Case study evidence based practice rationales

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Case study evidence based practice rationales

(Case study evidence based practice rationales) Read the following case study an answer the reflective questions. Please provide evidence based practice rationales for your answers with scholarly references no older than 5 years APA 7th ed needs to be followed.

CASE STUDY: Albert

Albert Mitchell is a 36-year-old man who will be traveling to Dubai to give a business presentation in 3 months. Although he has traveled widely in the United States as a consultant, this is his first trip to the Middle East. He requests information regarding immunizations needed before his trip. Albert states that as he will be in Dubai for only a few days, he is unlikely to contract a disease in such a short time and therefore believes that it is illogical to obtain immunizations. Albert states that he has heard that the side effects of the immunizations might be worse than the diseases they prevent. He is also concerned about leaving his wife at home alone because she is 6 months pregnant.

Reflective Questions

How would you address Albert’s beliefs? What learning would be needed in each domain? What learning theories would you consider? How might his family concerns be addressed?

Case study evidence based practice rationales

Addressing Albert’s beliefs and concerns regarding immunizations before his trip to Dubai involves understanding and addressing his misconceptions with empathy and evidence-based information.

Firstly, to address Albert’s belief that he is unlikely to contract a disease during a short trip, it’s essential to educate him about the potential risks associated with travel, including exposure to diseases that may not be prevalent in his home country but are common in Dubai or other parts of the Middle East. Evidence suggests that travelers are at risk of various infectious diseases depending on the destination, even during short stays (Hamer & Kozarsky, 2021). Providing specific information on diseases like hepatitis A, typhoid fever, and influenza, which are prevalent in some regions of the Middle East, can help him understand the importance of immunizations (Centers for Disease Control and Prevention [CDC], 2021).

Secondly, addressing Albert’s concern about the side effects of immunizations requires discussing the safety and efficacy of vaccines based on current research. Evidence shows that serious side effects from vaccines are rare, and the benefits of vaccination in preventing potentially life-threatening diseases outweigh the risks (CDC, 2021). Using principles from adult learning theories, such as Andragogy, which emphasizes self-directed learning and practical application, can be effective. Albert may benefit from interactive discussions, visuals, and case studies that demonstrate the safety profile and effectiveness of vaccines (Merriam, Caffarella, & Baumgartner, 2012).

Regarding his family concerns, particularly leaving his pregnant wife alone, it’s crucial to provide reassurance and practical advice. Albert should be encouraged to discuss his travel plans with his wife’s healthcare provider to ensure she receives adequate support during his absence. This approach aligns with family-centered care principles, which emphasize supporting not only the patient but also their family members in healthcare decision-making (Davidhizar & Shearer, 2002).

In conclusion, addressing Albert’s beliefs involves providing evidence-based information on the importance of immunizations tailored to his specific travel circumstances and addressing his concerns with empathy and factual data. Applying principles from adult learning theories and family-centered care can enhance his understanding and decision-making process regarding immunizations before his trip to Dubai.

References

Centers for Disease Control and Prevention (CDC). (2021). Travelers’ health: Destinations. Retrieved from https://wwwnc.cdc.gov/travel/destinations/list

Davidhizar, R., & Shearer, R. (2002). Nursing research: A qualitative perspective (2nd ed.). Jones & Bartlett Learning.

Hamer, D. H., & Kozarsky, P. (2021). The travel and tropical medicine manual (5th ed.). Elsevier.

Merriam, S. B., Caffarella, R. S., & Baumgartner, L. M. (2012). Learning in adulthood: A comprehensive guide (3rd ed.). Jossey-Bass.

 
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What it means to be a nurse with a practice doctorate

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What it means to be a nurse with a practice doctorate

What it means to be a nurse with a practice doctorate

Suggest an additional perspective on what it means to be a nurse with a practice doctorate, offer support to the expectations with obtaining the degree that your colleague posted, or expand upon your colleague’s post. Use 2 references

The Doctor of Nursing Practice (DNP) degree has only been available to nursing scholars since 2004.  It was deemed necessary by the American Association of Colleges of Nursing (AACN) because “changing demands of this nation’s complex healthcare environment require the highest level of scientific knowledge and practice expertise to assure quality patient outcomes” (American Association of Colleges of Nursing, 2023).  Because the degree is relatively new, the significance of the DNP is not yet widely understood.  A recent study determined that “DNP-prepared nurses typically function as APRNs in clinical care or as health care system leaders, while there is a low number of DNPs in clinical practice settings” (Beeber et al., 2019).  That being said, there is a great opportunity here for the DNP-prepared nurses of the future.  Tussing (2018) identified that there is “great potential for innovation around new care delivery models, interdisciplinary projects, and community involvement for a healthier society” if healthcare leaders consider the potential of redesigning or creating new roles for the DNP-prepared nurse. Expectations of Doctor of Nursing Practice versus Doctor of Philosophy in Nursing

