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NURS 6052 wk 3 assignment Matrix Worksheet Template

 

Use this document to complete
Part 2
of the Module 2 Assessment,
Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies

 

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Full
citation
of selected article

Article #1

Article #2

Article #3

Article #4

 

 

 

 

Why
you chose this article and/or
how it relates
to the clinical issue of interest (include a brief
explanation of the ethics
of research related to your clinical issue of interest)

 

 

 

 

NURS 6052 wk 3 assignment Matrix Worksheet Template

Brief
description of the aims
of the research of each peer-reviewed article

 

 

 

 

Brief description of the
research methodology
used Be sure to identify if the methodology used was
qualitative
,
quantitative
, or a
mixed-methods
approach. Be specific.

 

 

 

 

 

 

 

 

 

 

A brief description of the
strengths
of each of the research methodologies used, including
reliability
and
validity
of how the methodology was applied in each of the peer-reviewed articles you selected.

 

 

General Notes/Comments

 

 

 

 

 

 

 

 

Matrix Worksheet Template

Matrix Worksheet Template

 

Citation

Article #1

Article #2

Article #3

Article #4

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. 
British Journal of Nursing, 27
(7), 382-388.

 

 

 

 

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. 
The Lancet Infectious Diseases, 18
(11), 1269-1277.

 

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs vs. Handwashing. 
American Journal of Critical Care, 27
(4), 334-337.

 

Loftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus Aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. 
American journal of infection control, 46
(10), 1134-1141.

 

Relations with Clinical Issue and the ethics of research in Relation to the Clinical Issue

The article addresses a similar clinical issue by acknowledging Healthcare-Associated Infections as a public health concern for the health sector across the globe according to NICE. Some of the commonly identified infections include surgical, respiratory and urinary tract infections. This calls for the implementation of better strategies to control infections including education, reinforcing knowledge to the public, healthcare providers and individuals at high risk of infections in all areas of nursing practice.

This article similarly highlights how Healthcare Associated infections hinder patient safety, increases mortality and morbidity rates prolong hospital stays and increases medical costs. The researchers further acknowledge compliance of hand hygiene among healthcare providers as a significant strategy to maintain patient safety especially with regards to methicillin-resistant staphylococcus Aureus. However, very few national programmes have been sustained and integrated successfully into the national-health structure. Based on the results of the National Hand hygiene Initiative, hand hygiene reduces the risks of healthcare associated infections which continue to be a major public health concern.

The article highlights how Handwashing with soap and water is the most preferred way to manage and control infections.

NURS 6052 wk 3 assignment Matrix Worksheet Template

The article discusses how an increase in the awareness and epidemiology of pathogen transmission can help to improve compliance with intraoperative measures for infection control. This was specific to the risk of transmitting Staphylococcus Aureus during operations.

 

 

Aim of Study

To evaluate the effectiveness of alcohol-based gel for handrubs in the control of infections in clinical settings. The article was specific to renal nursing following a growth in the focus of evidence-based practice.

The study aimed at evaluating the outcomes of the National Hand Hygiene Initiative including its effect on the incidences of healthcare associated staphylococcus Aureus and hand hygiene compliance. This study aim was influenced by the background knowledge that healthcare provider’s compliance with hand hygiene is a significant national strategy for patient safety.

To examine the impact of  alcohol based handrubs supplemented with the use of lotions influences health outcomes among healthcare providers

NURS 6052 wk 3 assignment Matrix Worksheet Template

 

 

 

To characterize the epidemiology of Staphylococcus Aureus sequence types in the operating environment.

Research methodology

The EBP process for clinical decision making was reviewed for effective literature on the effectiveness of alcohol based gel and the results published recently with respect to the findings of the best model.

 

However, in a systematic review conducted by

 

 

 

 

 

 

 A longitudinal study where the outcomes of the NHHI eight years after implementation were assessed. The assesment included compliance with hand hygiene and the hospital’s participation, costs and association with heathcare-associated staphylococcus Aureus and educational engagement.

 

 

The researchers searched the databases of MEDLINE and CINAHL using the keywords ABHR, contact dermatitis, dermatitis and Handwashing. This search was limited to the past 10 years.

 

 

 

Staphylococcus
Aureus
species that that were isolated and collected from three academic medical centers underwent biofilm absorbance, genome analysis and analytical profile indexing. An assessment on the virulent, antibiotic-resistant and hyper transmissible and strains of staphylococcus Aureus was done.

 

 

 

Strengths of the Study, reliability and Validity

The review utilizes the steps of EBP and numerous articles relevant to the review purpose are used to justify the information shared.

Wide population data was used to evaluate the clinical impact of NHHI, specific, statistical analysis was done comparisons of proportions (χ² or t test), with a p value of 0·05 or less (two-tailed) considered statistically significant.

A comprehensive literature search that was conducted was within the limit of 10 years. The following key words were used in the literature search: hand hygiene, ABHR, hand washing, dermatitis, and contact dermatitis.

Randomization of study participants, a large study sample which increased chances of applicability to wide-population settings, χ2 tests were used to in examining the possible associations of c covariates previously mentioned variates in relation to transmission.

General Comments

When compared to approaches that use detergents and disinfectants that can result to pathogen dissemination, alcohol when adequately used is even more effective. Therefore, handrubs should be provided at the bedside, ward entrances and hospital for use when the hands are not visibly dirty, after, before and when performing all activities related to care. NURS 6052 wk 3 assignment Matrix Worksheet Template

 

 

 

 

 

The NHHI has been linked to significant improvement in hand hygiene compliance and a reduction in the incidence of HA-SAB. For a sustained central coordination and standardized approach for integration in hospital accreditation standards, several features should be observed.

In order to promote the use of  ABHRs and reduce the prevalence of contact dermatitis, nurses should be taught that Handwashing after and before  using ABHRs removes emollients and sebum layers thus increasing the risk of contact dermatitis

 

 

Intraoperative strains of staphylococcus Aureus are pathogenic and hyper-transmissible. In order to control their spread, compliance with hand hygiene and patient decolonization are essential.

 

 

 

 

References

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. 
The Lancet Infectious Diseases
, 
18
(11), 1269-1277. NURS 6052 wk 3 assignment Matrix Worksheet Template

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs vs Handwashing. 
American Journal of Critical Care
, 
27
(4), 334-337.

Loftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. 
American journal of infection control
, 
46
(10), 1134-1141.

Lim, K., Kilpatrick, C., Storr, J., & Seale, H. (2018). Exploring the use of entertainment-education YouTube videos focused on infection prevention and control. 
American journal of infection control
, 
46
(11), 1218-1223.

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. 
British Journal of Nursing
, 
27
(7), 382-388. NURS 6052 wk 3 assignment Matrix Worksheet Template

Assignment: Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

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Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you used keywords to search on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

The full citation of each peer-reviewed article in APA format.

A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

References

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs Vs Handwashing. 
American Journal of Critical Care
, 
27
(4), 334–337. https://doi-org.ezp.waldenulibrary.org/10.4037/ajcc2018727

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. 
British Journal of Nursing
, 
27
(7), 382–388.
https://doi-org.ezp.waldenulibrary.org/10.12968/bjon.2018.27.7.382

Lim, K., Kilpatrick, C., Storr, J., & Seale, H. (2018). Exploring the use of entertainment-education YouTube videos focused on infection prevention and control. 
American Journal of Infection Control
, 
46
(11), 1218–1223.
https://doi-org.ezp.waldenulibrary.org/10.1016/j.ajic.2018.05.002

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … Cruickshank, M. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. 
Lancet Infectious Diseases
, 
18
(11), 1269–1277.
https://doi-org.ezp.waldenulibrary.org/10.1016/S1473-3099(18)30491-2

Loftus, R. W., Dexter, F., & Robinson, A. D. M. (2018). High-risk Staphylococcus aureus transmission in the operating room: A call for widespread improvements in perioperative hand hygiene and patient decolonization practices. 
American Journal of Infection Control
, 
46
(10), 1134–1141. https://doi-org.ezp.waldenulibrary.org/10.1016/j.ajic.2018.04.211

 

Part 1: An Introduction to Clinical Inquiry

Evidence-Based Practice

Theory

Student’s Name

Institution Of Affiliation

Course Name

Date

Introduction

üThe integration of EBP in nursing practice has helped to promote patient safety and health outcomes

üEBP supports clinical decision making with evidence

üIt is the most preferred  approach to  managing patient and clinical outcomes

üWhen correctly applied in every stage, both patients and healthcare providers understand a condition

üEBP integrates a patient’s preferences, values and beliefs with the best available scientific evidence and clinician’s expertise in decision making.

