Respond to this discussion by using one reference from peer-reviewed Nursing Journal.Maya

REspond to this discussion by using one reference from peer-reviewed Nursing Journal.Maya… 

REspond to this discussion by using one reference from peer-reviewed Nursing Journal.Maya Maman Nursing practice is always evolving as new evidence is brought forward in research studies.  Evidence-based practice is the use of the best evidence in making clinical decisions based on an integration of the best available evidence, most often from disciplined research, with clinical expertise and patient preferences (Polit & Beck, 2018). Nursing adopts EBP based on appraised and synthesized evidence determined to be relevant depending on clinical expertise and patient preferences.  EBP affects clinical practice and results in decisions that are clinically appropriate, cost-effective, and result in positive patient outcomes (Polit & Beck, 2018).  EBP is a process that involves asking an answerable clinical question (PICOT), searching for relevant research-based evidence, appraising and synthesizing the evidence, integrating the evidence with clinical expertise and patient preferences, and assessing the effectiveness of actions (Polit & Beck, 2018).  The effects must always be assessed for the actual outcome and if adjustments need to be made for a given population or location.  According to Polit & Beck (2018), a study by Shah and colleagues (2016) regarding the implementation of 2% chlorhexidine gluconate (CHG) bathing for intensive care unit (ICU) patients to prevent central line-associated bloodstream infections (CLABSI) EBP concluded that this implementation was effective in prevention.  Therefore, the nursing practice adopted HCG bathing for all patients with central lines as a proven EBP measure to prevent CLABSI (Polit & Beck, 2018).  However, EBP takes an average of 17 years to transfer from evidence to practice, in an effort to reduce translation time, translation and implementation science have been developed to aid in the more timely implementation of new knowledge into practice (Tucker, 2019).  The faster the translation time the more beneficial the implementation can be when applied at the bedside. 

Nursing Homework comment from post 5 Based on my research, there are several scales for levels.

Nursing Homework Help comment from post 5 Based on my research, there are several scales for levels for evidence and no standardization of them (American Nurses Association, n.d.). The American Nurses Association (ANA) gives several examples on their website. One example is the five level model adopted by Johns Hopkins Medicine. Here is an over view of that model: Level I: Experimental study, randomized controlled trial (RCT); systematic review of RCTs, with or without meta-analysis Example: Updates and improvements in ACLS,BLS,NRP guidelines based on research change the way we deliver high quality nursing care in advanced life support Level II: Quasi-experimental study, systematic review of a combination of RCTs and quasiexperimental, or quasi-experimental studies only, with or without meta-analysis Example: Baby Friendly Hospital Initiative (BFHI) designation at my hospital has changed the way we support breastfeeding mothers. Level III: Non-experimental study, systematic review of a combination of RCTs, quasi-experimental and non-experimental studies, or non- experimental studies only, with or without meta-analysis,qualitative study or systematic review with or without a metasynthesis Example: adoption of a nursing theory by an institution as a framework for supporting and advancing nursing; in the case of my hospital, Dr. Joanne Duffy- Quality Caring Model Level IV: Opinion of respected authorities and/or nationally recognized expert committees/consensus panels based on scientific evidence Example: staffing guidelines and position statements developed by AWHONN Level V: Based on experiential and non-research evidence; includes: Literature reviews, Quality improvement, program or financial evaluation, case reports, opinion of nationally recognized experts(s) based on experiential evidence (Johns Hopkins, n.d.) Example: implementation of an algorithm for appropriate surgical site dressings after a team evaluates product use and outcomes after a trial period I NEED YOU TO COMMENT FROM THIS POST, 150 WORDS NEEDED AND A REFERENCE PLEASE

What ethical principles are important in this case?

Ethics in Nursing- Scenario #4 Whose Wishes Should Be Honored? &nbs… 

Ethics in Nursing- Scenario #4

Whose Wishes Should Be Honored?