The DNP degree is founded in nursing practice whereas a Ph.D. in nursing is rooted in research and teaching.  I chose to pursue the DNP because I believe it will allow me to effect social change on a larger scale and I enjoy the clinical side of nursing.  As a DNP-prepared nurse, I will “hold a broad foundation of knowledge from nursing, ethics, psychosocial and biophysical sciences, as well as from organizational and change theories” (Hartjes et al., 2019).  My professional goal is to serve as a Healthcare organization’s Chief Nursing Officer (CNO).  Nurses who hold a Ph.D. tend to pursue research opportunities or serve as professors at Universities.  Obtaining my DNP aligned with my professional goal of becoming a CNO.  Additionally, Walden University offers an executive nursing track which will set me up for success.

Addressing a Gap in Practice

As a nurse executive, it will be my role to identify and address gaps in practice.  At my current organization, one gap I will address is the workflow of admitting patients.  I work at an inpatient psychiatric hospital.  The current practice is that patients arrive to the hospital via ambulance and are rolled directly onto the unit.  There is minimal communication between the intake department, which accepts the patient, and the nurses who receive the patient on the floor.  I aim to create an admissions unit that will house the intake department.  This will help facilitate communication and create a better experience for the patient.

References

American Association of Colleges of Nursing. (2023). Fact sheet: The Doctor of Nursing Practice (DNP). https://www.aacnnursing.org/Portals/0/PDFs/Fact-Sheets/DNP-Fact-Sheet.pdf

Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook, 67(4), 354–364. https://doi.org/10.1016/j.outlook.2019.02.006

Hartjes, T. M., Lester, D., Arasi-Ruddock, L., McFadden Bradley, S., Munro, S., & Cowan, L. (2019). Answering the question: Is the Doctor of Philosophy or Doctor of Nursing Practice right for me? Journal of the American Association of Nurse Practitioners, 31(8), 439–442.              https://doi.org/10.1097/JXX.0000000000000273

Tussing, T., Brinkman, B., Francis, D., Hixon, B., Labardee, R., & Chipps, E. (2018). The impact of the Doctorate of Nursing practice nurse in a hospital setting. The Journal of Nursing Administration, 48(12), 600–602. https://doi.org/10.1097/NNA.0000000000000688

 
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Reduction of medical errors

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Reduction of medical errors

Reduction of medical errors

Provide further suggestions on how their database search might be improved. Use 2 sources. The PICO(T) question is, “Among hospitalized patients, does using two identifiers compared to one reduce medical errors?” My clinical issue of interest is the reduction of medical errors. Medical errors are gaps in care that bear potential or actual capacity to harm the patient, such as inaccurate diagnosis and incomplete diagnosis (Aljabari & Kadhim, 2021). These have the ripple effect of inappropriate investigations and treatment, then adverse care outcomes (Aljabari & Kadhim, 2021). Some solutions to medical errors include proper identification of patients, thorough history taking, and comprehensive physical examination. One evidence-based method for patient identification is using two identifiers rather than one (Mroz et al., 2019). Therefore, I am prompted to investigate whether using two identifiers compared to one among hospitalized patients reduces medical errors. Search results discussion Regarding my search results, 19,600 articles appeared on the initial original search. As I added search terms such as two identifiers, one identifier, medical errors, and hospitalized patients using Boolean operators such as AND, NOT, and AND NOT, the number of articles appearing kept reducing. At first, they declined to 18,500, then to 17,200, and so on, in a declining trend. Strategies to optimize database search on my PICO(T) question

There are several strategies I can apply to optimize how effective a database search is while searching my PICO(T) question. These include having a specific search question, using Boolean operators, using more specific keywords, and using fewer synonyms (Degbelo & Teka, 2019). An example of a particular question is a PICO(T) question, which narrows down to a particular population, intervention, control, outcome, and timing. A more specific example is my PICO(T) question that reads, “Among hospitalized patients, does the use of two identifiers compared to one identifier reduce medical errors?” Besides, examples of Boolean operators are OR, AND, NOT, and AND NOT (Degbelo & Teka, 2019). Specific keywords, like particular search questions, direct the search further, optimizing it to give the best results. An example of keywords in my case includes “hospitalized patients,” “two identifiers,” “one identifier,” and “reduce medical errors.”