Evidence-based practice is an intense process which integrates a patient’s preferences, clinical expertise and scientific evidence in clinical decision making when providing care. It has greatly contributed to improvements in patient’s safety and health outcomes based on scientific and clinical evidence. Its use in nursing practice has also improved the understanding of both patients and healthcare providers on specific conditions. This EBP project aims at comparing the effectiveness of various disinfection procedures used in infection control in heathcare settings.

 

Clinical Issue

üHospital Acquired Infections are a major issue of public health concern in the US and across the globe

üApproximately 2million HAIs and up to 100,000 associated deaths happen annually in the US

üPoor hand hygiene during patient care is the major cause of HAIs

üPreventing against HAIs requires improvement in hand hygiene practices

Hospital Acquired Infections are a major public health concern in the United States and across the globe. Their occurrence has been associated with poor hand hygiene practices in routine patient care. According to the statistics provided by the World Health Organization, up to 100, 000 deaths and 2 million cases every year are associated with HAIs. However, majority of these cases can be prevented through hand hygiene practices. This calls for the implementation of better infection control strategies and education to the public, healthcare providers and everyone at high risk of infection.

 

Search Methodology

üThe articles were searched for in online scientific databases

ü The search keywords were: infection control, hand hygiene, hand washing, alcohol-based hand rub and hospital acquired infection

üThe search included articles published within the last 5 years,

üGeneral search yielded  twelve  articles but only five met the inclusion criteria

Extensive searches in online scientific databases of CINAHL, PubMed, Medline and EBSCOHost. The searched used keywords such as infection control, hand hygiene, hand washing, alcohol-based hand rub and hospital acquired infection (HAI).  Although thousands of results were found, an inclusion criterion was used to narrow down the search. Therefore, only articles published within the last five years were included and articles that were specific to the use of alcohol-based hand rub and hand washing.

 

Research Databases

üAn online search was conducted in the databases of CINAHL, PubMed, EBSCOHost and Medline

üMedline was freely accessible over the internet and the use of Medical Subject Headings promoted retrieval of data

üThe EBSCOHost database promoted the ability to access internal and external information from a single search box

üPubMed was easy to use since it automatically translated an initial search using Boolean operators to search results

üCINAHL was fast and provided broad content to full-text top nursing journals

An online electronic search was done in the following scientific databases: CINAHL, PubMed, EBSCOHost and Medline.  Medline could easily be accessed over the internet and its procedure to use Medical Subject Headings promoted fast retrieval of data. EBSCOHost database enhanced easier access to internal and external information from a single search box.  PubMed was easy to use as it automatically translated an initial search using Boolean operators to search results. The CINAHL database was also was fast but somewhat challenging to work with although it provided top broad content and full-text nursing journals. NURS 6052 wk 3 assignment Matrix Worksheet Template

 

References

üGrayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. 
The Lancet Infectious Diseases
, 
18
(11), 1269-1277.

üHalm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs vs Handwashing. 
American Journal of Critical Care
, 
27
(4), 334-337.

üLoftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. 
American journal of infection control
, 
46
(10), 1134-1141 NURS 6052 wk 3 assignment Matrix Worksheet Template.

ü

References

üLim, K., Kilpatrick, C., Storr, J., & Seale, H. (2018). Exploring the use of entertainment-education YouTube videos focused on infection prevention and control. 
American journal of infection control
, 
46
(11), 1218-1223.

üMunoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. 
British Journal of Nursing
, 
27
(7), 382-388.

 

Part 2: Identifying Research Methodologies – Analysis

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M.,  & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. The Lancet Infectious Diseases, 18(11), 1269-1277.

Relation To The Clinical Issue

This article similarly highlights how Healthcare-Associated infections hinder patient safety, increases mortality and morbidity rates prolong hospital stays and increases medical costs. The researchers further acknowledge compliance of hand hygiene among healthcare providers as a significant strategy to maintain patient safety especially with regards to methicillin-resistant staphylococcus Aureus. However, very few national programs have been sustained and integrated successfully into the national-health structure. Based on the results of the NHHI (National Hand Hygiene Initiative), hand hygiene reduces the risks of healthcare-associated infections which continue to be a major public health concern. NURS 6052 wk 3 assignment Matrix Worksheet Template

Aim of the Study

The study aimed at evaluating the outcomes of the NHHI including its effect on the incidences of healthcare-associated Staphylococcus Aureus and hand hygiene compliance. This study aim was influenced by the background knowledge that a healthcare provider’s compliance with hand hygiene is a significant national strategy for patient safety.

Research Methodology

This was a quantitative longitudinal study where the outcomes of the NHHI eight years after implementation were assessed. The assessment included the extent of hand hygiene guidelines compliance and the hospital’s participation, costs, and association with healthcare-associated Staphylococcus Aureus and educational engagement.

Strengths of Research Methodologies

Wide population data were used to evaluate the clinical impact of NHHI, specific, statistical analysis was done comparisons of proportions (χ² or t-test), with a p-value of 0·05 or less (two-tailed) which was considered to be statistically significant and increased the accuracy of results. Besides, hand hygiene and compliance data were assessed for errors and consistency using a standard process for review and validation. To maximize the validity and accuracy of data, two systems were established including representative hospital samples and the poorly performing sites. NURS 6052 wk 3 assignment Matrix Worksheet Template

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitizing in infection control. British Journal of Nursing, 27(7), 382-388.

Relation To The Clinical Issue

The article addresses a similar clinical issue by acknowledging Healthcare-Associated Infections as a public health concern for the health sector across the globe according to NICE. Some of the commonly identified infections include surgical, respiratory and urinary tract infections. This calls for the implementation of better strategies to control infections including education, reinforcing knowledge to the public, healthcare providers and individuals at high risk of infections in all areas of nursing practice.

Aim of the Study

The study aimed at evaluating the effectiveness of alcohol-based gel for hand rubs in controlling infections in the clinical setting. The article was specific to renal nursing following a growth in the focus of evidence-based practice.

Research Methodology

The EBP process for clinical decision making was reviewed for effective literature on the effectiveness of alcohol-based gel and the results published recently concerning the findings of the best model.

Strengths of Research Methodologies

The review utilizes the steps of EBP and numerous articles relevant to the review purpose are used to justify the information shared.

General Comment

When compared to approaches that use detergents and disinfectants that can result in pathogen dissemination, alcohol when adequately used is even more effective. Therefore, hand rubs should be at every patient’s bedside, ward entrance and hospital for use after, before and when performing all activities related to care

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs vs Handwashing. American Journal of Critical Care, 27(4), 334-337.

Relation To The Clinical Issue

The researchers refer to the guidelines by the CDC and WHO which have been driven hand hygiene practices for more than ten years. According to these guidelines, when hands are deeply soiled with body fluids or blood or after visiting the toilet with suspected Clostridium difficile pathogens, the most preferred way to manage and control infections is through Handwashing with soap and water. However, for all other clinical scenarios, the researchers recommend that routine hand hygiene should be maintained with alcohol-based hand rubs. This discussion on infection prevention perfectly resonates with my clinical issue to be addressed.

Aim of the Study

According to the researchers, frequent Handwashing is a major cause of contact dermatitis thus rarely preferred by healthcare providers in clinical settings as a way of managing and controlling infections.  On the other hand, alcohol-based hand rubs are notably effective in bacterial reduction and causes less skin irritation. These perceptions greatly influence the degree of staff compliance to hand hygiene guidelines which ultimately impacts the rates of HAIs. Therefore, the study aimed to determine the impact of ABHRs supplemented by the use of creams and lotions on health outcomes.

