Informatics Competencies and Advanced Nursing Practice

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Informatics Competencies and Advanced Nursing Practice

Instructions: These are 2 separate questions, so they are 2 separate papers.

At least 2 pages each: APA format. At least 2 references– Must NOT be over 5 years old.

1.  Informatics Competencies and Advanced Nursing Practice

According to the AACN (2006) Essentials of Doctoral Education for Advanced Nursing Practice, DNP graduates are distinguished by their abilities to use information systems/technology to support and improve patient care and healthcare systems and provide leadership within healthcare systems and/or academic settings” (p. 12).

Reflect on the AACN DNP “Essential IV: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care” and your own technology experience and answer the following. Informatics Competencies and Advanced Nursing Practice

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·  What were your initial thoughts on reading the AACN Information Systems/Technology Essentials for the DNP graduate?

·  Did you find any of the essentials surprising? Why or Why not?

·  Describe the changes you have seen in your practice setting over the past five years that have been brought about by the use of technology and evidence-based practice.

·  Describe the changes you expect to see in your practice setting over the next five years based on technology.

·  How have these changes affected nursing practice in your setting?

Supplemental reading:

McBride, S., & Tietze, M. (2018). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism. (2nd ed.). Springer Publishing.

·  Chapter 1: Introduction to Health Information Technology in a Policy and Regulatory Environment (p. 3-18)

·  Chapter 2: Advanced Practice Roles in Interprofessional Teams (p. 19-38)

·  Chapter 24: Developing Competencies in Nursing for an Electronic Age of Healthcare (p. 587-608) Informatics Competencies and Advanced Nursing Practice

Articles:

Choi, J., & Zucker, D. M. (2013). Self-assessment of nursing informatics competencies for Doctor of Nursing Practice students (Links to an external site.). Journal of Professional Nursing, 29(6), 381-387. https://doi.org/10.1016/j.profnurs.2012.05.014  (Links to an external site.)

Kinnunen, U. M., Heponiemi, T., Rajalahti, E., Ahonen, O., Korhonen, T., & Hyppönen, H. (2019). Factors related to health informatics competencies for nurses—results of a national electronic health record Survey (Links to an external site.). CIN: Computers, Informatics, Nursing, 37(8), 420-429. https://doi.org/10.1097/CIN.0000000000000511 

2. Clinical Information Systems

1.

Conduct an online search for two different EHR Software Solutions (e.g., eClinicalWorks, McKesson, Cerner, Allscripts, Athena Health, GE Healthcare, Epic, Care360, practice fusion, OPTUMInsight, NEXTGEN, etc.).

·  Briefly describe the selected EHR software solutions. Include three features of each software in the description.

·  Compare and contrast the benefits of the two selected EHR software solutions.

·  Select an EHR software solution that is best suited for your workplace environment. Identify the workplace environment (hospital, stand-alone private practice, etc.) and provide your rationale for the selected software.

Supplemental reading:

McBride, S., & Tietze, M. (2018). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism. (2nd ed.). Springer Publishing.

·  Chapter7: Electronic Health Records and Point of Care Technology. (p. 143 -174)

·  Chapter 9: Workflow Redesign in a Quality-Improvement Modality (p. 207-226)

·  Chapter 11: Electronic Health Records and Health Information Exchanges (p. 249-270) Informatics Competencies and Advanced Nursing Practice

Articles:

Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health information technology in healthcare quality and patient safety: Literature review. (Links to an external site.) JMIR medical informatics, 6(2), e10264. https://doi.org/10.2196/10264

Kruse, C. S., & Beane, A. (2018). Health information technology continues to show positive effect on medical outcomes: Systematic review (Links to an external site.). Journal of Medical Internet Research, 20(2). https://doi.org/10.2196/jmir.8793 Informatics Competencies and Advanced Nursing Practice

Psychopharmacologic Approaches To Treatment Of Psychopathology

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Psychopharmacologic Approaches To Treatment Of Psychopathology

Introduction to Neuroanatomy and Adherence

When building a house, contractors and architects rely on a blueprint to help determine what features and structures are needed to support the house and provide those features sought after by potential buyers. If a potential error occurs in the construction of a support beam, for example, it is likely that the house will sustain damage and, possibly, crumble.