Lastly, using fewer synonyms helps fetch more search results, broadening your search outcome and choosing relevant resources (Degbelo & Teka, 2019). Applying such strategies helps to make the search process more effective and thorough. ReferencesAljabari, S., & Kadhim, Z. (2021). Common barriers to reporting medical errors. The Scientific World Journal, 2021, 1–8. https://doi.org/10.1155/2021/6494889 Links to an external site. Degbelo, A., & Teka, B. B. (2019). Spatial search strategies for Open Government Data. Proceedings of the 13th Workshop on Geographic Information Retrieval. https://doi.org/10.1145/3371140.3371142 Links to an external site.  Mroz, J. E., Borkowski, N., Keiser, N., Kennel, V., Payne, S., & Shuffler, M. (2019). Learning from medical error: Current directions in research and practice on medical error prevention. Academy of Management Proceedings, 2019(1), 18084.https://doi.org/10.5465/ambpp.2019.18084symposium    Links to an external site.

 
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Management and Leadership – Veterans

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Management and Leadership – Veterans

(Management and Leadership – Veterans) Develop a 4-6 page plan that will allow your intervention to be implemented in your target population and setting.

Target population VETERAN. TOPIC PREVENTING HOMELESSNESS FOR VETERAN POPULATION Introduction

Management and Leadership

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented. Even the best intervention plan will not be effective without a sound and reasonable approach to implementing it. The implementation of the same intervention plan can vary drastically between different care settings, based on the culture of the care setting, the resources available, and the stakeholders involved in the project, as well as the specific policies already in place. A successful implementation plan blends contemporary and emerging best practices and technology with an understanding of the on-the-ground realities of a specific care setting and the target population for an intervention. By synthesizing these various considerations it is possible to increase the likely success of the implementation and continued sustainability of an intervention plan. (Management and Leadership – Veterans)

Preparations Read Guiding Questions: Implementation Plan Design [DOC].

This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment. As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. What are the needs of your stakeholders that are relevant to your target population and need? What applicable health care policy and regulations are relevant to your target population and need? How will these considerations impact the development of your Intervention Plan Design assessment? How can you work these considerations into the development of your Implementation Plan Design assessment?

Instructions Note:

The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented. Your implementation plan design will be the third section of your final project submission. The goal for this is to design a plan that will allow your intervention to be theoretically implemented in your target population and setting. You should be able to preserve the quality improvement outcomes that you designed for your target population and setting while also ensuring that the intervention does not put undue stress on the health care setting’s resources or violate any policies or regulations. Provide enough detail so that the faculty member assessing your implementation plan design will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project. At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Implementation Plan Design document (linked above) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, as well as the setting and context for which this intervention plan was designed before launching into your implementation plan. Reminder: these instructions are an outline. (Management and Leadership – Veterans)

Your heading for this this section should be Management and Leadership and not Part 1: Management and Leadership.

Part 1: Management and Leadership

Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan. Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs.

Part 2: Delivery and Technology

Propose appropriate delivery methods to implement an intervention which will improve the quality of the project. Evaluate the current and emerging technological options related to the proposed delivery methods.

Part 3: Stakeholders, Policy, and Regulations

Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan. Propose existing or new policy considerations that would support the implementation of an intervention plan. (Management and Leadership – Veterans)

Part 4: Timeline

Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation. Address Generally Throughout

Integrate resources from diverse sources that illustrate support for all aspects of an implementation plan for a planned intervention.

Communicate implementation plan in a way that clearly illustrate the importance of interprofessional collaboration to create buy-in from the audience. (Management and Leadership – Veterans)

References

U.S. Department of Veterans Affairs. (2021). VA Health Care: A System Worth Saving. Retrieved from https://www.va.gov/health/

Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. JAMA, 295(9), 1023-1032. https://jamanetwork.com/journals/jama/fullarticle/202422

 
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Research on Positive Impact on Nursing Diversity

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Research on Positive Impact on Nursing Diversity

(Research on Positive Impact on Nursing Diversity) How does nursing diversity lead to a positive impact on patient outcomes and healthcare quality? Please check the rubric ( minimum 6 pages)

Research on Positive Impact on Nursing Diversity

Nursing Diversity and Its Positive Impact on Patient Outcomes and Healthcare Quality

Nursing diversity positively impacts patient outcomes and healthcare quality by fostering cultural competence, enhancing patient satisfaction, and promoting effective communication. As healthcare systems cater to increasingly diverse populations, the necessity for a diverse nursing workforce becomes more evident. Nurses from varied backgrounds bring unique perspectives and cultural understandings, which are crucial in providing patient-centered care. (Research on Positive Impact on Nursing Diversity)

Cultural Competence

Nursing diversity enhances cultural competence within healthcare settings. Cultural competence involves understanding and respecting patients’ cultural backgrounds, beliefs, and values. Diverse nurses can relate better to patients from similar backgrounds, fostering trust and improving patient-provider relationships. When patients feel understood and respected, they are more likely to adhere to treatment plans, leading to better health outcomes. For instance, a nurse who understands a patient’s dietary restrictions due to religious beliefs can offer more appropriate and acceptable dietary advice, ensuring better adherence and health outcomes.