Research Methodology

The study was a systematic review of literature that used qualitative methods approach.  The researchers searched the databases of MEDLINE and CINAHL using the keywords ABHR, contact dermatitis, dermatitis, and Handwashing. This search was limited to articles that had been published within the last 10 years. Only original articles were considered NURS 6052 wk 3 assignment Matrix Worksheet Template. The findings were presented in the form of tables to show outcomes and comparisons.

Strengths of Research Methodologies

The comprehensive literature search that was conducted was within the limit of 10 years. This aimed at ensuring that the findings could still be applied to current clinical practice and were in line with the recommended practice guidelines. Besides, the researchers used the following keywords to conduct the literature search: hand hygiene, ABHR, hand washing, dermatitis, and contact dermatitis. This ensured that only studies that were relevant to the clinical issue were addressed.

General Comments

To promote the use of ABHRs and lessen the occurrence of contact dermatitis, nurses should be taught that Handwashing after and before using ABHRs removes emollients and sebum layers thus increasing the risk of contact dermatitis

Loftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. American journal of infection control, 46(10), 1134-1141.

Relation To The Clinical Issue

The article discusses how an increase in the awareness and epidemiology of pathogen transmission can help to expand compliance with intraoperative infection control measures. This was specific to the risk of transmitting Staphylococcus Aureus during operations which are associated with high transmission rates, antibiotic resistance, and virulence. It was also attributed to a significant growth pathogen spread within acute care settings to healthy community dwellers in community settings. The researchers further discuss evidence-based solutions that can be used to address this issue to improve patient safety.

Aim of the Study

The researchers acknowledged Healthcare-Associated Infections to be an overwhelming issue related to antibiotics resistance. It is for this reason that healthcare providers have been urged to ensure compliance with some of the most basic prevention measures to prevent the unnecessary use of antibiotics and prevent infections. The study was specific to reducing the incidence of surgical site infections through the preoperative decolonization of staph Aureus through improvement measures in novel hand hygiene. Therefore, the study aimed to characterize the epidemiology of sequence types  of  Staphylococcus Aureus in the operating environment.

Research Methodology

The study used quantitative research methods where Staphylococcus
Aureus
species that were isolated and collected from three medical centers underwent biofilm absorbance, genome analysis, and API (analytical profile indexing). 274 case pairs were randomly selected using a computer-generated list from a total of three medical centers in the US.  178 species of Staphylococcus Aureus were isolated. Of these, 173 were associated with the possibility of transmissions. The researchers also conducted an assessment on the virulent, antibiotic-resistant and hyper transmissible and strains of staphylococcus Aureus.  Statistical analyses using X
2
tests and Poisson regression with variances were used for statistical analyses.

Strengths of Research Methodologies

The researchers used randomization of study participants and a large study sample which increased chances of applicability of the results to wide-population settings. Besides, randomization helped to establish a cause and effect relationship between the variables that were being studied. The researchers also used conceptual frameworks to list the possible courses of action regarding the concept that was an understudy. When conducting the statistical analyses, χ2 tests were used in examining the possible associations of covariates previously mentioned variates about transmission.

General Comments

Intraoperative strains of Staphylococcus Aureus are pathogenic and hyper-transmissible. To control their spread, compliance with hand hygiene and patient decolonization are essential.

References

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. 
The Lancet Infectious Diseases, 18
(11), 1269-1277. NURS 6052 wk 3 assignment Matrix Worksheet Template

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs vs Handwashing. 
American Journal of Critical Care, 27
(4), 334-337.

Loftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. 
American journal of infection control, 46
(10), 1134-1141.

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitizing in infection control.
British Journal of Nursing, 27
(7), 382-388. NURS 6052 wk 3 assignment Matrix Worksheet Template

NURS 6051 Wk 3 Discussion: Interaction Between Nurse Informaticists and Other Specialists Essay

NURS 6051: Transforming Nursing and Healthcare Through Technology

 
Wk 3 Discussion:

Interaction Between Nurse Informaticists and Other Specialists

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients NURS 6051 Wk 3 Discussion: Interaction Between Nurse Informaticists and Other Specialists Essay.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

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To Prepare:

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

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

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

 

Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)

Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)

American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019. NURS 6051 Wk 3 Discussion: Interaction Between Nurse Informaticists and Other Specialists Essay

Nursing is one professional that cannot survive without collaborative approach. To ensure that there is better quality in service delivery, the nurses must work together with the nursing informatics and technology specialists to ensure a smooth flow in the service delivery (McGonigle & Mastrian, 2017).  Right from when the patient visits the health facility, they are first met by the receptionist who happens to be a medical record expert and they are the ones who directs the patient on where to head next after retrieving their details. The patient is then sent to the triage, which is the most important point for a patient as the assessment by a nurse will reveal several issues including the matter of urgency for the patient treatment. NURS 6051 Wk 3 Discussion: Interaction Between Nurse Informaticists and Other Specialists Essay.

Other issues such as blood pressure, BMI and sugar levels that are important before a patient sees the doctor are monitored within the triage. The results of the same may be indicated on the patient file or in case the system is automated; they will be wired directly to the doctor of the day. The doctor or the clinical officer on duty, then examines the patient and recommends on either medication, further test or ward admission. At this stage, the nurse may take over again in case of admission or wound dressing as per the doctor’s direction NURS 6051 Wk 3 Discussion: Interaction Between Nurse Informaticists and Other Specialists Essay. This is usually the routine taken by the patients on a daily basis and requires expertise collaboration between the nurse and other professionals in order to deliver services in the right manner.

On issues to do with strategy on how these interactions might be improved, technology comes in handy as its effective application may speed up the processes and eliminate the unnecessary delays that may add up costs, or contribute to even the worst cases of loss of life (Macieria et al. 2017). From the admission to the triage up to the doctor’s room, effective online transit of the patient information will eliminate delays and hence smooth delivery of services, patient and healthcare professional’s satisfaction, as well as cost reduction.

With the continued evolution of nursing informatics as a Specialty, the future of nursing seems brighter and most manual chores are eliminated and collaborative interactions are being enhanced, hence improved quality, more productivity and eventually cost reduction (Wang, Kung & Byrd, 2018). With advanced technology, the professional interaction is bound to enter a whole new level where the processes will be executed with minimal time and at the expected quality level hence the overall improvement in the service delivery within the health facilities. NURS 6051 Wk 3 Discussion: Interaction Between Nurse Informaticists and Other Specialists Essay.

 

References

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G.

(2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge

(4th ed.). Burlington, MA: Jones & Bartlett Learning.

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and

potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126 (1), 3–13. doi:10.1016/j.techfore.2015.12.019. NURS 6051 Wk 3 Discussion: Interaction Between Nurse Informaticists and Other Specialists Essay

NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper

The advanced practice registered nurse or APRN position has steadily grown in importance in the United States. This is because the role that they play in plugging the gap between physicians and the population is immense. It is a common fact that the number of physicians practicing is virtually inversely proportional to that of the population they are supposed to be serving. To become an advanced practice nurse, one must complete a rigorous accredited postgraduate course in their specialty. This postgraduate degree is currently recommended to be a PhD as the entry level to practice. NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper. After meeting these educational requirements, the psychiatric-mental health nurse practitioner (PMHNP) for instance has then to be certified by the American Nurses Credentialing Centre (ANCC) (ANCC, N.D.) and receive licensure to practice from the State in which they intend to practice. The role APRNs have come to play has become quite significant, given the fact that…

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Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.

For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:

A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope. NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper.

A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?

A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

Course Code

Class Code

Assignment Title

Total Points

NUR-513

NUR-513-O102

Benchmark – Future Scope, Role, and Professional Obligations Paper

250.0

Criteria

Percentage

Unsatisfactory (0.00%)

Less than Satisfactory (80.00%)

Satisfactory (88.00%)

Good (92.00%)

Excellent (100.00%)

Content

70.0%

The Scope of Your Future Role as an Advanced Registered Nurse, Including Any Regulatory, Certification, or Accreditation Agencies That Define That Scope

20.0%

A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is not included.