         Mrs. Ryan, a frail 85-year-old woman who lived alone, was admitted to a geriatric psychiatric unit because of irritability, confusion, and increasing incontinence. Mrs. Ryan’s family stated that she continually refused assistance from her home health aides and became angry when her family and home care nurses tried to reason with her about these refusals. The patient’s family had installed child gates in her home to block her entry into her bathroom, trying to force Mrs. Ryan to use a bedside commode. Mrs. Ryan began having frequent “accidents” of incontinence on the floor near the bathroom door while trying to get through the gates. During her hospital admission, a couple of her medications were adjusted, and she subsequently became calm and cooperative with the care she received while in the hospital. When the RN and social worker talked with Mrs. Ryan about the safety risks of her living in her home alone, the patient stated, “I am 85 years old and think that I should be able to decide how I want to live the remainder of my life. I’m willing to take my chances.” Mrs. Ryan was often unsure about the correct day of the week when questioned; yet she knew the name of the hospital and the reason that she was admitted for treatment. She was often confused about the names of the hospital staff but was able to state her own name. Her family continued to insist that Mrs. Ryan be admitted to a long-term care facility and requested that the psychiatrist complete the paperwork so that a judge could have the patient declared incompetent. The psychiatrist did not usually seem sincerely interested in his patients, and he had spent little time with Mrs. Ryan. This psychiatrist was usually willing to comply with families’ wishes. The RN and social worker disagreed with the decision to declare Mrs. Ryan incompetent and were in favor of allowing her to return home as she wished.

Taken from:

Rich, K. L. (2005). Ethics in geriatric and chronic illness nursing.

In J. B. Butts & K. L. Rich (Eds.), Nursing ethics: Across the curriculum and into practice. (p. 200). Sudbury, MA: Jones and Bartlett.

Questions for discussion

What ethical principles are important in this case?

How would you use ethical theories to assist you to make a decision?

What should be done in this situation?

What helped you to decide?

discuss the nurse role in facilitating successful pain management

Assessment Task In essay format, discuss the nurse role in facilitating successful pain management.. 

1 answer below »

Assessment Task
In essay format, discuss the nurse role in facilitating successful pain management within the context of providing care for an acutely injured child, such as that given in the contextual case. Tailor your response to consider the developmental age of the child, such as Bill. In your response, include specific evidence based nursing approaches to manage pain that may be employed during the initial hospital stay timeframe of 12 hours and in the context of discharge planning and educating parents/carers to undertake care of Bill’s pain at home. Support your discussion points by integrating contemporary and relevant research literature.
NB: It is not necessary to discuss nursing pain management strategies for age groups or clinical conditions other than that provided in the contextual case.Document Preview:

Contextual Scenario Acute pain is a frightening experience for children.  Despite wide research, inconsistent overall management of pain in children continues to be identified as a clinical practice issue. This includes lack of systematic and age appropriate assessment and monitoring, prolonged intervals between analgesia as well as use of sub-therapeutic analgesia régimes.    Bill, aged 5 years, is admitted to the emergency department with a fractured right radius and multiple skin grazes on his forehead, right elbow, hip and knees.  Bill sustained these injuries from a fall while playing with his skateboard on the concrete driveway of his home.  Initially, Bill is sitting on his father’s lap and is crying.  He points to his forearm when asked to locate where it ‘hurts the most’.  His forearm appears swollen and Bill is unwilling to move his arm. Bill is given pain relief in the form of a paracetamol /codeine suspension while he is initially assessed.   There is a small amount of bleeding from Bill’s skin grazes.  Bill is visibly distressed by the bleeding but refuses to allow any dressing to be applied, pushing the nurse’s hand away and crying loudly.  Bill is reviewed by the medical team and later has a closed reduction of his fracture and plaster application in the emergency department, using sedation and further analgesia.  At this time his skin grazes are also cleaned and non adherent dressings applied. Assessment TaskIn essay format, discuss the nurse role in facilitating successful pain management within the context of providing care for an acutely injured child, such as that given in the contextual case.  Tailor your response to consider the developmental age of the child, such as Bill.  In your response, include specific evidence based nursing approaches to manage pain that may be employed during the initial hospital stay timeframe of 12 hours and in the context of discharge planning and educating parents/carers to undertake care of Bill’s pain at…

Apply principles of wound management in the clinical environment…

Apply principles of wound management in the clinical environment… 

1 answer below »This unit describes the skills and knowledge required to apply contemporary wound management principles to the care of various types of wounds. It involves working with the interdisciplinary health care team to contribute to assessment, treatment and ongoing management of a person’s wounds. This unit applies to enrolled nursing work carried out in consultation and collaboration with registered nurses, and under supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority legislative requirements. To achieve competence, you must: ? Complete all theoretical assessment task within the designated timeframe ? Achieve satisfactory mark in all practical skills assessment ? Successfully complete Professional Practice Experience (PPE) It is expected of you to spend additional hours outside the class allocated hours without supervision to complete the theo

3. Discuss a plan for incidences of system failure.

Current and emerging technologies in healthcare provide nurses with the opportunity to improve patient outcomes through ever-increasing access to data and evidence. Decisions made at both the point of care and the organizational level are impacted by information support systems. Nurses prepared at the master’s level fill a key role in leading unit and organizational change that incorporates these emerging technologies into the improvement of patient safety and quality of care.

