Psychopharmalogical Approaches to Treat Psychopathology

Psychopharmalogical Approaches to Treat Psychopathology

By Day 3 of Week 2

Post a response to each of the following:

  1. Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments.
  2. Compare and contrast the actions of g couple proteins and ion gated channels.

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  1. Explain how the role of epigenetics may contribute to pharmacologic action.
  2. Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action. Psychopharmalogical Approaches to Treat Psychopathology

Discussion: Evaluating Interdisciplinary Collaboration Skills

Discussion: Evaluating Interdisciplinary Collaboration Skills

Collaboration is a critical component of quality improvement. It is also a central tenet of your endeavors as a scholar-practitioner in this Walden University Master’s program. To succeed in your role as a nurse leader-manager, it is important to engage in ongoing development of collaborative skills and to help foster a culture that values collaboration. Discussion: Evaluating Interdisciplinary Collaboration Skills

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In Weeks 1 and 2 of this course, you analyzed your strengths and considered how to leverage these strengths for effective leadership. In a similar vein, this week you evaluate your strengths and areas for growth with regard to interdisciplinary collaboration.

To prepare:

  • Review the competencies described in the Interprofessional Education Collaborative report and in Chapter 9 of the Hickey and Brosnan text.
  • As you reflect on the competency statements outlined for each domain, think about which ones reflect your strengths. Which competency statements point to areas for growth?
  • Consider the benefit of working with interdisciplinary teams for addressing quality improvement initiatives.
  • Conduct a search of the literature and select at least one article that illustrates the benefits of interprofessional collaboration for nurse leader-managers as it relates to improving quality.

Note: Think about a potential connection between the concepts presented throughout this course (i.e. systems-level change, quality, etc.), and a Practicum Project that you might focus on in NURS 6600. Consider how you might use interprofessional collaboration in your practicum setting.

BY DAY 3

Post an analysis of your strengths and areas for growth related to interprofessional collaboration competencies. Explain the benefits of interprofessional collaboration for meeting quality improvement goals. Support your response with examples from current literature . Discussion: Evaluating Interdisciplinary Collaboration Skills

WU NURS 6050 Week 1 Discussion Policy and Advocacy for Improving Population Health

WU NURS 6050 Week 1 Discussion Policy and Advocacy for Improving Population Health

Presidential Agendas”

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items. WU NURS 6050 Week 1 Discussion

Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently? WU NURS 6050 Week 1 Discussion Policy and Advocacy for Improving Population Health

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To Prepare:

  • Review the Resources and reflect on the importance of agenda setting.
  • Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.

 

By Day 3 of Week 1

Post your response to the discussion question: Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. 11–13 only)
  • Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 17–36)
  • Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 171–180)
  • Chapter 12, “An Insider’s Guide to Engaging in Policy Activities”
  • “Creating a Fact Sheet” (pp. 217-221)

DeMarco, R., & Tufts, K. A. (2014). The mechanics of writing a policy brief. Nursing Outlook, 62(3), 219–224. doi:10.1016/j.outlook.2014.04.002

 

Note: You will access this article from the Walden Library databases.

Kingdon, J. W. (2001). A model of agenda-setting, with applications. Law Review, M.S.U.-D.C.L., 2(331).

Note: You will access this article from the Walden Library databases.

Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521–530. doi:10.1016/j.outlook.2015.06.003

 

Note: You will access this article from the Walden Library databases.

O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political efficacy and participation of nurse practitioners. Policy, Politics, and Nursing Practice, 18(3), 135–148. doi:10.1177/1527154417728514. WU NURS 6050 Week 1 Discussion Policy and Advocacy for Improving Population Health

 

Note: You will access this article from the Walden Library databases.

Institute of Medicine (US) Committee on Enhancing Environmental Health Content in Nursing Practice, Pope, A. M., Snyder, M. A., & Mood, L. H. (Eds.). (n.d.). Nursing health, & environment: Strengthening the relationship to improve the public’s health. Retrieved September 20, 2018.

