Nursing DB week 3_sr

200 words, 2 nursing references within 5 years. MUST HAVE IN TEXT CITATIONS

  • Choose a workplace data collected quality improvement project associated with practice guidelines and discuss its congruency with an established published guideline by a reliable database (e.g. standardize regulatory organizations, certification boards, professional organizations, etc.).
  • Discuss how the published reliable database guideline gathered its data (e.g. quantitative –  survey; correlational research; treend analysis; exploratory research; descriptive research; experimental research and newest “observational-interventional research, etc.” in comparison to the workplace quality improvement project data collection.
  • Remember not to identify the health organization by name or provide guidelines with organization’s name.

Community Class Project

Community Needs Assessment

You will conduct a community needs assessment by choosing a specified population or community.  You are expected to submit a 5-10 page Report and aPowerPoint presentation illustrating summarizing the report. 

This folder contains:

  • Project Instructions and Outline
  • Grading Rubric
  • A link to the Assignment dropbox where you will submit this project  
  • A link to a Discussion board where you can ask questions about this project

FOR PHYLLIS YOUNG

For this assignment:

  • Select a current health care or nursing issue in your work environment or in the literature in the provision of care to a vulnerable population. (FOR EXAMPLE- PREEXISTING CONDITIONS AND MEDICAL COVERAGE)
  • Write a 3–5 page paper, APA FORMAT, excluding cover sheet and references that covers the following:
    • Description of the nature and extent of the issue or problem.
    • Description of who the issue or problem affects (including both the target population and health care professionals).
    • Description of the short- and long-term effects of the problem on the target population and the health care system.
    • Discussion points on the theoretical frameworks for understanding the existence of the issue or problem.
    • Discussion points on the ethical issues this problem raises in the delivery of health care.
  • Include a reference list that is appropriate to the body of literature available on this topic that has been published in the past five years.
  • Cite and include a minimum of three sources, with the majority being from peer-reviewed sources.
  • Adhere to APA style and formatting throughout your paper and when citing your sources.
  • CriteriaNon-performanceBasicProficientDistinguished Discuss the nature and extent of the health care or nursing issue. 19% Does not discuss the nature and extent of the health care or nursing issue.Identifies, but does not discuss the health care or nursing issue.Discusses the nature and extent of the health care or nursing issue.Examines the nature and extent of the health care or nursing issue, and provides detailed examples. Identify who the health care or nursing issue affects. 19% Does not identify who the health care or nursing issue affects.Understands, but does not identify who the health care or nursing issue affects.Identifies who the health care or nursing issue affects.Examines in detail the impact on the individuals affected by the health care or nursing issue. Identify the short- and long-term effects of the problem on the target population and the health care system. 19% Does not identify the short- or long-term effects of the problem on the target population and the health care system.Identifies either the short- or long-term effects, but not both, of the problem on the target population and the health care system.Identifies the short- and long-term effects of the problem on the target population and the health care system.Examines the short- and long-term effects of the problem on the target population and the health care system, and provides supporting examples. Discuss the theoretical frameworks for understanding the issue or problem. 19% Does not discuss the theoretical frameworks for understanding the issue or problem.Identifies, but does not discuss, the key features of the theoretical framework, but does not discuss it as it relates to the issue or problem.Discusses the theoretical frameworks for understanding the issue or problem.Examines and discusses in detail the theoretical frameworks for understanding the issue or problem, and provides supporting examples. Discuss the ethical issues this health care or nursing issue raises in the delivery of care. 19% Does not discuss the ethical issues this health care or nursing issue raises in the delivery of health care.Identifies, but does not discuss the ethical issues this health care or nursing issue raises in the delivery of health care.Discusses the ethical issues this health care or nursing issue raises in the delivery of health care.Examines and discusses in detail the ethical issues this health care or nursing issue raises in the delivery of health care, and its impact. Effectively communicates by integrating research into written documents that follow APA format, as well as the consistent use of grammar, punctuation, and mechanics expected of a nursing professional. 5% Does not effectively communicate by integrating research into written documents that follow APA format, as well as the consistent use of grammar, punctuation, and mechanics expected of a nursing professional.Communicates by integrating research into written documents that lack consistency in APA format, grammar, punctuation, and mechanics expected of a nursing professional.Effectively communicates by integrating research into written documents that follow APA format, as well as the consistent use of grammar, punctuation, and mechanics expected of a nursing professional.Effectively communicates by integrating research into written documents that follow APA format, as well as the consistent use of grammar, punctuation, and mechanics expected of a nursing professional and leader.

NURS 6241: STRATEGIC PLANNING IN HEALTH CARE ORGANIZATIONS – Discussion 6 (Grading Rubic and Media Attached)

Discussion: Addressing an Unmet Need Through Strategic Planning

Challenges can seem ever present in the health care field. Problems related to the quality of patient care, financial matters, technology, and interdisciplinary collaboration, for example, are often evident in organizations and professional groups.

In your role as a nurse leader-manager, it is important to consider challenges and how these translate into unmet needs. You can then create valuable change by addressing these unmet needs through strategic planning.