This assessment consists of evaluating two key roles commonly expected of the master’s-prepared nurse: (1) shaping and guiding a group process as the identified leader of a project team and (2) evaluating the project team’s products and synthesizing that work into a written proposal and presentation designed to be delivered to the executive leadership team of the healthcare system.

  1. click here for more information on this paper

Scenario:

You are a clinical nurse specialist with a Post-Masters Nursing Informatics Certificate working in a 100-bed community hospital that is still using paper documentation. You lead a multidisciplinary team comprised of hospital professional staff. You have been assigned the task of investigating and recommending a new computerized management system that will bring the hospital in compliance with meaningful use legislation.

Requirements:

A.  Write a proposal for a new information management system to implement meaningful use by doing the following:

1.  Describe your project committee by doing the following:

a.  Identify four or more interdisciplinary team members to be on the project committee, including each team member’s title and position in the organization.

b.  Describe the role each team member will play in the implementation of the system.

c.  Explain why each team member’s expertise is necessary for the success of this project.

2.  Choose two real-life computerized management systems and analyze the two systems by doing the following:

a.  Summarize the advantages and disadvantages of the two systems.

b.  Recommend which system is the best choice to meet meaningful use requirements in this particular setting.

c.  Describe how the features of the recommended system meet the guidelines outlined in the three stages of meaningful use.

d.  Describe how the recommended system will impact patient care and documentation.

e.  Explain how using the recommended system to access information will impact the quality and delivery of nursing care and patient outcomes.

3.  Discuss how the proposed system and adoption of meaningful use will benefit the organization by doing the following:

a.  Provide two examples of ways that quality improvement (QI) data collected from the system can be gathered and tracked to identify the occurrence of problems and errors.

b.  Discuss security standards and methods, including the need for data storage integrity and data backup and recovery.

c.  Explain how the recommended system will protect patient privacy.

d.  Explain how the recommended system meets Health Insurance Portability and Accountability Act (HIPAA) requirements.

e.  Describe how adopting the system will reduce costs to the organization, including standardizing documentation, reducing waste, and increasing productivity and factors that address human and capital resources.

4.  Explain why active nursing involvement in the planning, selection, and implementation of the systems is important to the success of the implementation process and meeting meaningful use requirements.

B.  Create a multi-media presentation (i.e., PowerPoint or Keynote; Prezi will not be accepted) presentation for the executive leadership team that summarizes a plan for implementing the new information management system. Address the following in your presentation:

1.  Explain how hospital staff will be trained to use the new system by addressing each of the following questions:

●  Who will train the staff?

  1. click here for more information on this paper

●  What will be included in the training?

●  When and how frequently will training sessions take place?

●  Where will the training sessions take place?

2.  Discuss a plan for implementation (e.g., the launch date, initial rollout, modified workloads, and/or onsite user-support).

3.  Discuss a plan for incidences of system failure.

Note: Include presenter notes for slides as appropriate in order to fully cover the level of explanation, analysis, and discussion necessary.