In much the same way, the features and structures of your brain provide a blueprint that help to support your body and provide the mechanisms with which to sustain your well-being. Individuals who suffer from mental illness, according to the fundamental premise of psychiatric neuroscience, are a result of abnormal brain function. Yet, as advancements in neuroimaging and genetics emerge, a whole new understanding of how to address mental illness remains for the psychiatric nurse practitioner (PNP). Neuroimaging and genetic techniques help provide insights, such as a blueprint of the brain, for detailing how the brain’s structure and wiring is functioning Psychopharmacologic Approaches To Treatment Of Psychopathology.

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By determining what functions and structures of the brain or central nervous system are implicated in psychopathologies observed PNPs are able to synthesize biological explanations into treatment protocols for sustained, positive patient outcomes. A solid foundation and understanding of the functions and structures of the central nervous system is the first pillar of solidifying your understanding of psychopharmacology.

 

The human brain is organized into the cerebral cortex, brainstem, subcortical structures, and the cerebellum. These anatomical structures are made of inter-connected elements that create distributed and highly inter-connected circuits. It is in these circuits where cognition, behavior, and affect are processed.

—Camprodon, J. A., & Roffman, J. L. (2016, p. 6)

By using a combination of psychotherapy and medication therapy, psychiatric nurse practitioners (PNP) are positioned to provide a very unique type of care to patients with psychiatric disorders. To be successful in this role, you must have a strong theoretical foundation in pathophysiology, psychopharmacology, and neuroscience. This foundation will help you assess, diagnose, and treat patients as you relate presenting symptoms to theoretical neuronal functioning.

As you study psychopharmacology, you will explore the basic functional unit of the nervous system, the neuron. You will review the structure of the neuron and you will examine the anatomy of the central nervous system and consider the functionality of the different structure and outward (phenotypic) expression of their activities. You will analyze these concepts as you complete your short answer assessment.

 

· Describe the functions and structures of the central nervous system

· Describe the different structures that make up the neuron

· Explain the function of neurons in intracellular communication

 

Assignment: Short Answer Assessment

As a psychiatric nurse practitioner, before you can recommend potential pharmacotherapeutics to address a patient’s condition or disorder, you must understand the basic function and structure of the neuron and central nervous system. For this Assignment, you will review and apply your understanding of neuroanatomy by addressing a set of short answer prompts Psychopharmacologic Approaches To Treatment Of Psychopathology.

To Prepare:

· Review the Learning Resources for this week in preparation to complete this Assignment.

· Reflect on the basic function and structure of the neuron in relation to the central nervous system.

· Reflect on the inter-connectedness between neurons and the central nervous system, including the pathway and distribution of electrical impulses.

· Reflect on how neurons communicate with each other and review the concept of neuroplasticity.

 

To complete:

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.

2. Answer the following (listing is acceptable for these questions):

· What are the major components that make up the subcortical structures?

· Which component plays a role in learning, memory, and addiction?

· What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?

3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.

4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.

5. In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples Psychopharmacologic Approaches To Treatment Of Psychopathology.

Short Answer Assessment

1. Axon consists of elongated fibers that extend from the cell body to the terminal endings and aids in transmitting signals. Some axons have a fatty substance called myelin, which acts as an insulator and can transmit signals much faster than other neurons. Axon elongated fibers connect with other cells in the body through the synapses (Stern, Fava, Wilens, & Rosenbaum, 2016)

2.The major components that make up the subcortical structures include the cerebellum, basal ganglia, and the thalamus, hypothalamus, pituitary, and brainstem.

The frontal lobe is involved in functions such as planning, attention, problem-solving, judgment, and initiative. The following components play a role in learning, memory, and addiction.

The cerebellum is responsible for motor coordination and learning. The ventral striatum plays a vital role in emotion and learning via connections with the hippocampus, amygdala, and prefrontal cortex.