USA.gov. (n.d.). A-Z index of U.S. government departments and agencies. Retrieved September 20, 2018, from https://www.usa.gov/federal-agencies/a

USA.gov. (n.d.). Executive departments. Retrieved September 20, 2018, from https://www.usa.gov/executive-departments

The White House. (n.d.). The cabinet. Retrieved September 20, 2018, from https://www.whitehouse.gov/the-trump-administration/the-cabinet/

USA.gov. (n.d.). Executive departments. Retrieved September 20, 2018, from https://www.usa.gov/executive-departments

The White House. (n.d.). The cabinet. Retrieved September 20, 2018, from https://www.whitehouse.gov/the-trump-administration/the-cabinet/

Nursing Home: Senior Care Services Assignment

Nursing Home: Senior Care Services Assignment

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic “(Effectiveness of fall prevention programs in improving the patient’s safety during the healthcare process)” for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked(Nursing Home- Senior Care Services). The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team. Nursing Home: Senior Care Services Assignment

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Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

  1. The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
  2. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
  3. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
  4. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
  5. Significance of the topic and its implications for nursing practice.
  6. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice. Nursing Home: Senior Care Services Assignment

AMP 450 Nursing Healthcare Challenges

AMP 450 Nursing Healthcare Challenges

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

  1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
  2. Reorganization in Response to Merger or Consolidation of Services
  3. Layoffs as a Result of Declining Revenues
  4. Influx of Registry, Part-Time, and Temporary Contract Staff
  5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
  6. Poor Job Satisfaction Rates Resulting in Turnover

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You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

  1. Inform the staff of the two issues (from the topics provided) your organization is facing.
  2. Describe the impact of these issues on your department.
  3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
  4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration. AMP 450 Nursing Healthcare Challenges

NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

For this assessment, you will create a 4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.

As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:

The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.). NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.

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Institute for Healthcare Improvement. (n.d.). How to improve.

Retrieved from http://www.ihi.org/resources/Pages/HowtoImprove/de…

Demonstration of Proficiency

  • Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
    • Summarize an interview focused on past or current issues at a health care organization.
    • Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
  • Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
    • Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
  • Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
    • Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.
  • Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
    • Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
  • Summarize an interview focused on past or current issues at a health care organization.
  • Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
  • Describe potential change theories and a leadership strategies that could inform an interdisciplinary solution to an organizational issue.
  • Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue. NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification
  • Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.
  • Length of submission: Use the provided template. Most submissions will be 3-4 pages in length. Be sure to include a reference page at the end of the plan.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
  • APA formatting: Make sure that in-text citations and reference list follow current APA style.

Professional Context

This assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.

Scenario

This assessment is the first of three related assessments in which you will gather interview information (Assessment 2); design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.

For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] for an outline of how to prepare and the types of information you will need to complete this project successfully.

Remember: this is just the first in a series of three assessments.

Instructions

For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.

When submitting your plan, use the Interview and Issue Identification Template [DOCX], which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.

Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

Additional Requirements

NURS-FPX4010- Assessment 3: Interdisciplinary Plan Proposal

For this assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment. NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

The health care industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a culture of ownership and shared responsibility (Berkow et al., 2012). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality.

You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you the opportunity to check your knowledge of budgeting basics and as well as the value of financial resource management. The information gained from completing this formative will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded.

Demonstration of Proficiency

  • Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
    • Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan.
  • Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
    • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes.
    • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
  • Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
    • Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
  • Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
    • Communicate the interdisciplinary plan with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
  • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes. NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification
  • Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
  • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
  • Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.
  • Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
  • Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
  • APA formatting: Make sure that in-text citations and reference list follow current APA style.

NURS-FPX4010 Assessments Reference

Berkow, S., Workman, J., Aronson, S., Stewart, J., Virkstis, K., & Kahn, M. (2012). Strengthening frontline nurse investment in organizational goals. JONA: The Journal of Nursing Administration, 42(3), 165–169.

Professional Context

This assessment will allow you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources with a financial budget that can be used to solve the problem identified through the interview you conducted in the prior assessment.

Scenario

Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present an objective for an interdisciplinary intervention to address the issue.

Note: You will not be expected to implement the plan during this course. However, the plan should be evidence-based and realistic within the context of the issue and your interviewee’s organization.

Instructions

For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.

The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.

Using the Interdisciplinary Plan Proposal Template [DOCX] will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end. NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

Additional Requirements

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

NURS-FPX4010- Assessment 4: Stakeholder Presentation

For this assessment you will create a 12 slide PowerPoint presentation for one or more stakeholder or leadership groups to generate interest and buy-in for the plan proposal you developed for the third assessment.

As a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.

You are encouraged to complete the Evidence-Based Practice: Basics and Guidelines activity before you develop the presentation. This activity consists of six questions that will create the opportunity to check your understanding of the fundamentals of evidence-based practice as well as ways to identify EBP in practice. The information gained from completing this formative will help promote success in the Stakeholder Presentation and demonstrate courseroom engagement—it requires just a few minutes of your time and is not graded.