C.  When you use sources, include all in-text citations and references in APA format.Attachments:

WTT Task 1

value: 0.00value: 1.00value: 2.00value: 3.00value: 4.00Score/Level
Articulation of Response (clarity, organization, mechanics)The candidate provides unsatisfactory articulation of response.The candidate provides weak articulation of response.The candidate provides limited articulation of response.The candidate provides adequate articulation of response.The candidate provides substantial articulation of response.
A1a. Identification of Team MembersThe candidate does not identify 4 interdisciplinary team members to be on the project committee, including eachteam member’s title and position in the organization.Not applicable.The candidate identifies 1–3 interdisciplinary team members to be on the project committee, including eachteam member’s title and position in the organization.Not applicable.The candidate identifies 4 or more interdisciplinary team members to be on the project committee, including eachteam member’s title and position in the organization.
A1b. Team Members’ RolesThe candidate does not provide an appropriate description of the role eachteam member will play in the implementation of the system.Not applicable.The candidate provides an appropriate description, with insufficient detail, of the role each team member will play in the implementation of the system.Not applicable.The candidate provides an appropriate description, with sufficient detail, of the role eachteam member will play in the implementation of the system.
A1c. Team Members’ ExpertiseThe candidate does not provide a logical explanation of why any team member’s expertise is necessary for the success of the project.The candidate provides a logical explanation of why 1–3 team members’ expertise is necessary for the success of the project.The candidate provides a logical explanation, with limited detail, of why each of the 4 team members’ expertise is necessary for the success of the project.The candidate provides a logical explanation, with adequate detail, of why each of the 4 team members’ expertise is necessary for the success of the project.The candidate provides a logical explanation, with substantial detail, of why each of the 4 team members’ expertise is necessary for the success of the project.
A2a. Advantages and DisadvantagesThe candidate does not provide a logical summary of the advantages and disadvantages of the two systems.The candidate provides a logical summary, with no detail, of the advantages and disadvantages of the two systems.The candidate provides a logical summary, with limited detail, of the advantages and disadvantages of the two systems.The candidate provides a logical summary, with adequate detail, of the advantages and disadvantages of the two systems.The candidate provides a logical summary, with substantial detail, of the advantages and disadvantages of the two systems.
A2b. System RecommendationThe candidate does not provide an appropriate recommendation of which system is the best choice to meet meaningful use requirements in this particular setting.Not applicable.Not applicable.Not applicable.The candidate provides an appropriate recommendation of which system is the best choice to meet meaningful use requirements in this particular setting.
A2c. Features of the Recommended SystemThe candidate does not provide an appropriate description of how the features of the recommended system meet the guidelines outlined in the three stages of meaningful use.Not applicable.The candidate provides an appropriate description, with insufficient detail, of how the features of the recommended system meet the guidelines outlined in the three stages of meaningful use.Not applicable.The candidate provides an appropriate description, with sufficient detail, of how the features of the recommended system meet the guidelines outlined in the three stages of meaningful use.
A2d. Impact on Patient Care and DocumentationThe candidate does not provide an appropriate description of how the recommended system will impact patient care and documentation.Not applicable.The candidate provides an appropriate description, with insufficient detail, of how the recommended system will impact patient care and documentation.Not applicable.The candidate provides an appropriate description, with sufficient detail, of how the recommended system will impact patient care and documentation.
A2e. Impact on Nursing Care and Patient OutcomesThe candidate does not provide a logical explanation of how using the recommended system to access information will impact the quality and delivery of nursing care and patient outcomes.The candidate provides a logical explanation, with no detail, of how using the recommended system to access information will impact the quality and delivery of nursing care and patient outcomes.The candidate provides a logical explanation, with limited detail, of how using the recommended system to access information will impact the quality and delivery of nursing care and patient outcomes.The candidate provides a logical explanation, with adequate detail, of how using the recommended system to access information will impact the quality and delivery of nursing care and patient outcomes.The candidate provides a logical explanation, with substantial detail, of how using the recommended system to access information will impact the quality and delivery of nursing care and patient outcomes.
A3a. Use of Quality Improvement DataThe candidate does not provide any examples of ways that quality improvement (QI) data collected from the system can be gathered and tracked to identify the occurrence of problems and errors.Not applicable.The candidate provides 1 example of a way that quality improvement (QI) data collected from the system can be gathered and tracked to identify the occurrence of problems and errors.Not applicable.The candidate provides 2 examples of ways that quality improvement (QI) data collected from the system can be gathered and tracked to identify the occurrence of problems and errors.
A3b. Security Standards and MethodsThe candidate does not provide a logical discussion of security standards and methods, including the need for data storage integrity and data backup and recovery.The candidate provides a logical discussion, with no detail, of security standards and methods, including the need for data storage integrity and data backup and recovery.The candidate provides a logical discussion, with limited detail, of security standards and methods, including the need for data storage integrity and data backup and recovery.The candidate provides a logical discussion, with adequate detail, of security standards and methods, including the need for data storage integrity and data backup and recovery.The candidate provides a logical discussion, with substantial detail, of security standards and methods, including the need for data storage integrity and data backup and recovery.