Through this Discussion, you may distinguish the focus for your Course Project. Your instructor and colleagues will provide feedback to help you refine your idea as you move forward.

To prepare:

Consider the information presented by Dr. Carol Huston in this week’s media program. Think about the process of moving from the identification of an unmet need through the development, implementation, and evaluation of a strategic plan.

Reflect on the initial thinking about trends and unmet needs in nursing and health care that you addressed in Week 5.

Consider how the information in this week’s Learning Resources deepens and expands your understanding of these trends and unmet needs in relation to the strategic planning process.

Proceed with planning for your Course Project as follows:

Select an unmet need that affects a specific group, unit, or organization. 

Deepen your understanding of this group, unit, or organization by examining the stated mission, vision, and values, if possible.

Analyze historical data related to the unmet need, and review the evidence in the literature. Use this information to engage in forecasting.

Consider which stakeholders should be included in the strategic planning process.

Begin to formulate a vision for addressing this need at the organizational or systems level. (Note: Although not required for this Discussion, you will need to develop a strategic goal for your Course Project.)

Post an explanation of the unmet need that affects a specific group, unit, or organization that you would like to focus on for your Course Project. Share data from your historical analysis and forecasting, and identify stakeholders who should be included in the strategic planning process. Explain your vision for addressing this need at the organizational or systems level.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional resources.

Required Readings

Balicer, R. D., Shadmi, E., Lieberman, N., Greenberg-Dotan, S., Goldfracht, M., Jana, L., . . . Jacobson, O. (2011). Reducing health disparities: Strategy planning and implementation in Israel’s largest health care organization. Health Services Research, 46(4), 1281–1299.

Retrieved from the Walden Library databases.

The authors examine the planning, implementation, and evaluation of an organization-wide strategy to address the need to reduce health care inequalities and improve quality in Israel.

Schaffner, J. (2009). Roadmap for success: The 10-step nursing strategic plan. Journal of Nursing Administration, 39(4), 152–155.

Retrieved from the Walden Library databases.

The author outlines a 10-step strategic planning process for nursing.

Strubhar, A. J. (2011). The application of an environmental scanning and strategic planning framework in an academic department of physical therapy. Journal of Physical Therapy Education, 25(3), 53–59.

Retrieved from the Walden Library databases.

The author examines strategic planning, including environmental scanning, within a physical therapy department in an academic institution.

 Authenticity Consulting. (n.d.b). Basic description of strategic planning. Retrieved March 13, 2013, from http://managementhelp.org/strategicplanning/basics.htm

This online article provides an overview of the strategic planning.

 Authenticity Consulting. (n.d.c). Basic overview of various strategic planning models. Retrieved March 13, 2013, from http://managementhelp.org/strategicplanning/models.htm

This online article describes different models of strategic planning, including issues-based planning.

 PlanWare. (n.d.). Business planning papers: Developing a strategic plan. Retrieved March 13, 2013, from http://www.planware.org/strategicplan.htm

View the strategic planning information on this website.

Required Media

Laureate Education (Producer). (2013d). Elements of a strategic plan model [Video file]. Retrieved from https://class.waldenu.edu

Note:  The approximate length of this media piece is 6 minutes.

Dr. Carol Huston describes elements common to strategic planning models and discusses ways to approach the development of a strategic plan.

Optional Resources

 Authenticity Consulting. (n.d.a). All about strategic planning. Retrieved March 13, 2013, fromhttp://managementhelp.org/strategicplanning/index.htm

Nursing

How Do Various Factors Influence Health in Your Community? 

  1. Respond to the prompts below in full sentences.  Be sure to use standard English grammar and spelling:
  • Individual, interpersonal, community, and environmental influences all affect the health status of a community.
    • For a community you are involved in, name two key factors in each area. 
    • For your community, which factors have the most effect? The least?
  • Healthy People 2010 follows a variety of health indicators, such as physical activity and obesity; drug, alcohol, and tobacco use; mental health; incidence of violence and injury; environmental issues; and access to health care. 
    • For a population in your community, which of these indicators do you think has the greatest impact on health and wellness?
  • What media are used in your community to promote health and prevent illness or disease? 
    • Give three examples and discuss how effective they are for their target audience
    • m2a1

2 pages due in 15hrs

Epidemiological Applications

Describe how the concept of multifactorial etiology relates to the natural history of disease and the different levels of prevention. How should the nurse incorporate these concepts into health promotion of clients in community settings? How should the nurse approach client risk in these health promotion activities?

Disease Outbreak

Select an infectious disease and research the CDC website for information about the disease, its natural history, presenting symptoms, and outbreak characteristics. Identify an occurrence of the disease by searching the Internet for recent reports of this disease, and compare that episode or occurrence with information from the CDC website. How closely did that outbreak resemble the case definition?

The Clinical question

Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.

  • Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
  • Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
  • Relate how you developed the question.
  • Describe the importance of this question to your clinical practice previously, currently, or in the future.
  • Describe what a research-practice gap is.
  • REFERENCE
  • American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: Author.