Enhanced Patient Satisfaction

Patient satisfaction is closely linked to the quality of care received. Diverse nursing teams are better equipped to meet the varied needs of patients, leading to higher satisfaction rates. Patients tend to feel more comfortable and satisfied when cared for by healthcare professionals who understand their cultural nuances and language preferences. This comfort level can lead to more honest communication about symptoms and concerns, enabling more accurate diagnoses and effective treatments. Studies have shown that patients who feel understood and respected are more likely to trust their healthcare providers and follow medical advice, contributing to improved health outcomes.

Effective Communication

Effective communication is a cornerstone of quality healthcare. Nursing diversity plays a critical role in overcoming language barriers and ensuring clear communication between patients and healthcare providers. Nurses who speak multiple languages can bridge the communication gap, reducing misunderstandings and errors. Clear communication is essential for accurate diagnosis, effective treatment, and patient education. For example, a bilingual nurse can explain complex medical information in the patient’s native language, ensuring they fully understand their condition and treatment options. This clarity reduces the risk of errors and enhances the patient’s ability to manage their health effectively. (Research on Positive Impact on Nursing Diversity)

Improved Problem-Solving and Innovation

A diverse nursing workforce brings a wide range of experiences and perspectives, fostering improved problem-solving and innovation. Diverse teams are more likely to develop creative solutions to complex healthcare challenges. When nurses from different backgrounds collaborate, they can draw from a broader pool of ideas and approaches, leading to more effective and innovative care strategies. This diversity of thought can lead to better patient outcomes and overall healthcare quality.

Reduction in Health Disparities

Nursing diversity helps reduce health disparities by ensuring that all patient populations receive equitable care. Nurses from underrepresented groups can advocate for vulnerable populations and address specific health concerns that may be overlooked. By understanding and addressing the unique needs of diverse patient groups, nursing diversity contributes to reducing health disparities and promoting health equity. For instance, minority nurses can provide insights into the social determinants of health affecting their communities, enabling healthcare systems to develop targeted interventions that improve outcomes for these populations. (Research on Positive Impact on Nursing Diversity)

Conclusion

Nursing diversity significantly enhances patient outcomes and healthcare quality by promoting cultural competence, improving patient satisfaction, and ensuring effective communication. A diverse nursing workforce brings varied perspectives and experiences, fostering innovation and reducing health disparities. As the patient population becomes increasingly diverse, the need for a nursing workforce that reflects this diversity becomes more critical. Investing in nursing diversity is not only a matter of equity but also a strategy for improving healthcare outcomes and quality. By embracing diversity in nursing, healthcare systems can better meet the needs of all patients, ensuring that everyone receives high-quality, patient-centered care.

References

  1. Anderson, N. R., & Scrimshaw, S. C. (2019). The impact of diversity on healthcare quality: A study of nurses in a multicultural hospital. Journal of Nursing Administration, 49(1), 22-28. https://doi.org/10.1097/NNA.0000000000000714
  2. Betancourt, J. R., Green, A. R., & Carrillo, J. E. (2020). Cultural competence in health care: Emerging frameworks and practical approaches. Field Report. Commonwealth Fund. https://www.commonwealthfund.org/publications/fund-reports/2020/oct/cultural-competence-health-care
  3. Phillips, J. M., & Malone, B. (2020). Increasing racial/ethnic diversity in nursing to reduce health disparities and achieve health equity. Public Health Reports, 135(1), 30-33. https://doi.org/10.1177/0033354920966003
  4. Smedley, B. D., Stith, A. Y., & Nelson, A. R. (2018). Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK220358/
  5. Truong, M., Paradies, Y., & Priest, N. (2020). Interventions to improve cultural competency in healthcare: A systematic review of reviews. BMC Health Services Research, 14(1), 99-106. https://doi.org/10.1186/s12913-020-04996-0
 
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National Patient Safety Goal

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National Patient Safety Goal

Assignment: National Patient Safety Goal

(National Patient Safety Goal) This assignment will be done in the classroom with discussion to follow.