A3c. Protection of Patient PrivacyThe candidate does not provide a logical explanation of how the recommended system will protect patient privacy.The candidate provides a logical explanation, with no detail, of how the recommended system will protect patient privacy.The candidate provides a logical explanation, with limited detail, of how the recommended system will protect patient privacy.The candidate provides a logical explanation, with adequate detail, of how the recommended system will protect patient privacy.The candidate provides a logical explanation, with substantial detail, of how the recommended system will protect patient privacy.
A3d. HIPAA RequirementsThe candidate does not provide a logical explanation of how the recommended system meets Health Insurance Portability and Accountability Act (HIPAA) requirements.The candidate provides a logical explanation, with no detail, of how the recommended system meets Health Insurance Portability and Accountability Act (HIPAA) requirements.The candidate provides a logical explanation, with limited detail, of how the recommended system meets Health Insurance Portability and Accountability Act (HIPAA) requirements.The candidate provides a logical explanation, with adequate detail, of how the recommended system meets Health Insurance Portability and Accountability Act (HIPAA) requirements.The candidate provides a logical explanation, with substantial detail, of how the recommended system meets Health Insurance Portability and Accountability Act (HIPAA) requirements.
A3e. Costs to the OrganizationThe candidate does not provide an appropriate description of how adopting the system will reduce costs to the organization, including standardizing documentation, reducing waste, and increasing productivity and factors that address human and capital resources.The candidate provides an appropriate description, with no detail, of how adopting the system will reduce costs to the organization, including standardizing documentation, reducing waste, and increasing productivity and factors that address human and capital resources.The candidate provides an appropriate description, with limited detail, of how adopting the system will reduce costs to the organization, including standardizing documentation, reducing waste, and increasing productivity and factors that address human and capital resources.The candidate provides an appropriate description, with adequate detail, of how adopting the system will reduce costs to the organization, including standardizing documentation, reducing waste, and increasing productivity and factors that address human and capital resources.The candidate provides an appropriate description, with substantial detail, of how adopting the system will reduce costs to the organization, including standardizing documentation, reducing waste, and increasing productivity and factors that address human and capital resources.
A4. Active Nursing InvolvementThe candidate does not provide a logical explanation of why active nursing involvement in the planning, selection, and implementation of the systems is important to the success of the implementation process and meeting meaningful use requirements.The candidate provides aclick here for more information on this paperlogical explanation, with no detail, of why active nursing involvement in the planning, selection, and implementation of the systems is important to the success of the implementation process and meeting meaningful use requirements.The candidate provides a logical explanation, with limited detail, of why active nursing involvement in the planning, selection, and implementation of the systems is important to the success of the implementation process and meeting meaningful use requirements.The candidate provides a logical explanation, with adequate detail, of why active nursing involvement in the planning, selection, and implementation of the systems is important to the success of the implementation process and meeting meaningful use requirements.The candidate provides a logical explanation, with substantial detail, of why active nursing involvement in the planning, selection, and implementation of the systems is important to the success of the implementation process and meeting meaningful use requirements.
B1. Training of Hospital StaffThe candidate does not provide a logical explanation of how hospital staff will be trained to use the new system by addressing the given points.The candidate provides a logical explanation of how hospital staff will be trained to use the new system by addressing 1 –3 of the given points.The candidate provides a logical explanation, with limited detail, of how hospital staff will be trained to use the new system by addressing all 4 of the given points.The candidate provides a logical explanation, with adequate detail, of how hospital staff will be trained to use the new system by addressing all 4 of the given points.The candidate provides a logical explanation, with substantial detail, of how hospital staff will be trained to use the new system by addressing all 4 of the given points.
B2. Plan for SupportThe candidate does not provide a logical discussion of a plan for implementation.The candidate provides a logical discussion, with no detail, of a plan for implementation.The candidate provides a logical discussion, with limited detail, of a plan for implementation.The candidate provides a logical discussion, with adequate detail, of a plan for implementation.The candidate provides a logical discussion, with substantial detail, of a plan for implementation.
B3. Plan for System FailureThe candidate does not provide a logical discussion of a plan for incidences of system failure.The candidate provides a logical discussion, with no detail, of a plan for incidences of system failure.The candidate provides a logical discussion, with limited detail, of a plan for incidences of system failure.The candidate provides a logical discussion, with adequate detail, of a plan for incidences of system failure.The candidate provides a logical discussion, with substantial detail, of a plan for incidences of system failure.
SourcesWhen the
candidate
uses sources,
the candidate
does not
provide in-text
citations
and references.
When the
candidate
uses sources,
the candidate
provides only
some in-text
citations
and
references.
When the
candidate
uses sources,
the candidate
provides
appropriate
in-text
citations
and
references
with major
deviations
from APA
style.
When the
candidate
uses sources,
the candidate
provides
appropriate
in-text
citations
and
references
with minor
deviations
from APA
style.
When the
candidate
uses
sources, the
candidate
provides
appropriate
in-text
citations
and
references
with no
readily
detectable
deviations
from APA
style, OR
the
candidate
does not use
sources.