The two critical neurotransmitters located in the nigra striatal region of the brain that plays a significant role in motor control is Dopamine and GABAergic neurons (Sonne, 2020)

3.Glia cells are non-neuronal cells in the central nervous system and do not produce electrical impulses. Glia cells maintain homeostasis, form myelin, and provide support and protection for neurons. Glia cells are divided into two groups, microglia cells and macroglia cells; Macroglia cells can be further divided into astrocytes and oligodendrocytes. Microglia cells act as a primary immune defense of the central nervous system, travel and remove damaged substances, pathogens, or other foreign substances. Glia cells also play a role in neurotransmission and synaptic connections and the physiological processes of breathing. Astrocytes are star-shaped glia cells with many functions, including providing nutrient support to the neurons, helping repair damaged nervous system tissue, regulating communication between neurons, and maintaining blood-brain barriers. Oligodendrocytes are responsible for axonal regulation and the generation and maintenance of the myelin sheath that surrounds axons (Hooper & Pocock, 2020) Psychopharmacologic Approaches To Treatment Of Psychopathology

4. A neuron, referred to as the pre-synaptic cell, releases a neurotransmitter or other neurochemical from special pouches clustered near the cell membrane called synaptic vesicles into space between cells. Those molecules will then be taken up by membrane receptors on the post-synaptic or neighboring, cell hence changing the cell’s behavior. Chemicals from the pre-synaptic neuron may excite the post-synaptic cell, for example, telling it to slow down signaling or stop it altogether. Synapses offer the possibility of bi-directional communication; as such, post-synaptic cells can send back their messages to pre-synaptic cells, telling them to change how much or how often a neurotransmitter is released (Penttila, 2019).

5. Neuroplasticity is the brain’s ability to recognize itself by forming new neural connections throughout. Neuroplasticity allows neurons in the brain to compensate for injury and disease and adjust their activities to respond to new situations or changes in their environment. For example, if one hemisphere of the brain is damaged, the intact hemisphere takes over some of its functions hence compensating for the damaged hemisphere (William C. Shiel Jr., 2017)

References

Hooper, C., & Pocock, J. M. (2020, November 25). The functions of glia in the CNS. Retrieved December 06, 2020, from https://www.abcam.com/neuroscience/the-functions-of-glia-in-the-cns

Penttila, N. (2019, August 26). What Happens at The Synapse? Retrieved December 06, 2020, from https://www.dana.org/article/qa-neurotransmission-the-synapse/

Sonne, J. (2020, November 08). Neuroanatomy, Substantia Nigra. Retrieved December 06, 2020, from https://www.ncbi.nlm.nih.gov/books/NBK536995/

Stern, T. A., Fava, M., Wilens, T. E., & Rosenbaum, J. F. (2016). Chapter 1. In Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 13-316). London: Elsevier.

William C. Shiel Jr., M. (2017, January 24). Definition of Neuroplasticity. Retrieved December 06, 2020, from https://www.medicinenet.com/neuroplasticity/definition.htmPsychopharmacologic Approaches To Treatment Of Psychopathology

NURSING ROLES

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Overview/Description: The final assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: NP, nurse educator, nurse informaticist, and nurse administrator. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.

Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 10 pages excluding the title and reference, and APA format is required.

Criteria:

  • Advanced Practice Roles in Nursing:
    • Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and research.
  • Selected Advanced Practice Role:
    • Examine regulatory and legal requirements for the state in which you plan to practice.
    • Describe the professional organizations available for membership based on your selected role.
    • Identify required competencies, including certification requirements for your selected role.
    • Predict the organization and setting, population, and colleagues with whom you plan to work.
  • Leadership Attributes of the Advanced Practice Role:
    • Determine your leadership style (DEMOCRATIC STYLE).
    • Identify leadership attributes you currently possess, and attributes you may need to develop.
    • Determine how to attain and evaluate those missing attributes.
  • Health Policy and the Advanced Practice Role
  • Visit the Robert Wood Johnson Foundation (http://www.rwjf.org/en/about-rwjf/newsroom/features-and-articles/health-policy.html) and identify a health policy issue. Conduct a review of literature and address the following:
    • Describe the current policy and what needs to change; justify your conclusions with citations from the literature.
    • Provide the process required to make the change with key players and parties of interest.
    • Explain how you could lead the effort to make or influence the change in policy.
    • Predict the effect on healthcare quality if the change in policy is implemented.

Discussion: Alterations In Cellular Processes

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Discussion: Alterations In Cellular Processes

At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally.

Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans. Discussion: Alterations In Cellular Processes

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For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.

  • By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

  • The role genetics plays in the disease.
  • Why the patient is presenting with the specific symptoms described.
  • The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
  • The cells that are involved in this process.
  • How another characteristic (e.g., gender, genetics) would change your response.