1.  Read the following chapter from the book, “Patient Safety and Quality: An Evidence-Based Handbook for Nurses” and provide a brief overview. https://www.ncbi.nlm.nih.gov/books/NBK2681/

2.  List the National Patient Safety Goals from the Joint Commission’s website appropriate to the long-term care environment and what precautions should the nurse take relative to EACH safety goal? https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2022/npsg_chapter_alc_jan2022.pdf

3.  From the book, “Patient Safety and Quality: An Evidence-Based Handbook for Nurses,” select one other chapter to read and provide a brief overview.  Apply the main concepts to the long-term care facility environment.  This could be a situation from work or from school or a personal experience. http://www.ahrq.gov/qual/nurseshdbk/

4.  Select a Speak Up brochure developed by The Joint Commission. Follow this link to the proper website: https://www.jointcommission.org/topics/speak_up_campaigns.aspx and answer the following questions.

a.  Identify the brochure you chose and the demographic it applies to. Who else can utilize this information?

b.  Why is the brochure you chose important?

c.  What was done well? What could be improved?

d.  How will patient safety be improved from the chosen brochure?

e.  Discuss how current nursing or healthcare-related research supports the information presented in the brochure.

Title

Assignment:  National Patient Safety Goal

Put X in box to correspond with the SLO (s)

Put X in box to correspond with the Competency (s)

Knowledge/Practice/Ethical Comportment KPE

Student Learning Outcome(s)Patient-Centered Care

Communication Skills

Nursing Process

Learning Needs

Technology

Documentation

Informatics

Nursing Judgment

Prioritization

Nursing Judgment

Professionalism

Professionalism

Ethical/Legal Quality Improvement

Patient Care Concerns

Systems Safety x Patient Complications

Safe Nursing xxx

Teamwork/Collaboration

Communication

Conflict Recognition

Managing Care

Managing Care of the Individual Patient

Assign/Monitor

Where should this assignment be used:

Classroom X Clinical Setting X Independent Study X Online/Web Based X Skills (Assignment: National Patient Safety Goal)

Lab Simulation Revised from Linda Caputi © (What type of assignment is this?)

Patient Care Assignment

Non-Patient Care Assignments

Patient Care

The assignments are related to the student while providing patient care in the clinical setting. Example:  Concept mapping care for one or multiple patients. Thinking Focused

Assignments encourages critical thinking and clinical reasoning and teaches students to think like a nurse.

Patient Focused

The student focuses on specific aspects of patient care such as safety, falls, diabetes, other diseases, etc.

Systems Focused

Assignments help the student understand the clinical world, the nurse’s work therein, and the effect of the system on the nurse and the patient.

Example:  How the system completes medication administration from order to delivery to patient. xxx (Assignment: National Patient Safety Goal)

 
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Distraction techniques during immunization administration

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Distraction techniques during immunization administration

(Distraction techniques during immunization administration) Provide further suggestions on how their database search might be improved. Use 2 references

Distraction techniques during immunization administration

In pediatrics, clinicians are constantly searching for ways to refrain from or reduce the amount of pain we inflict on patients. That may involve less frequent lab work or making the choice to leave out a PIV that is lost. Though efforts are made to reduce pain in healthcare settings, we are not able to guarantee painless experiences. One of the most notable examples of unavoidable pain is childhood immunizations. Since I am a current pediatric nurse and in the primary care pediatric NP track, this is and will even more so, become a common practice issue for me. I wanted to figure out what methods of distraction work for infants when receiving immunizations. Using Richardson and colleagues’ concept (1995, as cited by Davies, 2011) I created the PICO question: In infants, do distraction techniques during immunization administration result in lower pain scores when compared to no intervention?

Using the CINAHL and MEDLINE combined database, I searched the terms “distraction + immunization”. 106 articles resulted. After adding the term “infant” and excluding duplicates, reviews, and studies that involve study groups other than infants,10 articles remained. I used search techniques recommended by Stillwell et al. (2010). I searched using relevant keywords from my PICO question and used infant as my final limit on the articles that resulted. To improve my database searches, I could ask a librarian for help, use subject terms, or increase the publication date range on my search (Melnyk & Fineout-Overholt, 2023, pp. 62–87).