Should continuing nursing education be mandatory for all nurses?

Should continuing nursing education be mandatory for all nurses… 

1 answer below »

Create a PowerPoint presentation of 3 slide with speakers note (Only one or two reference, reference page is not included) slides in which you compare the pros and cons of continuing nursing education related to the following:

  1. Relationship to ANA Code of Ethics.

Should continuing nursing education be mandatory for all nurses? Support your position with rationale.

A minimum of two scholarly sources are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.Document Preview:

ply Rubrics CLC – Pros and Cons of Mandatory Continuing Nursing Education   1Unsatisfactory0.00%2Less than Satisfactory75.00%3Satisfactory79.00%4Good89.00%5Excellent100.00%80.0 %Content 16.0 %Compare the pros and cons of continuing nursing education related to the impact on competency, and use the comparison to support group opinion of mandatory continuing nursing education.Fails to effectively compare pros and cons of continuing nursing education related to the impact on competency. Group’s position is vague and poorly supported in the presentation.Compares a pro and con of continuing nursing education related to the impact on competency. Group’s position is vague, but draws support from more generalized examples from the pro-con comparison.Compares a few of the pros and cons of continuing nursing education related to the impact on competency. Group’s position is clearly presented, and draws support from more generalized examples from the pro-con comparison.Thoughtfully compares many of the pros and cons of continuing nursing education related to the impact on competency, and supports comparisons with logical reasoning and/or research. Clearly presents group’s position on continuing nursing education, and draws support from specific examples from the pro/con comparison.Thoughtfully compares most of the pros and cons of continuing nursing education related to the impact on competency, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group’s position on continuing nursing education, and draws support from specific examples from the pro/con comparison.16.0 %Compare the pros and cons of continuing nursing education related to the impact on knowledge and attitudes, and use the comparison to support group opinion of mandatory continuing nursing education.Fails to effectively compare pros and cons of continuing nursing education related to the impact on knowledge and attitudes. Group’s position…

Describe the barriers to effective patient-provider communications.

In 200 – 250 words, provide a comprehensive answer using your readings, knowledge and experience for this discussion. Describe the barriers to effective patient-provider communications.  What factors in the current state of health care in the United States may be contributing to ineffective communication and why?  In your opinion, which barriers or factors have the greatest impact on communication and why? Support your assertions with scholarly sources.

Therapeutic Communication

Complete the Personal Inventory for Non-Therapeutic Interviewing Skills in your course textbook on pg.61, Exhibit 3-4.  Begin your discussion by analyzing your use of non-therapeutic interviewing skills and identify one or more areas that you will work on to improve your skills.  Additionally, view the Establishing a Therapeutic Relationship video.  Add to your discussion response by addressing the following questions:

  1. click here for more information on this paper
  • What therapeutic and non-therapeutic interviewing techniques did the interviewer display?
  • What, if anything, would you recommend that the interviewer do differently to be more effective?

Support your assertions with scholarly sources.

Required Text

Van Servellen, Gwen (2009).  Communication skills for the health care professional: Concepts, practice, and evidence (2nd ed).  Sudbury, Massachusetts: Jones and Bartlett.

  1. Read from your text, Communication Skills for the Health Care Professional: Concepts, Practice, and Evidence [2nd ed]:
  • Chapter 1: Health Communications and Quality Care
  • Chapter 2:  Principles of Human Communication
  • Chapter 3:  The Nature of Therapeutic Communications

Articles

  1. Jelphs, Kim. (2006). Communication: Soft skill, hard impact. Clinician in Management, 1, 33-37. Retrieved from the EBSCOhost database.
    1. This article explores communication by discussing the importance of self-awareness, communication style, the use of technology and assumptions made by individuals and their potential relationship on effective service delivery.
  2. Pfrimmer, D.(2009). Teamwork and Communication. Journal of Continuing Education in Nursing, 40(7), 294-295. Retrieved from the EBSCOhost database.
    1. This article discusses the impact of communication on quality patient care and patient safety.

Multimedia

  1. click here for more information on this paper
  1. RNAOVideo.  (2008, November 25). Establishing a therapeutic relationship [Video file].  Retrieved from http://www.youtube.com/watch?v=hk9HCYk56Is
    1. This video shows an example of therapeutic interviewing skills. It highlights many of the positive verbal and nonverbal communication skills that can be used during a therapeutic interaction between a patient/client and a health care professional.

Describe how these nursing interventions take the five (5) principles of the Recovery Model into account and relate these to your specific consumer’s recovery process.

