Module 11 Written Assignment – Best Practice
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Module 11 Content
1.
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Write a 1-2 page paper about some of the Best Practices you have learned about during this course. How will these practices improve patient's outcomes? You must use APA and have at least three references less than three years old to support your choices.
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REGULATION FOR NURSING PRACTICE STAFF DEVELOPMENT MEETING
Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.
Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.
Resources:
· Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.
· Chapter 4, “Government Response: Regulation” (pp. 57–84)
· American Nurses Association. (n.d.).
ANA enterprise
Links to an external site.
. Retrieved September 20, 2018, from http://www.nursingworld.org
· Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017).
Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary careLinks to an external site.
.
Nursing Outlook, 65(6), 761–765.
· Halm, M. A. (2018).
Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing
Download Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing
.
Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291
·
National Council of State Boards of Nursing (NCSBN)Links to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm
· Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018).
The impact of nurse practitioner regulations on population access to careLinks to an external site.
.
Nursing Outlook, 66(4), 379–385.
· Peterson, C., Adams, S. A., & DeMuro, P. R. (2015).
mHealth: Don’t forget all the stakeholders in the business caseLinks to an external site.
.
Medicine 2.0, 4(2), e4.
To Prepare:
· Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
· Review the NCSBN and ANA websites to prepare for your presentation.
The Assignment: (8- to 9-slide PowerPoint presentation)
Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:
· Describe the differences between a board of nursing and a professional nurse association.
· Describe the board for your specific region/area.
· Who is on the board?
· How does one become a member of the board?
· Describe at least one state regulation related to general nurse scope of practice.
· How does this regulation influence the nurse’s role?
· How does this regulation influence delivery, cost, and access to healthcare?
· If a patient is from another culture, how would this regulation impact the nurse's care/education?
· Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
· How does this regulation influence the nurse’s role?
· How does this regulation influence delivery, cost, and access to healthcare?
· Has there been any change to the regulation within the past 5 years? Explain.
· Include Speaker Notes on Each Slide (except on the title page and reference page)
Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.
due 10-11-23 at 1800 EST
APA, 3 pages, at least 3 scholarly references…. Article attached for review
Post
a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.
Case Study 3 & 4 (10 Points)
Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.
Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.
As the term winds down, think about what you’re going to take away from this class.
The questions below should guide your thinking, but feel free to volunteer additional information if you feel it is relevant. You are expected to write a minimum of 200 words for this assignment.
Hospitals have noises that are buzzing day and night. Emergency Rooms, ICU’s and monitored patient floors to mention a few, have high rates of noise saturation. The most common attribution to the noise is alarms. Alarms are designed to alert staff of a change or potential change in patient status (Hebda et al., 2019). Often, the alarm going off is false or has no patient threat. This is due to parameters not being set, patches not sticking, or positioning of a sensor. This can cause alarm fatigue, “The desensitization of a clinician to an alarm stimulus that results from sensory overload causing the response of an alarm to be delayed or missed” (West et al., 2014).
The result of alarm fatigue can lead to harmful patient situations. For example, if a nurse on a busy med-surg floor has several patients on beds with alarms, patients with IV pumps infusing and on telemetry monitoring, the alarm noise from all the devices could cause the nurse to tone out some of the sounds. If one of her patient’s bed alarms continues to go off repeatedly and every time she enters the patient’s room, finds the patient in bed, she determines the sensor is set to sensitive for the patient. But if the sensor is not reset, and the alarm continues to go off, the nurse may start to ignore the alarm. The last time the alarm sounds, the patient does get out of bed and falls, injuring his hip. This can turn into a legal issue as the safety measure was in place to protect the patient from harm, but due to a failure to change the bed setting, and the nurse’s desensitization of the alarm, the patient had a poor outcome. There is an ethical responsibility for the nurse to assess the injured patient, report the fall to appropriate change according to hospital policy and discuss the incident with the patient or family members. According to Kadivar et al., (2017), that despite measures put into place in the health care setting, there are still numerous threats posed to patient safety.