A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is present, but it lacks detail or is incomplete.

A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is present.

A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is clearly provided and well developed.

A comprehensive discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is thoroughly developed with supporting details.

Three Professional Nursing Organizations Identified as the Most Influential in Advancing the Scope and Influence of Advanced Nursing

15.0%

A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is not included.

A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is present, but it lacks detail or is incomplete.

A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is present.

A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is clearly provided and well developed.

A comprehensive discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is thoroughly developed with supporting details.

NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper

Evaluate the Professional Organization That Is Most Appealing, Including How Its Goals and Mission Fit in With Worldview, Philosophy of Care, and Ability to Improve Practice (5.3)

15.0%

An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is not included.

An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is present, but it lacks detail or is incomplete.

An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is present.

An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is clearly provided and well developed.

A comprehensive evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is thoroughly developed with supporting details.

A Controversial or Evolving Issue That Is Most Likely to Impact Scope of Practice or Role in the Next Few Years, Including How This Issue Could Influence the Profession and Other Stakeholders and Why It Matters to the Advanced Registered Nurse

15.0%

A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is not included.

A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is present, but it lacks detail or is incomplete.

A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is present.

A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is clearly provided and well developed.

A comprehensive discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is thoroughly developed with supporting details.

Required Sources

5.0%

Sources are not included.

Number of required sources is only partially met.

Number of required sources is met, but sources are outdated or inappropriate.

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Organization and Effectiveness

20.0%

Thesis Development and Purpose

7.0%

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

8.0%

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0%

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in command of standard, written, academic English.

Format

10.0%

Paper Format (Use of appropriate style for the major and assignment)

5.0%

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5.0%

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Weightage

100%

 

Introduction

The advanced practice registered nurse or APRN position has steadily grown in importance in the United States. This is because the role that they play in plugging the gap between physicians and the population is immense. It is a common fact that the number of physicians practicing is virtually inversely proportional to that of the population they are supposed to be serving. To become an advanced practice nurse, one must complete a rigorous accredited postgraduate course in their specialty NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper. This postgraduate degree is currently recommended to be a PhD as the entry level to practice. After meeting these educational requirements, the psychiatric-mental health nurse practitioner (PMHNP) for instance has then to be certified by the American Nurses Credentialing Centre (ANCC) (ANCC, N.D.) and receive licensure to practice from the State in which they intend to practice. The role APRNs have come to play has become quite significant, given the fact that many communities that are socio-economically deprived are not able to access the expensive health services offered by the country’s physicians. What these populations need is affordable healthcare brought to them where they can easily access it, conveniently. This is primary health care (PHC), and the frontline clinicians that are going to champion it going forward are the APRNs. This paper will look at the future roles of the nurse practitioner (in this case a PMHNP) and their scope, the regulatory framework governing their practice, accreditation and credentialing, nursing professional organizations they can join, and one controversial matter related to the practice of a PMHNP. NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper.

Scope of Future Role as a PMHNP, Regulation, Accreditation and Credentialing

At present, the role of the nurse practitioner and its scope are very much a factor of the state legislation and regulations that govern nurse practitioner practice. In states that guarantee full autonomy of practice (full practice authority or FPA), the PMHNP evaluates mentally ill patients, diagnoses, orders investigations and interprets them independently before ordering appropriate treatment and making follow up (Maryville University, 2019). This is the full scope of the role that the PMHNP will be practicing in the future, because the movement to have universal full practice authority across states is unstoppable. Regulation of practice of PMHNPs and by extension all other APRNs is done through state legislation. Different states have different regulatory structures for APRNs (AANP, 2018). Across the fifty states, there are those whose regulatory structure is that of full practice authority. However, other states still have a regulatory structure of either reduced practice or restricted practice (AANP, 2018). These last two regulatory structures are restrictive and prohibitive to the nurse practitioner, preventing them from exercising their knowledge and training to the full extent of their abilities. As stated above, full practice authority regulatory structure permits the nurse practitioner to practice without any supervision or hindrance. Reduced practice, on the other hand, requires that the nurse practitioner enters into a collaborative agreement with a practicing physician so that they can effectively practice under them NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper. Lastly, the worst regulatory framework is the restricted practice arrangement. In the states with this kind of APRN regulation, the nurse practitioner is only allowed to do a few things which also have to be done under the supervision of a physician (AANP, 2018). There are a total of 23 states that have a full practice authority regulatory structure as at 2017. These include Idaho, Iowa, Maryland, Hawaii, Washington D.C., New Mexico, and so on. The remaining are either reduced or restricted practice. Reduced practice states for APRNs include Ohio, Illinois, Wisconsin, Utah, Louisiana, and so on. Lastly are the worst states to practice in as APRNs. These have licensure laws that only allow restricted practice which give the APRN very little room to flourish. These states include Florida, Texas, Michigan, Georgia, and California, amongst others (Maryville University, 2019; AANP, 2018).

The future of the PMHNP and other APRNs however looks bright and their traditional role as seen above is definitely set to expand. This is because there is a shortage of physicians as they move to the super specialties leaving disciplines like family medicine with severe shortages of manpower. APRNs are the cadre that will fill this vacancy (Maryville University, 2019). After education and training the PMHNP is expected to get certification before applying for a practicing licence from the state in which they intend to practice. In the case of the PMHNP, the agency tasked with this certification is the American Nurses Credentialing Centre or ANCC (ANCC, n.d.). All that the graduated nurse practitioner needs to do is to sit for a competency examination that tests for clinical acumen, knowledge, and skills. After passing the examination and the board certification (BC) is awarded, the official title of the nurse practitioner changes to PMHNP-BC (ANCC, n.d.). The certification lasts for five years, after which it needs to be renewed. NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper.

On the matter of accreditation, it is the particular course that the PMHNP does at the university that needs to be accredited. Accreditation of courses and institutions takes place both at the regional level and the national level (EDsmart, n.d.). There is preference, however, for the regional accreditation of courses as it is easy to transfer credits to another institution this way. Some of the regional accreditation bodies include the Higher Learning Commission (which is recognized by the US Department of Education) and the Northwest Commission on Colleges and Universities. In summary, the process therefore starts with enrolling in a duly accredited postgraduate course. After completion of the course, the nurse practitioner applies for board certification and sits for the competency examination. If successful, they then apply for a practice license as per the state’s licensure laws. The licence that they will then get will depend on the state as discussed above and will be for full practice autonomy, a reduced practice, or a restricted practice.

Three Professional Nursing Organizations

           
Professional organizations are an important component for the advance practice nurse professional. This is especially true considering the challenges with the disparate regulatory structures seen above. Policies and their formulation by their very nature are political processes. Political processes require masses and one voice, if anything is to change. This is the reason why PMHNPs must come together in professional bodies so that they can champion their professional causes. Therefore, professional organizations provide a platform and forum on which psychiatric-mental health nurses can stand and articulate their issues (Catallo et al., 2014). These issues include lobbying state legislators for policy changes towards the granting of full practice authority in the states that still do not have it. Professional bodies also help in the exchanging of professional ideas for better and improved practice.

Three of the most prominent professional organizations for the PMHNP are the American Psychiatric Nurses Association (APNA), the International Society of Psychiatric-Mental Health Nurses (ISPN), and the American Association of Nurse Practitioners (AANP). The ISPN builds capacity by way of mentorship and sharing of ideas, while at the same time helping with sharing professional ideas. The APNA fosters knowledge dissemination and professional support for its members (Adams &Black, 2016). For instance, by the year 2016 it had come up with a short online course to help its members seal some identified knowledge gaps. The program was titled American Psychiatric Nurses Association Transitions in Practice (ATP) (Adams & Black, 2016). The American Association of Nurse Practitioners (AANP) on its part provides professional support and encouragement by conferring Fellowship status to those members that have done something remarkable to the profession. NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper The Fellowship status is only by nomination. Thus those who have received this prestigious recognition carry the title of Fellow of the American Association of Nurse Practitioners (FAANP) (Rossiter et al., 2017).

