• Based on your readings, current literature within 5 years, scholarly peer-reviewed journals, and research on the topic of nursing leadership development specific to your program.
• Clearly demonstrate the integration of evidence into nursing practice as it relates to nursing leadership in your program.
• Clearly demonstrate the concepts of nursing leadership and ethical decision-making as they relate to nursing leadership development in your program.
• this should include;
      a. Introduction
         i. Define leadership
         ii. Explain how leadership is developed
         iii. Why is leadership development important for nursing today?
     b. Compare and contrast theoretical leadership theories as they relate to  leadership development
     c. Discuss how leadership is an integral component of the advanced generalist masters prepared Nurse
     d. Examine empowerment as it relates to the development of Nursing leaders
     e. Analyze the process of leading through mentoring as it relates to the creation of future caring followers
     f. Explain effective communication and collaboration strategies that lead to healthy, safe interdisciplinary teams
     g. Guided by Dr. Jean Watson’s (2012) theory of human caring science critically evaluate how caring can be integrated in all levels of Nursing practices
     h. Create your own personal definition of nursing leadership examining concepts you can adopt in your practice setting leading to improved outcomes for patients, families, colleagues, and self.

• 5 pages (not including title page or reference page) using the required title page with your major clearly labeled
• Minimum of 5 scholarly sources not including the textbook to support your facts
• Clear and logically written with proper grammar, spelling, and punctuation
• Proper APA format on citations and sources

 A 72-year-old woman presents to her regular primary care physician (PCP) with a 2-day history of fatigue, malaise 

 

A 23-year-old biracial (Black Asian) female arrives at the clinic for an evaluation. She has lost 30 pounds in 6 weeks without trying. She complains of feelings of guilt about her symptoms and everyday sadness that does not go away.  She also states she is not able to stay asleep and has difficulty concentrating.  Her family is Jamaican and has used herbal teas, not a psychiatrist in the past to treat these symptoms.

• Discuss how the principles of good prescribing should be applied to this case.  
• Describe a cultural consideration that may affect medication adherence for this patient.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
• All replies must be constructive and use literature where possible.
• Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
• Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
• You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .

Lili Ketema

Clinical Decision Support Systems

Pros	Cons
Patient Safety. Clinical Decision Support Systems empower Advanced Practice Nurses to make decisions in a timely and informed manner by detecting diseases early and managing them effectively (Ayed Aloufi, 2020). CDSS has reminder systems for medical events different from the ones related to medicine. For example, CDSS for measuring blood glucose in the ICU can decrease the frequency of hypoglycemia events (Sutton et al., 2020). This CDSS automatically prompts nurses to take glucose measurements with respect to the local glucose monitoring protocol that specifies particular patient demographics and previous glucose trends.	Overreliance. CDSS may increase patient safety but increase reliance on the system, resulting in a decrease in critical thinking capabilities since the APN does not feel impelled to utilize their clinical judgment capabilities. This development is undesirable because the APN becomes less equipped for a task that they can execute in the absence of a CDSS. Sutton et al. (2020) compare overreliance on CDSS to using a calculator in math; the authors indicate that the user’s mental math skills decline with extended use. Therefore, APNs may end up less equipped to execute the services they should execute with ease.
Improved Accuracy and Efficiency. CDSS can process significant quantities of patient data swiftly and precisely, empowering providers of care to effectively diagnose and plan for treatment (Ayed Aloufi, 2020). This decreases the possibility of errors by providing computerized consultation. The Diagnostic Decision Support Service provides data/user selections and then outputs a list of possible diagnoses (Sutton et al., 2020). These developments enhance EHR-integration as well as standardized vocabulary such as Snomed Clinical Terms.	System and Content Maintenance. Maintenance is an often neglected aspect of the lifecycle of the CDSS. Maintenance encompasses technical and content of the systems that power the CDSS. The applications and knowledge-base of the CDSS should always be apace with the shifting nature of clinical guidelines and medical practice. Failure to stay updated may limit the CDSS’ capacity to maintain the desired levels of accuracy and efficiency. Sutton et al. (2020) assert that even the healthcare institutions that are highly advanced experience challenges keep9ing abreast with keeping their systems updated due to the inevitability of changes in medical knowledge bases.
Cost Containment. The capacity of CDSS to decrease the length of stay for in-patients, provide clinical interventions, decrease test duplication, and suggest cheaper alternatives of medicine makes the systems more efficient (Sutton et al., 2020). For example, a CPOE-integrated has the capacity to limit the scheduling of blood count to a 24-hr interval when implemented in a paediatric cardiovascular intensive care unit. This laboratory resource utilization cost-reduction has a predictable cost discount of $717,538 every year, minus increasing mortality or length of stay. These advantages reveal the highly capabe nature of the CDSS to contain costs associated with hospital procedures and the overall ROI associated with CDSSs.	The system is predicated on computer literacy. Decreased proficiency in technology can be limiting when a person is engaging with CDSS. The high design details associated with CDSS may be exceedingly complicated, decreasing the capacity of some APNs to use them to reach the advantages associated with the implementation of the system within a hospital setting (Sutton et al., 2020). Although some systems stay as close to close functionality as possible, every new system has a learning period, meaning the baseline of the technological competence of users is appropriate. Further training for APNs increase on the costs that the institution was aiming at cutting in the first place.