Demonstration of Proficiency

  • Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
    • Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
  • Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
    • Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
  • Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
    • Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
  • Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
    • Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
  • Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional, respectful manner, with writing that is clear, logically organized, with correct grammar and spelling, using current APA style.
  • Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
  • Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
  • Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
  • Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal. NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification
  • Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional manner, with writing that is clear, logically organized, and respectful with correct grammar and spelling using current APA style.
  • Part 1: Organizational or Patient Issue.
    • What is the issue that you are trying to solve or improve?
    • Why should the audience care about solving it?
  • Part 2: Relevance of an Interdisciplinary Team Approach.
    • Why is using an interdisciplinary team relevant, or the best approach, to addressing the issue?
    • How will it help to achieve improved outcomes or reach a goal?
  • Part 3: Interdisciplinary Plan Summary.
    • What is the objective?
    • How likely is it to work?
    • What will the interdisciplinary team do?
  • Part 4: Implementation and Resource Management.
    • How could the plan be implemented to ensure effective use of resources?
    • How could the plan be managed to ensure that resources were not wasted?
    • How does the plan justify the resource expenditure?
  • Part 5: Evaluation.
    • What would a successful outcome of the project look like?
    • What are the criteria that could be used to measure that success?
      • How could this be used to show the degree of success?
  • Number of slides: Plan on using one or two slides for each part of your presentation as needed, so the content of your presentation will be 12 slides in length. Remember that slides should contain concise talking points, and you will use presenter’s notes to go into detail. Be sure to include a reference slide as the last slide of your presentation.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old.
  • APA formatting: Make sure that in-text citations on your slides and in your notes pages and reference slide reflect current APA Style and Format. NURS-FPX4010 Assessments

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Professional Context

This assessment will provide you with an opportunity to sharpen your ability to create a professional presentation to stakeholders. In this presentation, you will explain the Plan-Do-Study-Act cycle and how it can be used to introduce the plan (P), implement the plan (D), study the effectiveness of the plan (S), and act on what is learned (A) to drive continuous improvement. By using this cycle, the stakeholders will have a tool and a proposal to expand on these ideas to drive workplace change and create improved processes to solve an interprofessional collaboration problem.

Scenario

In addition to summarizing the key points of Assessments 2 and 3, you will provide stakeholders and/or leadership with an overview of project specifics as well as how success would be evaluated—you will essentially be presenting a discussion of the Plan, Do, and Study parts of the PDSA cycle. Again, you will not be expected to execute the project, so you will not have any results to study. However, by carefully examining the ways in which your plan could be carried out and evaluated, you will get some of the experience of the thinking required for PDSA.

When creating your PowerPoint for this assessment, it is important to keep in mind the target audience: your interviewee’s organizational leadership. The overall goal of this assessment is to create a presentation that your interviewee could potentially give in his or her organization.

Instructions

Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

There are various ways to structure your presentation; following is one example:

Again, keep in mind that your audience for this presentation is a specific group (or groups) at your interviewee’s organization and tailor your language and messaging accordingly. Remember, also, that another person will ultimately be giving the presentation. Include thorough speaker’s notes that flesh out the bullet points on each slide. NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Regulation

Consent

Payment for previous paper.