Evidence suggests that alarm fatigue is a patient safety and quality concern. As health care delivery becomes more digitalized, it is increasingly important to develop a safety culture to address alarm fatigue. The research suggests establishing safe alarm management and response processes. The use of multilevel sharing practices and prevention strategies is also a way to collaborate with multidisciplinary teams on strategies for reduction in alarm fatigue (Winter et al., 2021). By decreasing the number of false alarms with use of proper management, nurses can better care for patients needs without disruptions. Thus, reduce potential missed or ignored alarms resulting in poor patient outcomes.
References:
Kadivar, M., ManooKian, A., Asgharican., & Zarvani, A. (2017). Ethical and legal aspects of patient's safety: A clinical case report.
Journal of Medical Ethics and History of Medicine,
10, 15.
Winters, B., Slota, J., & Bilimoria, K. (2021). Safety Culture as a Patient Safety Practice for Alarm Fatigue.
Journal of the American Medical Association,
326(12), 1207-1208.
https://doi.org/chamberlainuniversity.idm.oclc.org/10.1001/jama.2021.8316
Hebda, T., Hunter, K., & Czar, P. (2018). Handbook of Informatics for Nurses & Healthcare Professionals (6th ed.). Pearson Learning Solutions.
https://ambassadored.vitalsource.com/books/9781323903148
West, P., Abbott, P., & Probst, P. (2014). Alarm fatigue: A concept analysis.
Online Journal of Nursing Informatics,
18(2), 1.
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Psychopharmacologic Approaches to Treatment of Psychopathology (waldenu.edu)
Examine
Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamics processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
· Which decision did you select?
· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.
References to Include:
· American Psychiatric Association. (2022).
Diagnostic and statistical manual of mental disorders
Links to an external site.
(5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
· Fernandez-Mendoza, J., & Vgontzas, A. N. (2013). Insomnia and its impact on physical and mental health.
Current Psychiatry ReportsLinks to an external site.
, 15(12), 418. https://doi.org/10.1007/s11920-012-0418-8
please focus on the following question:
Based on your understanding of concepts of health and US values and the history of health care services, why do you think concepts like Social Determinants of Health have not been used as much in the health care industry? In your answer. you can consider the prevailing medical model (p. 53), anthro-cultural beliefs and values (pp. 84-86), and the history of health care services (132-134).
Week 3: The Integrative Literature Review
1. Perform a literature review using a minimum of seven (7) peer-reviewed articles
and books, as well as non-research literature such as evidence-based guidelines,
toolkits, standardized procedures, etc.
2. Review of areas in relationship to medicine, nursing, public health, etc.
3. The review should be critical and synthesize rather than just being a catalog of
studies.
4. Summarize the key findings of the research and its relevancy to your project that
point out the scientific status of the phenomenon under question. Such a
statement includes:
5. What we know and how well we know it.
6. What we do not know.
7. Describe any gaps in knowledge that you found and the effects this may have on
advanced practice nursing as it relates to your project topic.
Your integrative literature review should be 5–6 pages in length, not including the cover
or reference pages. You must reference a minimum of 7 scholarly articles published within the past 5–7
years. Use current APA format
NURS_691A_DE – NURS 691-A Rubric Week 3: Integrative Literature Review
NURS_691A_DE – NURS 691-A Rubric Week 3: Integrative Literature Review
Criteria Ratings Pts
This criterion is linked to a
Learning Outcome Critical Analysis 44 to >36.08 pts
Meets Expectations
Presents a thorough and insightful analysis of significant
findings related to the change project topic. Ideas are
synthesized and professionally sound and creative.
Insightful and comprehensive conclusions and solutions are
present. Knowledge gaps are identified and the implications
on nursing are expertly explored.
44 pts
This criterion is linked to a
Learning Outcome Content 20 to >16.4 pts
Meets Expectations
A minimum of 7 peer-reviewed articles, books, or limited
non-research literature (tool kits or standardized
procedures) are present. Literature is supported by
scientific evidence that is credible and timely. Subtopics are
used to support the main topic. All in-text citations are
present and correctly formatted.
20 pts
This criterion is linked to a
Learning Outcome Organization 8 to >6.56 pts
Meets Expectations
Content is well written throughout. Information is well
organized and clearly communicated.
8 pts
This criterion is linked to a
Learning Outcome APA
Format/Mechanics
8 to >6.56 pts
Meets Expectations
Follows all the requirements related to format, length,
source citations, and layout. Assignment is free of spelling
and grammatical errors.
8 pts
Total Points: 80
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