their importance while others remain. Select all of the barriers that still have impact on building and sustaining an environment favorable to EBP:

a. Organizational support and commitment

b. Resistance to EBP implementation

c. Attitude about the importance of EBP

d. Knowledge about EBP processes

Answer

a, b, and d

Rationale: Over the last decade, studies have shown that attitude toward the importance of EBP to clinical practice has improved; however, barriers such as organizational support and commitment, resistance to EBP implementation on site, and sound knowledge about the EBP process continue to be barriers to its implementation.

Nursing Organizations That Incorporate EBP Into Their Standards and/or Expectations of Leadership

American Nurses Association (ANA) ANA Scope and Standards of Practice for the Nurse Administrator (2010)
The American Organization of Nurse Executives (AONE) AONE Nurse Executive Competencies
The American Nurses Credentialing Center (ANCC) Magnet Recognition Program

Leadership Theories for Contemporary Nursing and Healthcare Leadership

Focus on the relationship between the leader and the follower
Leader creates an environment where individuals are supported and recognized for their work
Workers feel inspired and empowered to innovate and change
Leadership theories include:
Innovation leadership
Transformational leadership
Servant leadership
Authentic leadership

Leadership Theories: Innovative Leader

Leadership that creates the context in which innovation occurs and sustains

Competencies of the innovative leader:

Focuses on the essence of the innovation
Possesses knowledge and experience in concepts and processes of innovation
Possesses an understanding of their own personal strengths and limitations
Demonstrates effective collaboration based on listening, encouraging feedback, openness, and conflict resolution

Leadership Theories: Innovative Leader—(cont.)

Competencies of the innovative leader—(cont.):

Manages considerable amounts of data and information and quickly evaluates the evidence, its value, and potential outcomes
Collects related information/evidence when gaps are identified in the information or evidence
Evaluates new technology from the perspective of enhancing the organization rather than purely as a new technology
Coaches others in the principles of innovation, adult learning, and change

Leadership Theories: Transformational Leader

- Leader is the one who provides a vision and motive and is an inspiration to others

- Four dimensions of transformational leadership:

- Idealized influence: Role models with a focus on doing things right rather than ensuring that others do the right things

Leadership Theories: Transformational Leader—(cont.)

- Four dimensions of transformational leadership—(cont.):

Inspirational motivation: Articulates a clear vision that inspires and motivates others to accomplish great achievements
Intellectual stimulation: Encourages innovation and creativity by empowering others to explore new ways of doing things and approaching problems using the EBP process
Individualized consideration: Supports and encourages others by offering reward and recognition for unique contributions

Leadership Theories: Servant Leader

- Leadership based on the essential elements of trust, empathy, caring, and a focus on others

- Foundational characteristics that are central to servant leadership:

Intent and careful listening to others
Seeking to understand and empathize with those they lead
Healing relationships by helping others to solve problems and conflicts, thus supporting and promoting personal growth in others

Leadership Theories: Servant Leader— (cont.)

- Foundational characteristics that are central to servant leadership—(cont.):

Self-awareness that allows a better understanding of issues surrounding ethics, power, and values
Ability to build consensus among others and a reliance on persuasion rather than power to influence
Seeing beyond the “day-to-day” and focusing on long-term goals
Learning from the past to understand the present consequences of decisions

Leadership Theories: Servant Leader— (cont.)

- Foundational characteristics that are central to servant leadership—(cont.):

Belief that serving the needs of others is an obligation
Commitment to the personal, professional, and spiritual growth and development of each individual
Desire to develop a true community among businesses served

Leadership Theories: Authentic Leader

- A composite of other leadership types; these leaders are confident, hopeful, optimistic, resilient, transparent, self-aware, and possess high moral character. They assure that their communication is transparent and comprehended as intended.

- Leadership based on four central behaviors:

Balanced processing: Ability to objectively analyze data to formulate decisions while soliciting views that may challenge ideas without being self-protective

Leadership Theories: Authentic Leader—(cont.)

- Leadership based on four central behaviors—(cont.):

Internalized moral perspective: Role models high standards of moral and ethical conduct
Relational transparency: Presents genuine self to followers and shares their values, emotions, and goals in a transparent manner that encourages others to be forthcoming with their ideas and opinions
Self-awareness: Assesses their strengths and weaknesses to come to a better understanding of their own unique talents, beliefs, and desires in order to enhance their leadership effectiveness

Question

There are four leadership theories that have been identified as congruent with initiating and sustaining evidence-based practice. Match the hallmark characteristics with the theory to which they belong.

a. Innovative leader	__ Doing things right rather than ensuring that others do the right things
b. Transfor-mational leader	__ Based on the essential elements of trust, empathy, caring, and a focus on others
c. Servant leader	__ Presents genuine self to followers and shares their values, emotions, and goals in a transparent manner
d. Authentic leader	__ Evaluates new technology from the perspective of enhancing the organization rather than purely “to be first”

Answer

In order: b, c, d, a

Rationale: Although there are some commonalities among characteristics described in leadership theories, each of the theories has at least one distinctive trait, as identified in previous PowerPoint slides and in the textbook.

Strategies and Related Activities That Eliminate Barriers to an EBP-Friendly Environment

Strategy	Activities
EBP education and skills building	Develop EBP content and skill-building programs targeted at clinicians in various levels of practice including staff, managers, and directors Include EBP content and EBP competencies in orientation and residency programs designed for new hires

Strategies and Related Activities That Eliminate Barriers to an EBP-Friendly Environment—(cont.)