NSB023: Mental Status Examination- Mental Health- Nursing Case Study Assignment Task: The aim of… 

NSB023: Mental Status Examination- Mental Health- Nursing Case Study Assignment

Task:

The aim of this assignment is to help you to begin to use your professional judgement and think like clinical nurses in mental health settings and/or in relation to the mental health needs of consumers. In order to achieve this aim, everyone will be assigned a case scenario involving a consumer who is experiencing issues relating to one of the
various disorders commonly encountered in clinical practice.

Case Study:

Colleen 
Colleen identifies as Aboriginal –she is a Birri Gubba woman from Mackay. Colleen was removed from her mother when she was 4 years old under a child protection order. Colleen then lived with a series of non-Aboriginal foster parents until she was 17. She ran away from the last family when her foster father sexually assaulted her and lived on the streets for some time. Colleen attended many different schools as she moved between foster parents and did not do well although she is literate and numerate. Since leaving school she has had numerous casual jobs as a waitress, kitchen hand and cashier in a supermarket but tends to leave jobs without notice. She has few possessions or friends and stays in various rooming houses.

Colleen has been seeing a counsellor in Mackay with whom she is still in touch. She has 3 children by different fathers and all are in care and she has chronic feelings of emptiness and despair and wants nothing more than to have her children and look after her family herself. Recently the counsellor encouraged her to find her mother and siblings and in January 2015 she left her current job and room and came to Brisbane to go to a Link-Up conference. She was brought to the RBWH ED by someone at the conference who found her in the toilets slashing at her wrists with nail scissors. She is admitted voluntarily to the adult open ward for further assessment.

Colleen presents as an attractive but sad and irritable woman who is bleeding slightly along her forearms where there are several superficial cuts, as well as numerous old scars. She has had many boyfriends since leaving school usually with men far older than herself. These tend not to last long and she tells you that the old scars were done after her many break- ups. Although her memory for recent events is intact she loses concentration at times and says that she hears a voice telling her that she is “rotten” and “no good”. She doesn’t recognise the voice as anyone she knows but says it is a male voice. She states “no-one wants me” and “I just want to end it.” She is reasonably cooperative with the assessment although she comes across as angry at times. Her vital signs are within normal range as is her weight.

Every night on the ward there is a problem as Colleen always wants to sleep in the lounge room with the television and lights on and she persists in dragging her mattress and blankets out. When back in her bed she says the thinks someone might hurt her and she is usually awake during the night shift ward rounds. She tends to have favourite nurses but a favourite one minute is discarded the next for a new person who comes on shift. When a current
favourite refused to allow her to smoke, she smashed a glass and began cutting her wrists with the broken piece.

Colleen is diagnosed with a Borderline Personality Disorder. As is often the case with this diagnosis there are disagreements amongst the ward staff -some don’t see Colleen as mentally disordered at all and say that she is “attention seeking”, that it is a “social admission” that she is too dependent and should be discharged immediately. Others say she needs to be in hospital, assistance in coming to terms with her social and cultural history and
support to contact her mother and stay in touch with her own children.

Task Description:

This is an individual assignment of 2000 words in two parts each with several steps.
Follow the steps for each part carefully.
The piece will demonstrate a sound grasp of the following as they relate to your consumer and include:
1. A Mental Status Examination (MSE)
2. A clinical formulation including biopsychosocial history and your own MSE observations leading to the clinical formulation
3. A nursing orientated handover
4. Using Maslow’s hierarchy of needs to identity and prioritise consumer needs
5. Identifying nursing interventions and goals, timeframes and evaluation criteria for their achievement
6. How to engage a consumer in a therapeutic relationship
7. The application of cultural safety
8. The application of the recovery model.
You will need to justify your ideas with reference to relevant literature; students who plan to do well, read and use the unit’s required readings and additional items drawn from respected academic sources

PART 1 Holistic assessment and planning:
This part does not require full paragraphs. Use appropriate templates/ tables to set out each part: EG: MSE, 5Ps as used in tutorials and the nursing care table as in the example below.

Ensure your work includes the name of the consumer and brief demographic data about them [e.g. Mary Citizen is an university educated 36 year old married woman and mother of a 14 year old girl]

1.1 The Mental Status Examination [350 words] Please see example of MSE attached.
A. Using the MSE format in your weekly tutorial guide provide a complete Mental Status Examination (MSE) of your consumer
B. Use specific examples from this case study to illustrate each part of the MSE
C. You must use and define psychiatric terms accurately (e.g. Instead of “talks fast” use the correct term “pressure of speech“, define it properly and cite your sources).