This week, you examine cellular processes that are subject to alterations that can lead to disease. You evaluate the genetic environments within which these processes exist as well as the impact these environments have on disease. Discussion: Alterations In Cellular Processes

Scenario: due by Day 3 of Week 1:

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:  I suggest that each bullet point be a subject heading and submit in APA format.  Each bullet point should reflect a subject heading followed by subsequent content reflective of primary source(s) of reference published within the last 6 years.

. The role genetics plays in the disease.

. Why the patient is presenting with the specific symptoms described.

. The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

. The cells that are involved in this process.

. How another characteristic (e.g., gender, genetics) would change your response. Discussion: Alterations In Cellular Processes

Assignment: Medical Office Management

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Assignment: Medical Office Management

Directions:  Be sure to save an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer in complete sentences, and be sure to use correct English, spelling and grammar. Sources must be cited in APA format. Your response should be four (4) double-spaced pages; refer to the “Assignment Format” page located on the Course Home page for specific format requirements. Assignment: Medical Office Management

In Lessons 5 through 8, you learned about the administrative requirements of medical assistants. You learned about patient reception, appointment scheduling, office technology, correspondence, medical records, billing and collections, medical insurance, medical claims and coding, and office management duties. For this written assignment, the concepts learned from Lessons 5–8 will be applied. Please review the learning objectives for Lessons 5–8 prior to beginning work on this assignment.

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Complete Parts A, B, C, and D for this assignment.

Part A: A pharmaceutical representative has just arrived at the office of Dr. Joseph Henderson, a board-certified orthopedic surgeon. The waiting room is swarming with patients waiting to see Dr. Henderson, because he was delayed with an unexpectedly complicated lumbar spinal fusion and laminectomy Assignment: Medical Office Management .

The representative is very insistent, almost belligerent, about seeing the physician immediately, even though she did not have an appointment to see him. In fact, the visit was totally unexpected, as the representative had just been in two weeks ago. Last time the representative was in, she gave Dr. Henderson a variety of readily usable and dispensable medications. She has more of the same today—injectable cortisone with Novocain, muscle relaxants, NSAIDs, and even some Tylenol with codeine. Usually, Dr. Henderson is quite receptive to receiving these samples, as they help ease the financial burden on his patients for whom he uses or to whom he dispenses these samples. The office is, in fact, running quite low on these particular medications because of Dr. Henderson’s heavy patient load.

Provide detailed answers for each of the following questions. Your response should be at least 150 words in length.

· What is your response to the sales representative?

· Should a sales representative ever take precedence over scheduled appointments?

· Does the fact that Dr. Henderson is usually quite anxious to receive any and all samples for his patients enter in as a factor?

· Does the diminished supply of these samples alter the situation?

· Can the medical assistant ever accept delivery of any or all of these samples? Assignment: Medical Office Management

Part B: Dr. Jonas runs a private practice. He admits patients and makes rounds in two local hospitals. He uses one type of EHR software in his private office and two other packages in the two hospitals. Not only must Dr. Jonas learn three software systems, but he also may at times be unable to move patient information between those systems because of incompatibility. What might Dr. Jonas do to address these issues? Your response should be at least 100 words in length.

Part C: Lisa Medina, a certified coder, performs medical coding for a large multi-specialty clinic. You have just been hired as Lisa’s assistant. She has asked you to review the encounter forms for the day, on which physicians have checked off the diagnoses of each patient. You notice that Dr. Parker, an endocrinologist, has checked off the box for Diabetes unspecified for most of his patients without checking off any manifestations or complications. You think this is unusual because many diabetic patients do have complications.

Provide detailed answers for each of the following questions. Your response should at least 150 words in length.

· What are the options for handling this situation? Assignment: Medical Office Management

· Which option would you select? Give three reasons for your choice.

· With whom should you consult before acting on your choice?

Part D: Sarah Egan is the office manager in Dr. Williams’s practice. Nell Jacobs, who has worked as a CMA (AAMA) in the office for one year, has frequently been absent or tardy on Mondays. Sarah suspects that Nell has a drinking problem. However, Nell has never arrived at the office intoxicated—until today. Sarah has just observed Nell stumbling in the parking lot when getting out of her car. Her speech is slurred, and her breath has a fruity odor that Sarah thinks could be alcohol. Nell does not appear to understand anything that Sarah is saying to her.

Provide detailed answers for each of the following questions. Your response should at least 250 words in length.

· Given the situation, as the office manager, what should Sarah do immediately regarding Nell?