Controversial Issue

The most important controversial issue for a PMHNP at the moment is the matter of evidence-based practice. It is only psychiatry and mental health that is lacking behind in implementation of evidence-based practice in all of medicine. This is because of long-held traditions that have proved hard to drop completely (Alzayyat, 2014) NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper.

References

Adams, S.M., & Black, P. (2016). American Psychiatric Nurses Association –Transitions in practice certificate program: Bridging the knowledge gap in caring for psychiatric patients within the general nursing workforce.
Nursing Administration Quarterly
, 40(3), 225-236. Doi: 10.1097/NAQ.0000000000000168

Alzayyat, A.S. (2014). Barriers to Evidence-Based Practice Utilization in Psychiatric/Mental Health Nursing.
Issues in Mental Health Nursing
, 35, 134-143. Doi: 10.3109/01612840.2013.848385

American Association of Nurse Practitioners [AANP] (2018).
State practice environment
. Retrieved 14 September 2019 from
https://www.aanp.org/advocacy/state/state-practice-environment

American Nurses Credentialing Centre [ANCC] (n.d.).
Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification (PMHNP-BC)
. Retrieved 14 September 2019 from
https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nurse-practitioner/

Catallo, C., Spalding, K. & Haghiri-Vijeh, R. (2014). Nursing professional organizations: What are they doing to engage nurses in health policy?
SAGE Open
, 1-9. Doi: 10.1177/2158244014560534

EDsmart (n.d.).
Regional vs. national accreditation
–
there
’
s a huge difference
. Retrieved 14 September 2019 from
https://www.edsmart.org/regional-vs-national-accreditation/

International Society of Psychiatric-Mental Health Nurses [ISPN] (2019).
International Society of Psychiatric-Mental Health Nurses
. Retrieved 13 September 2019 from
https://www.ispn-psych.org/

Maryville University (2019).
States granting NP full practice authority
. Retrieved 14 September 2019 from
https://online.maryville.edu/nursing-degrees/np/states-granting-np-full-practice-authority/

Rossiter, A.G., Sabol, V.K. & Hicks, R.W. (2017). So you want to be a Fellow in the American Association of Nurse Practitioners: Navigating the Fellowship process to ensure your success.
Journal of the American Association of Nurse Practitioners
, 29, 501-505. Doi: 10.1002/2327-6924.12508 NUR 513 – Benchmark – Future Scope, Role, and Professional Obligations Paper

Treating Childhood Abuse Essay

What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

How might exposure to the media and/or social media affect the patient?

What type of mandatory reporting (if any) is required in this case? Why?

Child abuse is a global concern that affects the mental and physical stability of the victim. According to Thapar et al. (2015), there were 3.4 million referrals of child neglect and abuse cases in 2012. Many of the cases are caused by close relatives which makes reporting difficult due to fear and shame considering that children are still dependent on the abusers for provision. This paper explores abuse through the study of Morgan, a 19-year-old male’s, case with the aim of determining the assessment strategies foe abused patients, media and social media exposure and the mandatory reporting types for abuse cases.

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Assessment Strategies

Physical examination is an effective strategy in assessing the signs of abuse. It identifies scars, deformities and other marks that suggest previous case of physical abuse. Inspection, palpation, percussion, and auscultation techniques are used to identify any deviations from the normal and also identify long-term effects of physical abuse on the patient (Sadock, Sadock, & Ruiz, 2014). On the other hand, psychological assessment screens for the mental status of the patient following the abuse incidences. For instance, the patient reports to have a depressed mood and panic attacked from the return of their abuser and this suggests that the event affects his mental wellbeing Treating Childhood Abuse Essay. This examination will involve the evaluation of the patient’s behavior, learning and thinking through psychological testing, observation, interviews and consultation (American Psychiatric Nurses Association, 2017). These assessment strategies will inform accurate diagnosis as well as the formulation of the appropriate treatment plan Treating Childhood Abuse Essay.

Effects of exposure to the media and/or social media

The media and social media present increased exposure of persons to the outside world. Exposing patients to these platforms can have both positive and negative repercussions. For instance, exposure to the media and social media can help the client in getting psychological help from professionals. Additionally, he might be able to meet and interact with other individuals who have had familiar experiences and get to learn how to cope with the return of his abuser. On the other hand, exposure can result to bullying of the patient which could result to depression and social withdrawal among other mental problems. The patient might be ridiculed by the public subjecting them into significant distress which would eventually turn the patient into an abuser in the future. The exposure also breaches the privacy rights of the patients. on the contrary, it can also result in acceptance of the victim by the society as the media creates awareness of social crimes through his case Treating Childhood Abuse Essay. He might as well be used as the ambassador of the abused to share his experiences in the future and help others in their recovery.

Mandatory reporting required in this case

Mandatory reporting of abuse is a legal requirement in the United States for cases observed or suspected. Mandated reporters are responsible for reporting and in this case, the healthcare provider is expected to report to the child protective services (CPS). The report will be classified in the sexual abuse category since the patient was molested by their cousin during his childhood. The report will be filed with the child protection authorities as required by the Child Protection Act 1999 (Pfefferbaum & Shaw, 2013). Mandatory reporting will therefore be done to allow protection of the patient against future molestation and provide counselling on how to improve his quality of life even with the cousin currently out of prison.

 

 

References

American Psychiatric Nurses Association. (2017). Childhood and adolescent trauma. Retrieved from
http://www.apna.org/i4a/pages/index.cfm?pageID=4545

Pfefferbaum, B., & Shaw, J. A. (2013). Practice parameter on disaster preparedness.
Journal of the American Academy of Child & Adolescent Psychiatry
, 52(11), 1224–1238. Retrieved from
http://www.jaacap.com/article/S0890-8567(13)00550-9/pdf

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

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015).
Rutter’s child and adolescent psychiatry
(6th ed.). Hoboken, NJ: Wiley Blackwell Treating Childhood Abuse Essay.

Clinical Supervision Essay

Consider a client whom you do not think is adequately progressing according to expected clinical outcomes.

Reflect on a child or adolescent client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with an anxiety disorder.

Describe the client. Note: Do not use the client’s actual name.

Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.

Identify any additional information about this client that may potentially impact expected outcomes Clinical Supervision Essay.

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J.T is a 16-year-old Caucasian male patient. He presents to the clinic with the claim that he experienced increased anxiety. He has been experiencing anxiety attacks for the last six months which have increased intensely for the last two weeks. He has been on anxiety medication during the last one week and reports minimal positive progression.  He reports increased insomnia and shakiness since the beginning of his treatment plan and considers the drugs ‘futile and more sickening’. The symptoms are currently affecting his daily activities. He is often tensed and has difficulties paying attention in class and finishing his assignments.

On examination, J.T. feels stressed all the time and worries about failing his examinations constantly. He is also afraid of making presentations in class which increases tension since one of his teachers expects the class members to participate in public speaking from time to time. He exhibits normal speech volume, rate and coherent articulation. He appears tensed but with intact language skills. The general demeanor and facial expressions demonstrate a stressed mood. The affect is appropriate, congruent and affluent with no delusion and hallucination signs. He does not abuse drugs but he is under pressure to try by his peers. Cognitive functioning and memory are age appropriate and intact Clinical Supervision Essay.

Therapeutic Approach

The patient will be treated using thee cognitive behavioral therapy which is considered to the most effective approach towards anxiety disorder management. This will be combined with the exposure therapy which was not included in the previous treatment plan Clinical Supervision Essay. The objective of these combined techniques will be to overcome the clients fear, calm their mind and reduce their levels of anxiety. Exposure therapy will involve exposing the client to his fearful situations to relieve the tension that triggers anxiety (Topper et al., 2017). The client will be requested to think of the scary situations and direct exposure through systematic desensitization. Relaxation techniques will be applied to confront the trigger in this case.