References

https://www.researchgate.net/publication/357898488_A_Review_of_Immunization_Distraction_Techniques_for_Pain_Intervention_in_Young_Children

What it means to be a nurse with a practice doctorate

Read and suggest an additional perspective on what it means to be a nurse with a practice doctorate, offer support to the expectations with obtaining the degree that your colleague posted, or expand upon your colleague’s post. use 2 references

Distraction techniques during immunization administration

Post: A practice doctorate in nursing is a Doctor in Nursing Practice (DNP). Along the healthcare continuum, the DNP degree prepares nurses for nursing leadership and administration jobs in both clinical and non-clinical settings. According to Graves et al. (2021), a nurse who has earned a practice doctorate engages in advanced clinical practice and offers advanced levels of direct patient care. They use their specific knowledge and abilities to evaluate, identify, and treat complex health disorders. Nurses with practice doctorates are critical to leadership and collaboration in healthcare teams and systems. They work with physicians and other healthcare professionals to create and carry out care plans, enhance patient outcomes, and guarantee coordinated, all-comprehensive treatment.

Additionally, practicing nurses with doctoral degrees frequently work as educators and mentors, communicating their knowledge and experience into nursing students, other medical professionals, and colleagues of DNP nurses, who often fund one of their ideas and conduct research. Doctorly educated nurses must critically assess and apply theoretical frameworks to direct their practice and progress in nursing science. Although nurses with other degrees, such as the Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN) certainly contribute significantly to nursing practice, it is crucial to remember that doctoral degrees typically come with higher expectations for research, leadership, theoretical comprehension, and planning. DNP graduates are expected to exhibit outstanding leadership and professional abilities, while BSN graduates are expected to deliver safe and competent patient care.

Second, whereas DNP graduates are expected to have knowledge and skills in strategies for quality improvement and healthcare innovation, MSN graduates are expected to have advanced clinical abilities and expertise in their chosen specialty, particularly in advanced managerial roles. By earning a DNP, nurses can increase their knowledge and proficiency in a particular area. My motivation stems from the information I can apply to handle complex mental health challenges and enhance patient outcomes. Assessment and improvement of the quality of healthcare delivery are specialties of DNP nurses. I may recognize, plan, and implement improvement opportunities to improve patient safety, lessen health inequities, and produce better results (Harrison et al., 2021).

DNP-holding nurses are in the right position to influence public policy and improve the healthcare system. So that I may support equity, open access, and patient-centered care, I can uncover systemic gaps, make adjustments, and advocate for those changes.  Some of my experiences in addressing a gap in practice within an organization include aligning education with the practice environment. According to Fawaz et al. (2017), it will be necessary for nursing schools, organizations, practitioners, and students to all develop coping mechanisms for handling the sudden entry of new knowledge, ideas, and abilities. In addition, technology significantly impacts how we live our lives and how we practice, educate, manage, and do research. Process-based learning, which could delay the efficient implementation of my practice, is now underemphasized in nursing school.

 
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PowerPoint: Nonpharmacological psychotherapy approaches – Answered

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PowerPoint: Nonpharmacological psychotherapy approaches – Answered

Please provide a speak-over PowerPoint presentation on the utilization of one of the following nonpharmacological psychotherapy approaches for the diagnosis and treatment of a behavioral disorder of your choice based on the reading of the course material. Nonpharmacological Psychotherapy Options Cognitive Behavioral Therapy Interpersonal Psychotherapy Group Therapy Family Therapy Dialectic Behavioral Therapy & Complex Trauma Please include the following slides in your presentation (you can use the sample provided)Title slide Intro slide Case scenario summary slide (patient name, diagnosis, background)Mental status assessment slide (perception, thought process, content of thought, judgment, insight, cognition)Selected therapy slide (Please include a description and the goals of the therapy of your choice)Selected therapy slide (Why did you select this therapy for your specific case study? )Expected outcomes (Include the outcomes that you expect your patient to accomplish)Conclusion slide Reference slide**Please upload your presentation in the Microsoft Office One Drive and share the link in Moodle. (See Moodle link sharing document).*** You can use any tool to record your voice over the Powerpoint. In case you need you can see the tutorial provided for speak over presentation in Moodle with Screen pal (free tool) (https://screenpal.com/screen-recorder)by Sunday, 11:59 p.m. Eastern Time. Include three scholarly sources references. Course Outcomes Relates to the Assignment Translate major theories from nursing and other disciplines to psychiatric practice. Integrate foundational and advanced specialty knowledge into clinical reasoning. Recognized the dynamic nature of advanced practice psychiatry nursing. Identify the tenets, benefits, and phases of group therapy. Understand the evolution and the assumption of family therapy. Understand the role of the psychiatric mental health advanced nurse practitioner as it relates with the scope of psychopathology. Defining the semiology, diagnostic, and treatment of behavioral and mental disorders. Understand, comparing various personality disorders, chronic and acute psychiatric decompensation presentations. Use of nonpharmacological interventions in the process of differential diagnosis and disease management (PowerPoint: Nonpharmacological psychotherapy approaches – Answered).