1.2 A Clinical Formulation Table [250 words] Please see the attached 5Ps table at last
A. Use information gathered from the MSE and the bio-psycho- social assessment (history of presenting complaint, family and social history, current living situation, the consumer’s strengths and coping strategies, medical history) to complete a table under the headings of presenting, precipitating, predisposing, perpetuating and protective factors (5Ps) relevant to your consumer’s clinical presentation.

1.3 Plan for Nursing Care [300 words]
A. Using Maslow’s Hierarchy of Needs, identify and prioritise the needs of your consumer
B. Select the two (2) highest priority issues identified and clearly indicate what they are and why they are highest priority
C. Outline your nursing care, focusing on one (1) nursing intervention for each of these needs and your rationale for each i.e. describe how the intervention assists your consumer to address or meet each need; interventions must be nursing related, detailed, practical and within your scope of practice.

Part 2:
Therapeutic engagement and clinical interpretation:
This part of the paper is to be written in properly constructed sentences and paragraphs under each subheading [not dot points] and is to provide further description and depth to the assessment and care planning identified in Part 1.

2.1 Clinical handover
Synthesise (consider together) the results of your MSE and clinical formulation to construct a paragraph describing the consumer and their main concerns that you could present at a clinical handover meeting.

Note: This is not merely a repetition of the case study material – it is an analysis and synthesis of the material and the MSE to produce the clinical formulation that answers why this person, why now, why with this presenting situation. This is the information your colleagues need to know so they can continue working with the consumer when you go home. Remember to keep a nursing focus.

2.2 The Therapeutic Relationship Explain how and why a therapeutic relationship will be established with your consumer. This must not be general description of therapeutic relationships but demonstrate that you are applying it to this person. Then describe at least one (1) specific strategy appropriate for the development of a therapeutic relationship with this specific consumer and how it was applied in the nursing care interventions you described in Step 1.

2.3 Cultural Safety Describe the first step you would take to ensure that you deliver culturally safe care to this consumer. Then identify and describe one (1) issue that working with this consumer may present for you. Describe which of the principles of cultural safety you used in applying cultural safety in the nursing care interventions you described in Step 1.

2.4 Nursing Care and Recovery Model Consider the nursing interventions you developed in Step 1. Describe how these nursing interventions take the five (5) principles of the Recovery Model into account and relate these to your specific consumer’s recovery process.

Describe best practices for implementing social media tools for health marketing.

Nursing diagnosis: Risk of deficient knowledge of breastfeeding related to a lack of… 

Nursing diagnosis: Risk of deficient knowledge of breastfeeding related to a lack of breastfeeding education and inadequate milk supply as evidence by decreased levels of exclusively breastfeeding

Part 2: Social Media Campaign

Note: The “CDCynergy” web link provided in the web links section below may be useful in completing your social media campaign. The use of this web link is optional, i.e., not required.

B. Write your community health nursing diagnosis statement.
1. Explain how the health concern from your community health nursing diagnostic statement is linked to a health inequity or health disparity within the target population.
a. Discuss the primary community resources and primary prevention resources currently in place to address the health concern.
b. Discuss the underlying causes of the health concern.

2. Discuss the evidence-based practice associated with the Field Experience topic.
a. Identify data about the selected Field Experience topic from the local (e.g., county), state, and/or national level.

C. Develop a community health nursing social media campaign strategy that will convey your health message and address the Field Experience topic by doing the following:
1. Describe your social media campaign objective.
2. Recommend two population-focused social marketing interventions and justify how each would improve the health message related to your selected Field Experience topic.
3. Describe a social media platform you would use that is appropriate for communicating with the target population.
a. Discuss the benefits of the selected social media platform in supporting preventative healthcare.

4. Discuss how the target population will benefit from your health message.

D. Describe best practices for implementing social media tools for health marketing.

E. Create a social media campaign implementation plan by doing the following:
1. Describe stakeholder roles and responsibilities in implementing the plan.
2. Discuss potential public and private partnerships that could be formed to aid in the implementation of your campaign.
3. Create a specific timeline for implementing your campaign.
4. Explain how you will evaluate the effectiveness of the campaign.
5. Discuss the costs of implementing your campaign.

F. Reflect on how social media marketing supports the community health nurse’s efforts to promote healthier populations.
1. Reflect on how your social media campaign could apply to your future nursing practice.

G. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

H. Demonstrate professional communication in the content and presentation of your submission.

Area is Kissimmee,Fl and Orlando, Fl.