Cognitive behavior therapy addresses negative distortions and behaviors thus changing our perception of the selves and the world (Hofmann & Otto, 2017). This in turn develops positive behaviors that help in the adaptation to the reality and reduction of fears that trigger anxiety. This will modify the client’s thoughts and behaviors as well as his cognitions to determine the anxiety triggers. Moreover, it will address the reactions and behaviors towards different situations particularly public speaking, socialization and examination situations which are identified as the key triggers to his anxiety Clinical Supervision Essay. This will be followed by the process of cognitive restructuring or thought challenging which will entail the identification of the client’s thoughts, challenging the negative ones through evaluation of the provoking thoughts, questioning evidence, analyzing beliefs and evaluating the reality of negative predictions (Stein & Sareen, 2015). Consequently, the negative thoughts will be replaced by the realistic thoughts.

Additional information

The history of the client’s sickness will be an added advantage to accurate diagnosis and treatment. This will help learn the previous mental conditions experience before and the type of treatment that were effective in the management of the condition. Moreover the family history will facilitate the identification of probable disorders that might run in the family and hence improve clinical decision-making. Additionally, information regarding their allergies will help determine the cause of minimal progress of the treatment plan that involved the use of medication (Lader, 2015). This is because; allergies could worsen the client’s symptoms rather than improve them and hence risk the patient’s safety. Clinical Supervision Essay.

 

References

Hofmann, S. G., & Otto, M. W. (2017). 
Cognitive behavioral therapy for social anxiety disorder: Evidence-based and disorder specific treatment techniques
. Routledge.

Lader, M. (2015). Generalized anxiety disorder. 
Encyclopedia of psychopharmacology
, 699-702.

Stein, M. B., & Sareen, J. (2015). Generalized anxiety disorder. 
New England Journal of Medicine
, 
373
(21), 2059-2068.

Topper, M., Emmelkamp, P. M., Watkins, E., & Ehring, T. (2017). Prevention of anxiety disorders and depression by targeting excessive worry and rumination in adolescents and young adults: A randomized controlled trial. 
Behaviour research and therapy
, 
90
, 123-136. Clinical Supervision Essay.

Obsessive Compulsive Disorder Decision Tree case study essay

You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6660/05/mm/decision_tree/index.html

Obsessive Compulsive Disorder was chosen for the diagnosis in Decision 1

Begin Fluvoxamine immediate release 25mg orally at bedtime was chosen for Decision 2

Augment therapy with cognative behavior therapy was chosen for Decision 3

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Decision #1: Differential Diagnosis

Which Decision did you select?

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 Obsessive Compulsive Disorder Decision Tree case study essay

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: Treatment Plan for Psychotherapy

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: Treatment Plan for Psychopharmacology

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 and their families.

 

Assessing and Treating Pediatric Clients

Introduction

The case study is on an 8-year-old boy, manifesting psychiatric symptoms. The mother reported that the client had become very nervous and worried. He also spends most of the time cleaning his hand because he fears his hands could get contaminated and become sick like he previously did. The client has also been avoiding playing with his friend and attending school. Other symptoms include irritability and sleep problems. Accordingly, this assignment involves making decisions about the diagnosis for the client and treatment choices. The paper will conclude by discussing ethical aspects likely to impact the treatment of the client.

Decision Point One

According to the presented symptoms for this client, the decision regarding the diagnosis of the client is that he has obsessive-compulsive disorder (OCD). The reason why this decision was selected is that he presents symptoms akin to OCD symptoms. According to the DSM-5 criteria, symptoms of OCD include repetitive ritualized behaviors and intrusive obsessions. The symptoms of OCD lead to anxiety and distress to the client (Sachs & Eefurth, 2018). Examples of compulsions in people with OCD consist hand washing, avoidance, routine praying, routinized behaviors, among other behaviors (Sachs & Eefurth, 2018). In this case study, the client manifests anxiety and the ritualistic compulsive behavior include handwashing.

The intrusive obsession presented by this client is his fear of his hand becoming contaminated with germs and as a result, becoming sick (Sachs & Eefurth, 2018). Nonetheless, the client may also be having social phobia as manifested by his school avoidance and avoiding socializing with his friends. Obsessive Compulsive Disorder Decision Tree case study essay.

 

Decision Point Two

The second decision for this client is to begin Fluvoxamine immediate release 25 mg orally at bedtime. The reason why this medication was chosen is that it is an SSRI and it is FDA approved for children who are 8-years and above (Pittenger & Bloch, 2014). The medication works by hindering the reuptake of serotonin within the brain. Additionally, evidence has demonstrated the efficacy of Fluvoxamine in treatment of OCD in children by improving the symptoms. In addition, the medication has been shown to be tolerable and safe for pediatric population. Because fluvoxamine has sigma-1 antagonist effects and thus causes sedation, it is supposed to be administered during bedtime (Thamby & Jaisoorya, 2019) Obsessive Compulsive Disorder Decision Tree case study essay.

Selection of this decision hoped that the OCD symptoms in the client would decrease. This can be manifested by reduced handwashing and reduced fear of contamination as well as reduced anxiety. This is because the efficacy of the drug has been demonstrated in treatment of OCD in children (Pittenger & Bloch, 2014). Secondly, it was hoped that the client would tolerate the drug and thus not have any adverse side effect.

The result of this decision was just as it was expected because there was a decrease in the symptoms in the client in the client as the handwashing reduced and anxiety as well. The sociability of the client also improved as he began interacting with his friend. The symptom improvement in this client is attributable to the efficacy of fluvoxamine in improving symptoms of OCD (Thamby & Jaisoorya, 2019). In addition, the client did not report any side effects from the medication.

Decision Point Three

The chosen third decision was for the client to augment the treatment using cognitive behavior therapy. The reason for this choice is because CBT has been demonstrated to be effective when treating OCD and the therapy does not carry any side effects or risks (Wu et al, 2016). When treating OCD, cognitive behavior therapy uses exposure and response prevention (ERP) and cognitive therapy to alter the thoughts and behavior of an individual. During the step of exposure-response prevention (ERP), the person with OCD is kept in a situation likely to expose him/her to the obsessions and the client is advised not to conduct compulsions that they normally perform to ease the anxiety and distress (Tundo et al, 2016). In this case the client would be exposed to a contaminated area and requested not to perform hand-washing. After this, cognitive therapy is then applied where the therapist helps the client to alter the negative thinking pattern associated with the obsession and compulsive behavior (Tundo et al, 2016). The client is helped to identify the patterns that cause distress and negative behavior such as the compulsions and adopt a more adaptive thinking pattern and hence reduce the anxiety, distress, as well as the negative behavior associated with performing the compulsive acts (Wu et al, 2016) Obsessive Compulsive Disorder Decision Tree case study essay.

Ethical Considerations

The ethical considerations that could affect the client’s treatment plan include informed consent. Since medications such as Fluvoxamine is associated with specific side effects, it would be important to inform the parents of the client about the possible side effects as well as provide full information about all available treatment options to enable them to make an informed treatment choice (Pittenger & Bloch, 2014).

Conclusion

The client’s diagnosis is OCD because the client is obsessing with his hands becoming contaminated and performs compulsive behavior of ritualistic handwashing. The second decision is for the client to start client fluvoxamine immediate release 25 mg due to the medication’s efficacy in the treatment of OCD in children.  the last decision is to augment the treatment with CBT due to its efficacy in lowering OCD symptoms. Lastly, the ethical consideration applicable for this client is informed consent to allow the parents make an informed treatment choice. Obsessive Compulsive Disorder Decision Tree case study essay.

 

References

Pittenger C & Bloch M. (2014). Pharmacological treatment of obsessive-compulsive disorder.
Psychiatr
Clin North Am
. 37(3), 375–391.

Sachs G & Eefurth A. (2018). Obsessive Compulsive and Related Disorders: From the Biological Basis to a Rational Pharmacological Treatment.
Int J Neuropsychopharmacology
. 21(1), 59–62.

Thamby A & Jaisoorya T. (2019). Antipsychotic augmentation in the treatment of obsessive-compulsive disorder.
Indian J Psychiatry
. 61(Suppl 1), S51–S57.