Discussion post 1 & 2, Discussion post reply 1 & 2

Discussion post 1 & 2, Discussion post reply 1 & 2

DISCUSSION POST 1 Think about your current or forme

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r workplace. Are you aware of any specific actions that were taken to protect employees from workplace violence? What more could you suggest? DISCUSSION POST 1-REPLY 1 Discussion 4-1 COLLAPSE Let me start by saying, I work in a busy inner city ER/Trauma center five minutes outside of Washington, DC. We have a high rate of patients with psych disorders who are non compliant with medications and we also have the same psych population who medicate with drugs and we have people who use drugs for recreation. I said all of this to say, workplace violence is a norm where I work, and I have worked there for 13years. When I first started working in this ER, we had a large number of psych patients not taking medications, and they would come in responding to internal stimuli or paranoid and we would have to get them on a stretcher medicate them and restrain them. We did have security, but they were not much help, so it was the nurses and techs fighting these people to get them on the stretcher medicated and restrained, needless to say we fought everyday. The hospital, then decided to incorporate security into medicating and restraining, which was better because there were more people to help hold and help get these patients restrained. Even through that, we still would have the random attacks on employees. No more than 5-6 years ago, along with the regular drugs, PCP and spice became hot items. PCP/spice are powerful hallucinogenics that causes people to become angry, and violent and these people do not follow commands. These guys are worse to gain control of than the regular psych patients, because they do not feel pain so nothing stops them. We usually medicate and restrain these patients as soon as they come in , but we remove restraints when they go to sleep. Sometimes, the patient is able to sober up and sometimes they wake up angry and start all over with the violence. We have had rooms including the ceiling torn down, we have had large tv screen tracking monitors torn off of the wall, and employees attacked. In the last 2 years along with security the hospital has added the county police department with up to three officers on a shift. The officers have also had to resort to using tasers and fighting with violent patients. The last straw was on our psych ward last year a patient made a weapon out of a chair leg and stabbed one security officer in the neck, and another in the face. After that mishap, the hospital hired a new security director who happens to be a retired FBI agent. She in turn fired the last security company who were just bodies, and hired another company who specialize in conflict resolution and martial arts, and they have very large dogs on patrol at the hospital. The dogs are even trained to take violent people down with gentle force, now the dogs are very large and weigh 90lbs-135lbs but as gentle as they can. I don’t think there is much more the hospital can do to curb violence, society has just become more violent and unfortunately the ER takes the brunt of it. I have seen so many staff members jumped on, punched, kicked, and bitten and I wish there were warnings so that the employee can run, but most times there is not. I would like to say metal detectors could help, but we completely unclothe patients upon arrival so no chance of them having a weapon. There is nothing else left to do but pray. DISCUSSION POST 2 How could you use the Nursing Process to address a staff member’s performance shortcomings? DISCUSSION POST 2 REPLY 1 Jennifer Pierson Pierson- Module 4 Discussion 1 POST REPLY Think about your current or former workplace. Are you aware of any specific actions that were taken to protect employees from workplace violence? What more could you suggest? Workplace violence is a serious situation that nobody would like to actually occur. Emotions run high when a person or family member is sick, and anger can escalate to violence pretty quickly. CHKD, where I am employed, has several safe guards in place to protect the employees from violence in the workplace. I have not encountered any employee to employee violence but have seen incidents of family members threatening harm to employees. Recently, we had a mother who was angry that the patient was admitted to the ICU. The patient was in foster care, was suffering from diabetic ketoacidosis, and was admitted for medical management. The biological mother heard about the admission and arrived at the hospital. She was very angry that he was admitted, did not believe that he was sick, and began threatening to sue. She threatened to sue the nurse, the foster mother, the attending physician, the resident, the secretary, basically anyone that walked by the bed space was threatened. The mother then began to state “just wait until his father gets here, he’s going to kill all of you, just wait…” This was very concerning for the staff. A code green was called, which alerts the facility to a violent situation and appropriate staff are dispatched to assist in the situation. A code green team is made up of several security officers, a police officer, a behavioral health technician, and the house supervisor. The mother was escorted from the unit, the situation was discussed with her, and she was banned from visiting the hospital. The police officer then notified the father of the situation and he was told that if any violent behavior was witnessed then he would be banned as well. Other than the code green team, security is very vigilant in making walking rounds throughout the hospital on an hourly basis. They check in with each charge nurse, they check the stairwells, and check empty units. There is also a Norfolk City police officer located in the emergency department at all times. Some staff are required to park in lots that are quite far from the hospital, security provides a shuttle to and from the lots to ensure the safety of the employee. The ICU where I work is a locked unit and visitors cannot enter unless they call in first. However, this is not fool proof. Many times, visitors will wait until another visitor calls in, is granted access to the unit, the door is buzzed open, and then they follow that family member in through the open door. Visitors also hold the door open, so others can be let in. It would help if we had a security member or staff member assigned to sit at the desk by the door to ensure that only the approved visitors were able to enter the unit.
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Annotated Bibliography

Annotated Bibliography

The purpose of this assignment is to demonstrate progress in compiling research and to indicate a methodology for organizing research sources.

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Recommended: Before you begin, review chapters 4 – 6 in A Pocket Style Manual (APA).

Include the following in your annotated bibliography:

  • APA citations and annotations for four (4) sources you deem relevant to your problem statement (thesis).

For each source:

  • Cite the source in proper APA format. The citations should be organized in alphabetical order by author as in an APA References page.
  • Follow with a brief annotation that summarizes the source (approximately 3 – 5 sentences). You may quote from the source, but do not copy and paste from the abstract.
  • In 1 or 2 sentences, explain and evaluate the source’s relevance and significance to your hypothesis. Does this support or discredit your hypothesis?
  • Use an academic tone and style.

Review the rubric for further information on how your assignment will be graded.

 

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