Local Practice Problem Exploration: Cancer.

As we have chosen the same practice problem, to explore, I am curious how your facility (north shore medical center, Miami, Florida) has planned to (or currently has implemented) becoming an Age-Friendly institution?  Many of the interventions you described echo the “4 M” is of the Age-Friendly Institution: Mentation, Mobility, Medications, and What Matters Most.  How have you seen institutions adapting to this framework in anticipation of the needs of cancer patients and survivors? 

– How cancer impacts nurses, healthcare organizations, nursing care, and general health care quality?

– what is the real impact on your community? What is the cost to your local community (Miami, Florida)? 

Just as you sought out stakeholders when considering practice problems at the national level, an ongoing dialogue with stakeholders at your local level is equally important. Get to know your formal and informal leaders. Networking with stakeholders sets into motion a collaborative relationship that is needed to focus on a practice problem with the intention of translating the best available evidence. 

 – Key stakeholders affected by the problem and ones involved in the resolution. In your current practice, what contributes to the alarming rates across the known practice problems? During your journey this week, you’ll also examine the role of stakeholders in change and the role of translation science in influencing patient outcomes across known practice problems. During your readings, you probably noted that there are challenges and barriers to changing practice.    

Instructions:

Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website, or blogs should not be used. 

*Recommended resources:

The U.S. Burden of Disease Collaborators. (2018). The State of U.S. health, 1990-2016 burden of diseases, injuries, and risk factors among U.S. states. JAMA, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). Springer Publishing Company.

https://www.medicare.gov/hospitalcompare/cancer-measures.html

 

Learning Activity

Introduction and Alignment

The PMHNP must be knowledgeable about substances of abuse, including signs and symptoms of abuse, intoxication and withdrawal, and appropriate treatment options. 

Upon completion of this assignment, you should be able to:

• Describe the neuropharmacology of substances of abuse
• Discuss assessment and treatment of substance use disorders

Resources

• Textbook: Sadock, B., Sadock, V.A.,& Ruiz, P.(2015) – Chapter 20
• Textbook: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
• Website: https://www.drugabuse.gov/sites/default/files/files/ClinicalOpiateWithdrawalScale.pdf
• Website: https://www.hopkinsmedicine.org/johns_hopkins_healthcare/downloads/cage%20substance%20screening%20tool.pdf

Instructions

1. Choose a substance of abuse and briefly describe the neuropharmacology of the substance.
2. Write a 3-5 page paper describing clinical and psychological symptoms that clients may experience as a result of using the substance
3. Provide examples of withdrawal presentation for the identified substance.
4. Explain current treatment options. 
5. Use APA formatting throughout the paper, citations/references should be included
6. When you have completed your assignment, save a copy for yourself and submit a copy to your instructor using the Dropbox by the end of the workshop. 

Select here to access the Dropbox.

Assessment Criteria

Criteria

Points

Question answered comprehensively

• Neuropharmacology of substance (10)
• Clinical and psychological symptoms (10)
• Examples of a withdrawal presentation (10)
• Current treatment options (10) 

40

Paper APA formatted, references and citations in correct APA format

5

Writing style/punctuation/grammar, the minimum length of 3 pages

5

Total Points

50

 

Use the SWOT Analysis worksheet provided to complete this assignment.

Review the SWOT Analysis PowerPoint® prior to completing this assignment.

Based on the review of the Stevens District Hospital Strategic Planning Scenario, conduct a SWOT analysis to generate a list of perceived strengths, weaknesses, opportunities, and threats for the hospital.

• Strengths and weaknesses are traits internal to the hospital (i.e., strong physician loyalty to hospital, aging building, and availability of financial resources).
• Opportunities and threats are external to the hospital, such as a mall facility available for lease or a competitor hospital opening two physician practices in your market.

Write a 700- to 1,050-word analysis that incorporates the key components of a SWOT analysis for the scenario described in Week 1 to generate a list of perceived strengths, weaknesses, opportunities, and threats. The analysis will include the following:

• Analyze the purpose of conducting the analysis in the context of the scenario.
• Analyze the limitations and advantages of conducting a SWOT analysis on your own (vs. with a group of stakeholders).
• Use the table provided to record your analysis of the information from the strategic planning scenario and generate two factors for each of the SWOT categories (strengths, weaknesses, opportunities, and threats).

Cite at least 1 peer-reviewed, scholarly, or similar reference to support your assignment.

Format your assignment according to APA guidelines.

You are the risk manager for a local community hospital. You have just attended a Joint Commission Resources conference. Part of your role is to educate employees of the organization on practical solutions and implementation tips to maintain accreditation.

The Joint Commission requires that organizations seeking accreditation provide education and training to staff on areas such as populations served, team communications, coordination of care, reporting unanticipated adverse events, fall reduction programs, and early warning signs of change in patients’ conditions.

As an independent, not-for-profit organization, the Joint Commission accredits and certifies nearly 21,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.

Instructions

You must create an infographic that addresses at least one key initiative involving patient safety. Your infographic may highlight practices that serve to mitigate risks specific to patient falls, infection control to reduce the occurrence of hospital-acquired infections, or medication safety procedures. Your infographic should address the following:

• Design a plan to mitigate the risk associated with your chosen topic.
• Include examples of potential risks, explain the possible root cause, and propose a preventive strategy.
• Your infographic should incorporate figures, graphs, and/or charts.