Future role as an APN and clinical patient and scenario 

A 68 year old man who has a history of diabetes, hypertension, and chronic renal disease shows up at the clinic complaining of fatigue, increased thirst, and frequent urination. Since I feel the patient's symptoms might be brought on by uncontrolled diabetes, I have made the decision as a prospective APN healthcare professional to ask for a blood test to confirm the diagnosis.

Impact of CDSS: Before prescribing any new medications, the system alerts me about the patient's current medications, which include metformin and lisinopril. The CDSS also prompts  to consider the patient's renal status.

After noting the CDSS alert, I decide to review the patient's most recent lab results, particularly the estimated glomerular filtration rate (eGFR). The patient has substantial renal impairment, as seen by their eGFR, which is less than 30 mL/min/1.73m2, as I learned after examining the lab results.

In light of the CDSS alert and the patient's test results, I decide to alter the patient's prescription regimen. As opposed to providing a conventional oral anti-diabetic prescription like sulfonylureas, which may be contraindicated in patients with severe renal impairment, as APN i would consider alternate choices such insulin treatment or a newer family of anti-diabetic pharmaceuticals that are safe for patients with renal impairment.

Based on the patient's renal function and the medications they were taking at the time, the CDSS made recommendations. This let the medical practitioner make a more informed decision and avoid any side effects or drug interactions.

This scenario demonstrates how a CDSS might influence a provider's decision by providing timely reminders and cautions based on the patient's specific clinical data. It guarantees that the healthcare provider considers all relevant information and selects the best course of action for the patient's unique needs.

References

Ayed Aloufi, M. (2020). Effect of clinical decision support systems on quality of care by nurses. 
International Journal for Quality Research, 
14(3), 665–678. https://doi.org/10.24874/ijqr14.03-01

Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for Success. 
Npj Digital Medicine, 
3(1). https://doi.org/10.1038/s41746-020-0221-y

 

Week 1 Self-Assessment: NLN Competencies

Teaching is a complex activity that integrates the art and science of nursing and clinical practice into the teaching-learning process. Specifically, teaching involves a set of skills or competencies that are essential to facilitating student learning outcomes. In 2005 the NLN published eight core competencies of nurse educators which were updated in 2012. These competencies encompass the entirety of the nurse faculty role (teaching, research, and service) that can be developed through educational preparation, faculty orientation programs, and faculty development opportunities. It is important for nurse educators to ensure that they continuously evaluate their role as it relates to meeting these competencies to remain up-to-date while continuously striving to encompass the full role of the educator. Understanding these competencies will also better prepare your for successful mastery of the Certified Nurse Educator exam.

In this assignment, you will use the NLN Core Competencies of the Nurse Educator to create a preliminary, personalized, faculty development plan for yourself.

For each competency you will:

· Identify 3 goals that you have met throughout this program and your practicum

· Provide one specific example of how you met each goal

· Identify 3 additional goals you want to meet in this practicum course

· Provide a specific example of how you will plan to meet that goal

· Choose 4 competencies and accompanying goals that you want to improve upon in the future as an educator

· Identify ways in which you plan to meet those goals

· Include the estimated timeline for when the goal will be met

Requirements for this assignment include:

1. Address each of the required components and be specific

1. Here is a copy of the

NLN Core Competencies of Nurse Educators

1. 
Download NLN Core Competencies of Nurse Educators.

 You can utilize a table format to present your preliminary faculty development plan if you wish. Here is

a template

1.
Download a template that maybe helpful.

1. Include references in APA format if you utilize additional resources.