Tundo A & Necci R. (2016). Cognitive-behavioral therapy for obsessive-compulsive disorder co-occurring with psychosis: Systematic review of evidence.
World J Psychiatry
.  6(4), 449–455.

Wu Y, Lang Z & Zhang H. (2016). Efficacy of Cognitive-Behavioral Therapy in Pediatric Obsessive-Compulsive Disorder: A Meta-Analysis.
Med Sci Monit
. 1(22), 1646–1653. Obsessive Compulsive Disorder Decision Tree case study essay

NURS 6003 – Academic and Professional Integrity Essay

The Assignment:

Part 3, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

Using the Academic and Professional Success Development Template you began in Module 1 and expanded in Module 2, write a 2- to 3-paragraph analysis that includes the following:

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Explanation for the relationship between academic integrity and writing

Explanation for the relationship between professional practices and scholarly ethics

Cite at least two resources that support your arguments, being sure to use proper APA formatting.

Use Grammarly and SafeAssign to improve the product NURS 6003 – Academic and Professional Integrity Essay.

Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity.

Part 3, Section 2: Strategies for Maintaining Integrity of Work

Expand on your thoughts from Section 1 by:

identifying and describing strategies you intend to pursue to maintain integrity and ethics of your: (1) academic work as a student of the MSN program and (2) professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional. NURS 6003 – Academic and Professional Integrity Essay.

 

The Assignment: Part 3

 

Section 1: The Connection Between Academic and Professional Integrity

 

Explanation for The Relationship Between Academic Integrity and Writing

Academic integrity has always been posited as the backbone of professional writing. It encompasses taking responsibility and displaying honesty in writing and submission of original work. This entails giving credit to scholarly works which may have been referred to or used as a backup during the presentation of one’s idea (Bealle, 2017). A close relationship has always existed between the academic integrity and writing. The level of writing, as well as the perception of the reader is always shaped by the academic integrity that the author expresses during their course of writing. Avoiding plagiarism by acknowledging other scholarly works through proper referencing is one of the virtues of academic integrity (Price, 2014) NURS 6003 – Academic and Professional Integrity Essay. By doing so, trust and fairness are built between the reader and the author. On the other hand, expressing one’s original idea builds creativity, which in turn brings along value for the work (Bealle, 2017). Furthermore, high personality, integrity and discipline are also molded by academic integrity, hence creating a good association with the writing work of a given author.

The Relationship Between Professional Practices and Scholarly Ethics

Professional practices are behavior and conducts that guide how a given professional should carry themselves in the course of their work. Scholarly ethics on the other hand, involves the academic, moral integrity in terms of research or course work, as well as examinations involved during the course of study (Draft Principles of Scholarly Ethics, 2018).  Professional practices and scholarly ethics have always been intertwined as they are said to build each other. A person with strong scholarly ethics is bound to have strong skills that can be transferred into a high standard professional practice (de Graaf, 2019). Practicing scholarly ethics also builds one’s confidence and creativity in doing things which in turn can be a profound ground that leads to excellent professional practice (Draft Principles of Scholarly Ethics, 2018).

How Grammarly, Safe Assign, And Paraphrasing Contributes to Academic Integrity

There exist some important tools that are applied in the course of writing that assists the writer in improving the overall writing quality, as well as detecting plagiarism or similarity index beforehand. Some of these tools include Grammarly and safe Assign software which, among others detects existing errors or omission in terms of spelling, grammar, punctuations, use of articles and sentence structures. Furthermore, these tools assist in detecting the areas that may require paraphrasing or quotation citation through highlighting the similarity level index. This leads to the overall improvement of the writing works and through improved quality and original work, these tools in turn builds upon the improvement of academic integrity (Garza & Parnther, 2018) NURS 6003 – Academic and Professional Integrity Essay.

Section 2: Strategies for Maintaining Integrity of Work

The strategies I intend to pursue to maintain integrity and ethics of my:

(1) Academic Work as A Student of The MSN Program

During my course of learning, I intend to express high academic integrity and maintaining of excellent ethical standards. By doing so, I will strive and apply some strategies in the quest to reach these goals. The first strategy that I will pursue will be preparing myself in time, both for the coursework as well as the exams. Consulting my lecturers where I may have difficulty in understanding and doing further research through the library and online materials will greatly assist me in getting ready for the coursework, as well as the exams (Bealle, 2017) NURS 6003 – Academic and Professional Integrity Essay. Secondly, I will learn on acknowledging other scholars work through proper referencing to avoid plagiarism whenever I borrow an idea from scholarly materials. Furthermore, I will improve my writing skills through learning of proper paraphrasing, grammar, punctuations and sentence structure to improve the overall quality standard of my academic works.

(2) Professional Work as A Nurse Throughout Your Career

With changing work environment due to factors such as globalization and advancements in technology, nursing professional will require a continued learning process throughout the career to adopt with the dynamics of the environment. To ensure that I maintain integrity and ethics in the professional work as a nurse throughout my career, I will strategize first on advancing my career in the area of nursing after every 3 years. This will equip me with the skills needed as new techniques emerge and thus improving my overall competency and integrity during my career (Memon, Salleh & Baharom, 2016). Moreover, observing the existing patient support policies, facility policies, as well as professional code of conduct will be my first priority as this assist in walking on the right path and disseminating duties with high ethical standards expected with the nursing professions. NURS 6003 – Academic and Professional Integrity Essay.

A Review of Resources and Approaches I Propose to Use as A Student and A Professional

The resources and approaches I intend to utilize as a student will include library materials, attending practical lessons when required, application of technology through online research, reference to the past papers and projects to gain knowledge and familiarization of exam settings and conducting of research. On the other hand, as a nursing professional, referring to the existing code of conducts, undergoing further training whenever necessary, attending professional related seminars and workshops, teamwork and proper use and application of technology are some of the resources and approaches I intend to utilize to improve the overall ethics, integrity and service delivery pertaining to my profession. NURS 6003 – Academic and Professional Integrity Essay.

 

References

Bealle, P. (2017). Community College Academic Integrity Lessons That Put Research into

Practice.
Theory into Practice
,
56
(2), 144–155.

de Graaf, F. J. (2019). Ethics and Behavioural Theory: How Do Professionals Assess Their

Mental Models? Journal of Business Ethics, 157(4), 933–947.

Draft Principles of Scholarly Ethics. (2018).
Marquette Law Review
,
101
(4), 897–902.

Garza Mitchell, R. L., & Parnther, C. (2018). The Shared Responsibility for Academic Integrity

Education. New Directions for Community Colleges, 2018 (183), 55–64.

Memon, M. A., Salleh, R., & Baharom, M. N. R. (2016). The link between training satisfaction,

work engagement and turnover intention. European Journal of Training & Development, 40(6), 407–429. https://doi.org/10.1108/EJTD-10-2015-0077

Price, B. (2014). Avoiding plagiarism: guidance for nursing students. Nursing Standard, 28(26),

45–51. https://doi.org/10.7748/ns2014.02.28.26.45.e8514 NURS 6003 – Academic and Professional Integrity Essay

NR506 week 2 Identification of Healthcare Policy Concern

Criteria for Content

Overview of healthcare policy: This section introduces healthcare policy. It should contain the following elements:

Define healthcare policy in general and its implications for the nursing profession

Define the role of advocacy and how it can impact healthcare policy

Explain how the role of advocacy is consistent with the responsibilities of an advance practice nurse

Identification of 
selected
 healthcare policy concern: This section provides foundational information regarding the student-selected healthcare policy concern.  It should contain the following elements:

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Specifically identify the selected healthcare policy concern

Description of the impacted population group

Provide a comprehensive description of the selected healthcare concern by including:

How frequently does it occur? NR506 week 2 Identification of Healthcare Policy Concern

What impact does the selected healthcare concern have upon the community and population group?

Description of student-identified solution to the selected healthcare concern: This section presents a comprehensive picture of the student-selected solution to the selected healthcare concern.  It should contain the following elements:

Identify, with specific detail, the solution to the student-selected healthcare concern

Identify the following areas:

What would be the positive outcome if the solution was implemented?

What changes would need to occur in the community to foster implementation?