· If Sarah decides to send Nell home, should she call Nell’s husband to come and get her, or, perhaps, insist that Nell go home in a cab?

· Does Sarah have an obligation to tell Dr. Williams about her suspicions regarding Nell?

· Should this incident become part of Nell’s employment record?

· Is this incident grounds for firing an employee? Assignment: Medical Office Management

· Because Nell is a CMA (AAMA) and works with patients, is it within Sarah’s rights to demand a blood and urine screening for alcohol and drugs?

· Should the police be notified of the incident?

· If Nell is indeed intoxicated or under the influence of alcohol, is Sarah obligated to refer Nell to counseling at an alcohol and drug rehabilitation facility? Assignment: Medical Office Management

Assignment: Professional Obligations Paper

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Assignment: Professional Obligations Paper

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 (Nurse Management) 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: Assignment: Professional Obligations Paper

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  1. 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.
  2. 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?
  3. 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? Assignment: Professional Obligations Paper

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.

This assignment uses a rubric (ATTACHED). Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

All original work only. This paper will be submitted for plagiarism before submission Assignment: Professional Obligations Paper.

The Future Of Nursing

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The Future Of Nursing

The Institute of Medicine’s (IOM) landmark publication – The Future of Nursing: Leading Change, Advancing Health has significantly changed the nursing profession. Review the IOM 2010 Report – The Future of Nursing: Leading Change, Advancing Health. Identify and discuss one (1) example of the impact the Future of Nursing report has had on the Advanced Practice Nurse role – Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, or Leader. IOM Report Retrieved August 20, 2018 from The Future of Nursing

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*Note: You can read the book online or download a free PDF copy. See the right side of the website. Do not purchase the book.

Additional Resource:

Campaign for action. (2018). Progress continues on IOM future of nursing report recommendations. Retrieved August 20, 2018 from https://campaignforaction.org/progress-continues-iom-future-nursing-report-recommendations/

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years
  • Due 3/1/2021 The Future Of Nursing

The Impact Of Healthcare Trends On The APN Roles

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The Impact Of Healthcare Trends On The APN Roles

Arnautova (2018) in the article ‘Top Healthcare Industry Trends to Watch in 2018 and Beyond’ outlined five (5) trends that will revolutionize how we provide and consume healthcare services over the next decade. These healthcare trends include:

  1. Telemedicine
  2. Artificial Intelligence
  3. Robotics
  4. IoT and wearables
  5. Blockchain

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Select 1 of the 5 trends and discuss the potent positive and negative impacts the trend will have on the APN role(s) (Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, and Leader)The Impact Of Healthcare Trends On The APN Roles.

Reference: Arnautova, Y. (2018). Top healthcare industry trends to watch in 2018 and beyond. Retrieved August 20, 2018 from https://www.globallogic.com/blogs/top-healthcare-industry-trends-to-watch-in-2018-and-beyond/

Expectations

Due 3/5/21

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years The Impact Of Healthcare Trends On The APN Roles

Legal Implications of Prescribing Drugs

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Legal Implications of Prescribing Drugs

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient  Legal Implications of Prescribing Drugs

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Photo Credit: Getty Images/Caiaimage

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond. Legal Implications of Prescribing Drugs

To Prepare

· Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.

· Review the scenario assigned by your Instructor for this Assignment.

· Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.

· Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

By Day 7 of Week 1

Write a 2- to 3-page paper that addresses the following:

· Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.

· Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.

· Explain the process of writing prescriptions, including strategies to minimize medication errors. Legal Implications of Prescribing Drugs

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at  https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632 ). All papers submitted must use this formatting Legal Implications of Prescribing Drugs.

Stress and Nursing Practice

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Stress and Nursing Practice

Write a 500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment Stress and Nursing Practice.

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  • Describe      the case that defined you as a nurse.
    • What       happened, how were you involved?
    • How       does this case still affect you and your practice?
    • What       steps have you taken to overcome the stress of this event? (Remember to       protect patient privacy).
  • Explain      the importance of debriefings.
    • If a       debriding would happen in your workplace who would be involved, what       would be discussed, who would lead the debriefing, where would it take       place? Stress and Nursing Practice

Assignment Expectations:

Length: 500 words

Structure: Include a title page and reference page in APA format.  These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions.  A minimum of two (2) scholarly sources are required for this assignment Stress and Nursing Practice.