Strategy	Activities
Operational budgets for EBP resources	Purchase computers dedicated for EBP work Allot/budget time for EBP project work
Library services support	Access to library with adequate clinical databases and journals available Support from librarians knowledgeable in EBP steps and processes

Strategies and Related Activities That Eliminate Barriers to an EBP-Friendly Environment—(cont.)

Strategy	Activities
Job descriptions and performance evaluation tools	Write or revise job descriptions with EBP competencies/expectations articulated Write or revise performance appraisal tools with EBP outcomes/deliverables articulated
Clinical ladder requirements	Write or rewrite clinical ladder application with progressive EBP requirements at each level

Strategies and Related Activities That Eliminate Barriers to an EBP-Friendly Environment—(cont.)

Strategy	Activities
Organizational mission, vision, and values statements	Write or revise organizational and departmental mission, vision, and values statements with EBP language integrated throughout
EBP mentors aligned within the organization	Structure EBP mentors/champions centrally within the organization to promote, support, and sustain a unified message and vision of EBP Designate a dedicated, knowledgeable EBP leader to oversee EBP activities and create and inspire the EBP culture

Strategies and Related Activities That Eliminate Barriers to an EBP-Friendly Environment—(cont.)

Strategy	Activities
EBP mentor positions	Create specific job descriptions for designated EBP mentors (include robust knowledge and skills in EBP, motivation, and change theory) Align EBP mentors centrally in the organization
Manager and leader accountability	Write/revise leadership job descriptions to reflect clear EBP expectations Write/revise performance appraisal tools with required EBP outcomes/deliverables

Evidence-Based Practice Competencies for Practicing Registered Nurses

Questions clinical practices for the purpose of improving the quality of care
Describes clinical problems using internal (organization-generated) evidence
Participates in the formulation of clinical questions using PICOT format
Searches for external (research) evidence to answer focused clinical questions
Participates in critical appraisal of pre-appraised evidence

Evidence-Based Practice Competencies for Practicing Registered Nurses—(cont.)

- Participates in the critical appraisal of published research studies to determine their strength and applicability to clinical practice
- Participates in the evaluation and synthesis of a body of evidence gathered to determine its strength and applicability to clinical practice
- Collects practice data systematically as internal evidence for clinical decision making
- Integrates evidence gathered from external and internal sources in order to plan evidence-based practice changes

Evidence-Based Practice Competencies for Practicing Registered Nurses—(cont.)

- Implements practice changes based on evidence and clinical expertise and patient preferences to improve care processes and patient outcomes
- Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations to determine best practices
- Disseminates best practices supported by evidence to improve quality of care and patient outcomes
- Participates in strategies to sustain an evidence-based practice culture

Question

Is the following statement true or false?

Evidence-based practice competencies as identified by Melnyk, Gallagher-Ford, Long, and Fineout-Overholt (2014) are basically the same for both the practicing registered nurse (RN) and the advanced practice nurse (APN).

Answer

False

Rationale: Although several of the competencies as described by Melnyk et al. (2014) are built on the practicing registered nurse competencies, several of them, such as leading interdisciplinary teams in applying synthesized evidence, are exclusive to the APN role.

Describe the HPI and clinical impression for the client.

June 3, 2023/in Uncategorized /by SK

Week 7: Assignment 1: “Captain of the Ship” Project – Obsessive-Compulsive Disorders

In 4 pages, write a treatment plan for your client in which you do the following:

Overview of Obsessive-Compulsive Disorders

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

Week 7: Assignment 1: “Captain of the Ship” Project – Obsessive-Compulsive Disorders

In 4 pages, write a treatment plan for your client in which you do the following:

Overview of Obsessive-Compulsive Disorders

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

Learning Resources

Required Readings

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

· Standard 14 “Professional Practice Evaluation” (pages 80-81)

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 10, “Obsessive-Compulsive and Related Disorders” (pp. 418–436)

Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.

· Chapter 21, “Obsessive-Compulsive Disorder”

Note: You will access this textbook from the Walden Library databases.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

· “Obsessive-Compulsive and Related Disorders”

Note: You will access this book from the Walden Library databases.

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Note: All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

To access information on specific medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Obsessive-compulsive disorder

citalopram clomipramine escitalopram fluoxetine fluvoxamine paroxetine sertraline venlafaxine vilazodone

Thompson-Hollands, J., Edson, A., Tompson, M. C., & Comer, J. S. (2014). Family involvement in the psychological treatment of obsessive-compulsive disorder: A meta-analysis. Journal of Family Psychology, 28(3), 287–298. doi:10.1037/a0036709

Note: You will access this article from the Walden Library databases.

Required Media

Bruce, T. & Jongsma, A. (Producers). (n.d.) Evidence-based treatment planning for obsessive compulsive disorder [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: The approximate length of this media piece is 64 minutes. You will access this video from the Walden Library databases.

Optional Resources

Himle, J. A., Chatters, L. M., Taylor, R. J., & Nguyen, A. (2013). The relationship between obsessive-compulsive disorder and religious faith: Clinical characteristics and implications for treatment. Spirituality in Clinical Practice, 1(S), 53–70. doi:10.1037/2326-4500.1.S.53

Wheaton, M. G., Rosenfield, D., Foa, E. B., & Simpson, H. B. (2015). Augmenting serotonin reuptake inhibitors in obsessive–compulsive disorder: What moderates improvement? Journal of Consulting and Clinical Psychology, 83(5), 926–937. doi:10.1037/ccp0000025