What changes would need to occur in the population group to foster implementation?

What measureable actions will demonstrate a positive outcome if the solution was implemented?

What might be 2 (two) challenges to implementing the proposed solution and how can each of these challenges be avoided or resolved?

Identification of elected official: This section identifies the elected official that the student will present the selected healthcare concern and its solution to.  It should contain the following elements:

The name of the elected official

The position of the elected official

Explanation of why this individual was selected

NR506 week 2 Identification of Healthcare Policy Concern

Conclusion: This section provides a comprehensive and concise review of the key elements of the assignment.

Preparing the Assignment

Criteria for Format and Special Instructions

The paper (excluding the title page and reference page) should be at least 6, but no more than 10 pages. Points will be lost for not meeting these length requirements.

Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6
th
 edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

A minimum of 
6
 (six) appropriate research-based scholarly references must be used of which 2 may be empirical evidence from state and county website data… (Check with your instructor regarding .org or .gov sites). Required textbook for this course, dictionary and Chamberlain College of Nursing lesson information may 
NOT
be used as scholarly references for this assignment.  For additional assistance regarding scholarly nursing references, please see the course Library Guide.  Be aware that information from .com websites may be incorrect and should be avoided NR506 week 2 Identification of Healthcare Policy Concern.  References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them prior to submission of the assignment.

Ideas and information from scholarly, peer reviewed, nursing sources must be cited must be cited within the text of the paper as well as appearing in the reference list with correct APA format.

Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.

This assignment must be submitted to TurnItIn™ (TII) as required by the TurnItIn™ policy. A Similarity Index of 24% or less must be obtained; this is the benchmark for CCN graduate nursing students.  Any other level of similarity index requires the student to revise the assignment before the due date and time.  To allow sufficient time for revision, early submission of the assignment to TurnItIn™ is highly encouraged.  The final submission will be graded by faculty.  If a TurnItin™ report indicates that plagiarism has occurred, the Academic Integrity policy will be followed. NR506 week 2 Identification of Healthcare Policy Concern.

Relationship between the clinical nurse educator and the clinical environment Essay

What is the relationship between the clinical nurse educator and the clinical learning environment? What strategies will enhance the relationship? What factors might detract from the relationship?

What are the clinical educator’s responsibilities to the clinical agency:

1. regarding students?

2. regarding patients?

3. regarding staff (professional and support staff)?

4. regarding administration?

What factors must be considered in selecting clinical experiences? How do these factors relate to planning your practicum experiences with your own clinical faculty preceptor and their students?

Please see the attachment of the article in the file and textbook to use for this class Relationship between the clinical nurse educator and the clinical environment Essay

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Nurse education

What is the relationship between the clinical nurse educator and the clinical learning environment?

Clinical nurse educators have the responsibility of enhancing the clinical learning environment to present efficient and competent graduates. This occurs through making good preparation of the environment so that students’ anxiety and fear is reduced thus enabling them to make fewer mistakes within the environment (Farzi, S., Shahriari & Farzi, S., 2018). Additionally, educators are responsible for creating a positive environment that helps students to visualize future success, tailoring the teaching relationship to the learner, being curious about the student and his/her interests, using anecdotes to form closer relationships, creating safe settings to discuss occurrences that include mistakes, and offering clarity concerning mistakes and expectations (Koharchik & Redding, 2016).

What strategies will enhance the relationship?

Strategies to enhance the relationship include ensuring that the clinical nurse educators have adequate clinical expertise, reasonable clinical evaluation is applied, and the environment offers a proportional balance between the number of faculty facilities, educators and students. Besides that, a pleasant atmosphere should be created to include appropriate behavior of educators with students, and ensuring that the students are not neglected so that participants’ willingness to learn and teach is enhanced (Farzi, S., Shahriari & Farzi, S., 2018).

What factors might detract from the relationship?

There are five factors that could detract from the relationship. Firstly, fear of failure and criticism can cause clinical nurse educators to be stressed and make mistakes. Secondly, insufficient readiness of the educators (inadequate mastery of teaching skills and cognitive components of learning, and insufficient self-confidence) that disturb the environment. Thirdly, unpleasant atmosphere of clinical environment from inappropriate behavior of educators as they neglect the environment resulting in reduced willingness to learn and teach (Farzi, S., Shahriari & Farzi, S., 2018).

What are the clinical educator’s responsibilities to the clinical agency:

regarding students?

They have the responsibility to train students in nursing skills, prepare nursing students for successful change out of academia, empower students to thrive in the nurse profession once they graduate, and improve the systems intended to uphold nursing education. In addition, educators determine educational standards and curriculum applicable to the students to include assessing educational outcomes, advising and teaching students, coordinating clinical placements, and curriculum building and improvement Relationship between the clinical nurse educator and the clinical environment Essay. Also, the tailor the teaching relationship to the learner to ensure that the learner is offered the best opportunity to acquire knowledge. Overall, educators uphold and improve structure and systems upon which nursing education rests through continuously creating new and innovative ways to approach the education process (Billings & Halstead, 2016).

regarding patients?

They ensure that the nursing workforce taking care of the patients has current and accurate attitudes, skills and information required to offer efficient and effective care for patients across their entire lifespan. Also, they teach patients how to navigate the health landscape and assist in life-care planning. Besides that, they provide patient care.

regarding staff (professional and support staff)?

They coach other medical personnel on how to offer services that support patient care and recovery efforts. Also, they consult in expert capacities to ensure that the appropriate care is provided. Besides that, they coordinate continuing education, coordinate clinical placement and offer mentoring services (Billings & Halstead, 2016) Relationship between the clinical nurse educator and the clinical environment Essay.

regarding administration?

They consult in forensic and legal capacities. Also, they work towards policy improvement within the institution that making change recommendations supported by current evidence. Besides that, they create new and innovative way to manage health care, and streamline processes. In addition, they uphold and improve administrative structures and systems (Billings & Halstead, 2016).

What factors must be considered in selecting clinical experiences?

There are five factors that must be considered in selecting clinical experiences. The first factor is role acceptance that emanates from socialization with the intention of helping the student to gain a professional identity with regards to coping with organizational and professional commitment, and professional roles. The second factor is clinical supervision that centers on the workload of medical personnel and how it affects their attitudes towards students’ supervision and clinical learning. The third factor is organizational support and resources, with a focus on communication, equipment, procedures, and materials. The fourth factor is teaching and guiding support as offered by preceptors and lecturers. The final factor is clinical stress and anxiety, a psycho-social issue that affects wellbeing and educational process (Gaberson, Oermann & Shellenbarger, 2015). Relationship between the clinical nurse educator and the clinical environment Essay.

How do these factors relate to planning your practicum experiences with your own clinical faculty preceptor and their students?

The identified factors relate to planning practicum experiences since the practicum experience is an on-going systematic process. Through creating a favorable environment with regards to the identified factors, a student is able to receive encouragement and support in professional practice. In fact, the factors help students in identifying what they want so that they engage the clinical faculty preceptor in an ideal and supportive mentorship that helps with educational preparation and positive attitude. This helps the student in being matched to the best practicum site while increasing professional independence, socialization and self-confidence (Gaberson, Oermann & Shellenbarger, 2015) Relationship between the clinical nurse educator and the clinical environment Essay.

 

References

Billings, D. M. & Halstead, J. A. (2016).
Teaching in nursing: a guide for faculty
(5
th
ed.). St. Louis, MO: Elsevier.

Farzi, S., Shahriari, M. & Farzi, S. (2018). Exploring the challenges of clinical education in nursing and strategies to improve it: A qualitative study.
Journal of Education and Health Promotion
, 7, 115. DOI: 10.4103/jehp.jehp_169_17

Gaberson, K., Oermann, M. & Shellenbarger, T. (2015).
Clinical teaching strategies in nursing
(4
th
ed.). New York, NY: Springer Publishing Company.

Koharchik, L. & Redding, S. (2016). Strategies for successful clinical teaching.
American Journal of Nursing
, 116(7), 62-65. Relationship between the clinical nurse educator and the clinical environment Essay.