Nichole Rivera Week 10- Main PostCOLLAPSE

     Dissemination of evidence in nursing is the sharing of evidence-based knowledge, research, and findings by nurses to others including health care providers and the general public. This educates others in the nursing field, ensures that practice stays up to date, and improves the cost and quality of care. Some of the more common methods of dissemination include policy briefs, publishing findings in national journals or in statewide publications, presenting at conferences, and speaking publicly at professional association meetings, or creating EBP posters (Carpenter, Nieva, & Albaghai, 2020).

     Two methods that I would never use include the two forms of public speaking. I would love to attend those events, but I am not an effective public speaker because I am so uncomfortable with it. Two forms that I would consider using would be the smaller scale ones to start, such as state-wide publications and possibly EBP posters. In regards to the EBP posters, some barriers may be due to the use and delay of a printing service, or a private designer. Another consideration would be mistakes in the printing, having to reprint, or having to find another company to print (Melnyk and Fineout-Overholt, 2018). I believe a barrier to both methods would include not being able to read your audience. Consideration in advance of audience likely to be interested can provide cues for suitable packaging and targeted communication of results. Another barrier resulting from not being able to read your audience may be miscommunication. It is impossible to fit every bit of information on a poster, but I love the abbreviated important facts. If the dissemination is considered lacking, the attempt may be looked at as waste of resources that is unable to influence positive health outcomes (Carpenter, Nieva, & Albaghai, 2020).

References

                Carpenter, D., Nieva, V., & Albaghal, T. (2020, March 04). Rural Health Information Hub (RHIhub). Retrieved November 04, 2020, from https://www.hrsa.gov/library/rural-health-information-hub-rhi-hub

 Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Juliet Anyanwu RE: Discussion – Week 10COLLAPSE

Dissemination Strategy

Dissemination strategy is an intentionally-developed approach to disseminating a particular project that comprises identifying targeted potential adopters, evaluating the climate of readiness for change, planning engagement building throughout the project, and allowing project results transfer. Dissemination is the process of distributing or circulating information, generally (Melnyk & Fineout-Overholt, 2018). There are numerous ways of spreading the evidence.  When delivered in a context of caring and a supportive organizational culture, the highest quality of care and best patient outcomes can be achieved (Gallagher-Ford et al., 2011).

Two dissemination strategies that I would be most inclined to use and why

Unit-level presentation and local dissemination are the two dissemination strategies I would want to use. A unit-level presentation and local dissemination are the best dissemination strategies (Harvey & Kitson, 2015). Unit-level dissemination is merely successful, mostly guaranteeing where the issue considered improves the unit’s underlying problem. Different departments with a given setting can have a varied assessment of the operational environment. This means there is a need to take into consideration the context under which the evidence-based practice. Thus, guaranteeing that the engagement is strategic helps ensure that, based on the results, the intervention in place is unit-based (Brownson et al., 2018). Organizations try hard to apply crucial aspects of improving their performance. Nevertheless, evidence-based practice eliminated the uncertainty risk, which is essential in attaining better results.

Local dissemination involves essential players at the local level, which is a better aspect that emphasizes institutional development (Hall & Roussel, 2016).  Nevertheless, it is crucial to ensure that the dissemination of outcomes is done in an environment with resources and technical aptitude to achieve better results. Knowledge and Skills among the population are likely to be a challenge in efficiently implementing the developed practice. There is a need to manage existing stakeholders’ needs, which is crucial and helps organizational planning and service delivery. Implementing evidence-based practice should create an intensely transformed environment where it is easier to apply the positive change. Thus, training is essential in sanctioning stakeholders to implement evidence-based practice (Brownson et al., 2018). 

Least Inclined Dissemination Strategies to be used

Posters presentation and Podium presentation are the least inclined dissemination strategies I would use in communicating EBP. The poster presentations may not give out enough information, and the presentation may not look exciting and engaging, thereby losing the presentation’s aim. The podium presentation, on the other hand, may experience a low turnout of participants. There could be meager publicity for the presentation leading to low attendance.

Barriers to be Encountered and Overcoming These Barriers

Different obstacles and facilitators in implementing evidence‐based practice interventions have been recognized (Sidani et al., 2016). Unit level Presentation: Lack of interest from staff interest is the obstacle that can experience from the unit level presentation.  An example is staff resistance when a change needs to be applied that the team does not like or want. One of the ways to overcome this obstacle is by involving the staff in the presentation. For example, they are making a member of employees one of the speakers at the presentation. In that manner, they will be very interested in their presentation.

 Local Dissemination: The barrier that could be facing in using peer-reviewed journals is the lack of access to the journals. An example is journals that consent to a subscription fee, which often puts off many readers. One way to defeat this barrier is by giving the readers of such journals free online access.

References

Brownson, R. C., Colditz, G. A., & Proctor, E. K. (Eds.). (2018). Dissemination and implementation research in health: translating science to practice. Oxford University Press.

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: implementing an evidence-based practice change. AJN The American Journal of Nursing, 111(3), 54-60.

Hall, H. R., & Roussel, L. A. (Eds.). (2016). Evidence-based practice. Jones & Bartlett Publishers.

Harvey, G., & Kitson, A. (2015). Implementing evidence-based practice in healthcare: a facilitation guide. Routledge.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Sidani, S., Manojlovich, M., Doran, D., Fox, M., Covell, C. L., Kelly, H., … & McAllister, M. (2016). Nurses’ Perceptions of Interventions for the Management of Patient‐Oriented Outcomes: A Key Factor for Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 13(1), 66-74.