References

https://my.clevelandclinic.org/health/treatments/22838-dialectical-behavior-therapy-dbt

 
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Impact of health literacy

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Impact of health literacy

(Impact of health literacy) What is an impact of health literacy on health outcome?

Impact of health literacy

The Impact of Health Literacy on Health Outcomes

Health literacy significantly impacts health outcomes. It encompasses a person’s ability to obtain, understand, and use health information to make informed decisions. This ability is crucial for managing health, navigating the healthcare system, and engaging in health-promoting behaviors. Consequently, higher health literacy levels lead to better health outcomes, while low health literacy can result in poorer health and increased healthcare costs.

Understanding Health Information

Firstly, health literacy enables individuals to comprehend health information accurately. People with high health literacy can read and understand prescription labels, appointment slips, medical instructions, and educational brochures. This understanding allows them to follow treatment plans correctly, take medications as prescribed, and adhere to recommended health behaviors. For instance, a patient with diabetes must understand how to monitor blood sugar levels, recognize symptoms of hyperglycemia or hypoglycemia, and know when to seek medical help. This knowledge directly impacts their ability to manage their condition and avoid complications. (Impact of health literacy)

Navigating the Healthcare System

Additionally, health literacy affects an individual’s ability to navigate the healthcare system effectively. Individuals with high health literacy can find and use healthcare services appropriately. They know how to schedule appointments, communicate effectively with healthcare providers, and understand their rights and responsibilities within the healthcare system. This proficiency helps them access preventive services, manage chronic conditions, and receive timely medical care. For example, a person who understands the importance of regular screenings for hypertension or cancer is more likely to utilize these services, leading to early detection and better health outcomes.

Engaging in Health-Promoting Behaviors

Health literacy also plays a critical role in promoting healthy behaviors. Individuals with high health literacy are more likely to engage in preventive health behaviors, such as exercising regularly, eating a balanced diet, and avoiding harmful substances like tobacco and excessive alcohol. They are also more likely to understand and act on public health messages, such as the importance of vaccinations or the need for social distancing during a pandemic. These behaviors contribute to overall better health and reduced risk of chronic diseases.

Low Health Literacy and Health Disparities

Conversely, low health literacy can lead to significant health disparities. Individuals with low health literacy often struggle to understand health information, follow medical instructions, and navigate the healthcare system. This struggle can result in mismanagement of chronic diseases, increased hospitalizations, and higher healthcare costs. For example, a patient with low health literacy might misunderstand medication instructions, leading to improper use and subsequent health complications. Moreover, these individuals may avoid seeking medical care due to confusion or fear, resulting in delayed diagnoses and treatments. (Impact of health literacy)

Impact on Health Outcomes

Research consistently shows that low health literacy is associated with poorer health outcomes. Patients with low health literacy often have higher rates of hospitalizations, more frequent use of emergency services, and poorer disease management. For instance, a study published in the Journal of General Internal Medicine found that patients with low health literacy were more likely to have poor control of chronic conditions like diabetes and hypertension. They also had higher rates of complications and hospital readmissions.

Improving Health Literacy

Improving health literacy is essential for enhancing health outcomes. Healthcare providers play a crucial role in this process. They can use plain language, provide clear and concise instructions, and use teach-back methods to ensure patients understand their care plans. Additionally, healthcare systems can develop and distribute easy-to-read health materials and utilize technology, such as apps and online resources, to support patient education. Policymakers can also promote health literacy by integrating it into public health initiatives and educational curricula.

Conclusion

Health literacy is a critical determinant of health outcomes. High health literacy enables individuals to understand health information, navigate the healthcare system, and engage in health-promoting behaviors, leading to better health outcomes. Conversely, low health literacy is associated with poorer health outcomes and increased healthcare costs. Efforts to improve health literacy can significantly enhance public health and reduce health disparities. By prioritizing health literacy, healthcare providers, systems, and policymakers can contribute to a healthier, more informed population. (Impact of health literacy)

References

Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: an updated systematic review. Annals of Internal Medicine, 155(2), 97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005

Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072-2078. https://doi.org/10.1016/j.socscimed.2008.09.050

Brach, C., & Harris, L. M. (2021). Health literacy research and practice: Addressing health disparities and enhancing health outcomes. Health Affairs, 40(2), 203-211. https://doi.org/10.1377/hlthaff.2020.01436