    • Read Professional Nursing’s Scope and Standards of Practice (description, development, and function), Integrating the Art and Science of Nursing, The Nursing Process, pp. 1–11, 110

Social Media and the Modern Impact of Informatics Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be

Social Media and the Modern Impact of Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. 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 at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Most people remember the story below that made national headlines. As most Americans have smart phones, tablets, and computers the utilization of social media is common place.

  1. Finley, T. (2017, Sept. 20). Navy hospital removes staffers for calling babies ‘mini Satan’s’ on social media. Parenting.
    1. If you were writing a hospital policy on smart phone and social media usage, what should be included in the policy?
    2. What potential ethical and legal liabilities are there for the hospital and employees in the case presented above?
  2. In 2007, Harvard University rescinded admission to 10 students after reviewing their social media post.
    1. Do you feel potential employers, current employers, and colleges have the right to access your social media post? Do you feel employers and universities should make decisions based on your post?
  3. Discuss the relationship between accreditation decisions, reimbursement, quality of care, informatics.

Assignment Expectations

Length: 500 words per essay prompt/section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

case study

Samanthah please

Therapy for Pediatric Clients With Mood Disorders

Mood disorders can impact every facet of a child’s life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.

This week, as you examine antidepressant therapies, you explore the assessment and treatment of pediatric clients with mood disorders. You also consider ethical and legal implications of these therapies.

Photo Credit: GettyLicense_185239711.jpg

Assignment: Assessing and Treating Pediatric Clients With Mood Disorders

When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.

Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.

Learning Objectives

Students will:

Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients

Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapy

Evaluate efficacy of treatment plans

Analyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clients

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

 Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

Chapter 6, “Mood Disorders”

Chapter 7, “Antidepressants”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

Review the following medications:

amitriptyline

bupropion

citalopram

clomipramine

desipramine

desvenlafaxine

doxepin

duloxetine

escitalopram

fluoxetine

fluvoxamine

imipramine

ketamine

mirtazapine

nortriptyline

paroxetine

selegiline

sertraline

trazodone

venlafaxine

vilazodone

vortioxetine

Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from https://www.magellanprovider.com/media/11740/psychotropicdrugsinkids.pdf

 Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787–791. doi:10.1002/da.22171

Note: Retrieved from Walden Library databases.

Vitiello, B. (2012). Principles in using psychotropic medication in children and adolescents. In J. M. Rey (Ed.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from http://iacapap.org/wp-content/uploads/A.7-PSYCHOPHARMACOLOGY-072012.pdf

 Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

Note: Retrieved from Walden Library databases.

Required Media

Laureate Education (2016e). Case study: An African American child suffering from depression [Interactive media file]. Baltimore, MD: Author.

Note: This case study will serve as the foundation for this week’s Assignment.

Optional Resources

El Marroun, H., White, T., Verhulst, F., & Tiemeier, H. (2014). Maternal use of antidepressant or anxiolytic medication during pregnancy and childhood neurodevelopmental outcomes: A systematic review. European Child & Adolescent Psychiatry, 23(10), 973–992. doi:10.1007/s00787-014-0558-3

Gordon, M. S., & Melvin, G. A. (2014). Do antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50(11), 847–854. doi:10.1111/jpc.12655

Seedat, S. (2014). Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26(2), iii–v. doi:10.2989/17280583.2014.938497

To prepare for this Assignment:

Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.

The Assignment                          

Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

Decision #1

Which decision did you select?  See below.

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

Decision #2

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

Decision #3

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

BACKGROUND INFORMATION

The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.

 Client complained of feeling “sad”

 Mother reports that teacher said child is withdrawn from peers in class

 Mother notes decreased appetite and occasional periods of irritation

 Client reached all developmental landmarks at appropriate ages

 Physical exam unremarkable

 Laboratory studies WNL

 Child referred to psychiatry for evaluation

 Client seen by Psychiatric Nurse Practitioner

MENTAL STATUS EXAM

Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.

The PMHNP administers the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)

RESOURCES

§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

Decision Point One

Select what the PMHNP should do:

Begin Zoloft 25 mg orally daily

 Begin Paxil 10 mg orally daily

 Begin Wellbutrin 75 mg orally BID

Case Study of the above client

Decision Point One

I selected  Zoloft 25 mg orally daily

RESULTS OF DECISION POINT ONE

 Client returns to clinic in four weeks

 No change in depressive symptoms at all

Decision Point Two

 Increase dose to 50 mg orally daily

RESULTS OF DECISION POINT TWO

 Client returns to clinic in four weeks

 Depressive symptoms decrease by 50%. Cleint tolerating well

Decision Point Three

 Maintain current dose

Guidance to Student

At this point, sufficient symptom reduction has been achieved. This is considered a “response” to therapy. Can continue with current dose for additional 4 week to see if any further reductions in depressive symptoms are noted. An increase in dose may be warranted since this is not “full” remission- Discuss pros/cons of increasing drug dose with client at this time and empower the client to be part of the decision. There is no indication that the drug therapy should be changed to an SNRI at this point as the client is clearly responding to this therapy