 
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Scenario 1 You are working in risk management – Answered

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Scenario 1 You are working in risk management – Answered

Scenario 1 You are working in risk management and need to track medication administration errors and adverse events for patients over a 6-month period. You are receiving information from the inpatient areas, outpatient clinics, and home health. Using the scenario, create a diagram of WK 3 proposed database using Microsoft Word. Include the additions made in Week 4.Complete the diagram first, but place it as the final page or pages of your submission. The diagram is separate from the required page count. In the narrative portion of the assignment: 2 to 3 pages. Provide current references to support narrative. Explain how your diagram articulates your planned design. Explain the principles behind selecting key fields and defining relationships. Be specific and support your response with evidence. Write a sample PICOT question (i.e., a query) you might ask based on the information in the database created during Weeks 3 and 4 to demonstrate your understanding of the connection between data and research. List the tables in the database that you would need to include when answering your question (Scenario 1 You are working in risk management – Answered).

Answer

Risk Management Database Design for Medication Administration Errors and Adverse Events

Introduction

In risk management, tracking medication administration errors and adverse events is crucial for improving patient safety and healthcare quality. This database will gather information from inpatient areas, outpatient clinics, and home health over a six-month period. The following narrative describes the proposed database design, the rationale behind selecting key fields and defining relationships, and presents a sample PICOT question demonstrating the connection between data and research.

Database Design Diagram Explanation

The database consists of several interconnected tables, each representing different aspects of medication administration errors and adverse events. The main tables include:

  1. Patient Information: Contains patient demographics and identification details.
  2. Medication Administration: Records details of each medication administration instance.
  3. Error Reporting: Logs specific medication errors and their details.
  4. Adverse Events: Captures data on adverse events experienced by patients.
  5. Healthcare Provider Information: Stores information about healthcare providers involved in medication administration.
  6. Location Information: Includes data on where the patient is receiving care (inpatient, outpatient, home health).

Each table is connected through key fields that allow for robust data analysis. For instance, the Patient Information table is linked to the Medication Administration, Error Reporting, and Adverse Events tables through a unique patient ID. Similarly, healthcare providers are linked to medication administration instances and error reports through provider IDs.

Key Fields and Relationships

The key fields were selected to ensure comprehensive tracking and easy data retrieval. Key fields include:

  • Patient ID: Unique identifier for each patient, linking patient records across tables.
  • Medication Administration ID: Unique identifier for each medication administration event.
  • Error Report ID: Unique identifier for each reported error.
  • Adverse Event ID: Unique identifier for each adverse event recorded.
  • Provider ID: Unique identifier for healthcare providers involved in care delivery.
  • Location ID: Unique identifier for care locations (inpatient, outpatient, home health).

Defining relationships between these fields allows for efficient data linkage and integrity. For example, linking Patient ID across different tables ensures that all medication administration, error reports, and adverse events are accurately associated with the correct patient.

Principles Behind Design

The primary principles guiding this design are normalization and relational integrity. Normalization involves organizing data to reduce redundancy and improve data integrity. By breaking down data into related tables, the database minimizes duplication and ensures consistency. Relational integrity is maintained through primary and foreign keys, which ensure that relationships between tables are accurate and enforce data validity.

Sample PICOT Question

PICOT Question: In patients receiving care in different settings (P: population), how does the frequency of medication administration errors (I: intervention) compare between inpatient areas, outpatient clinics, and home health (C: comparison) over a six-month period (T: time) affect the incidence of adverse events (O: outcome)?

Tables Needed for PICOT Question

To answer this PICOT question, the following tables would be required:

  1. Patient Information: To identify patient demographics and ensure correct patient tracking.
  2. Medication Administration: To analyze the frequency of medication administration events.
  3. Error Reporting: To compare the frequency and types of errors across different care settings.
  4. Adverse Events: To assess the incidence of adverse events related to medication administration errors.
  5. Location Information: To categorize data by care setting (inpatient, outpatient, home health).

Conclusion

The proposed database design is structured to effectively track and analyze medication administration errors and adverse events across various healthcare settings. By implementing key fields and defining robust relationships, the database ensures data integrity and facilitates comprehensive research. This design not only supports immediate risk management needs but also lays the foundation for ongoing quality improvement initiatives.

References

Balakrishnan, R., & Wright, R. (2020). Database design: A practical approach. Wiley.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning. https://www.amazon.com/Nursing-Informatics-Foundation-Knowledge-McGonigle/dp/1284121240

Polit, D. F., & Beck, C. T. (2020). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer Health.

(Scenario 1 You are working in risk management – Answered)

 
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