I NEED A REPONSE TO THIS ASSIGNMENTS 

2 REFERENCES

Restraints ethical and legal considerations in children/ adolescent and adults

     Restraints can only be used only if absolutely necessary when harm to self, others, or staff is preventative and cannot be used for the convenience of

staff in any case and is considered a physical device that restricts movements and can be chemical (Medcom, 2008). Restraints must be ordered by a

physician or independent practitioners and cannot exceed 4 hours for adults, 2 hours for 9-17 years of age, and 2 hours for ages 8 or less with the ability to

be renewed up to 24 hours until a face to face examination is done and a new order in place (APA, 2008). In a recent study on adolescents being restrained

the risk factor for the restrained adolescents were found to be primarily female gender with low psychosocial functioning with more and longer admissions

and concomitant use of pharmacological restraints (Furre et al, 2017). Restraints in the elderly are three times greater related to the higher hospitalization

rate secondary to their affliction by different chronic conditions, along with their higher risk for fall or injury to self or others (Sharifi et al, 2020). Legal and

ethical consideration for all age groups is of high importance when using restraints of any kind and can have implications to the practitioner if not used with

high considerations and constant supervision with reevaluation ongoing. Three considerations legally and ethically when using restraint in a setting is the

staff and admitted patients adequately supported and supervised at this time, the numbers of staff working should adequately reflect the number of

admissions at any given time, and thirdly during the admission process police and psychiatric staff should cooperate to ensure that the admission proceeds

safely for staff and patient, and stay until it is established that the referral was appropriate. 

References

Cole, C., Vandamme, A., Bermpohl, F., Czernin, K., Wullschleger, A., & Mahler, L. (2020). Correlates of seclusion and restraint of patients admitted to

     psychiatric inpatient treatment via a German emergency room. Journal of Psychiatric Research, 130, 201–206. https://doi-

     org.ezp.waldenulibrary.org/10.1016/j.jpsychires.2020.07.033

Furre, A., Falk, R. S., Sandvik, L., Friis, S., Knutzen, M., & Hanssen-Bauer, K. (2017). Characteristics of adolescents frequently restrained in acute psychiatric

     units in Norway: a nationwide study. Child & Adolescent Psychiatry & Mental Health, 11, 1–9. https://doi-org.ezp.waldenulibrary.org/10.1186/s13034-016-

     0136-1

Legal Considerations and Patient Rights: Orders and Evaluation. Anonymous Medcom, 2008. https://video.alexanderstreet.com/watch/legal-considerations-

     and-patient-rights-orders-and-evaluation.

Sharifi, A., Arsalani, N., Fallahi-Khoshknab, M., Mohammadi-Shahbolaghi, F., & Ebadi, A. (2020). Iranian nurses’ perceptions about using physical restraint for

     hospitalized elderly people: a cross-sectional descriptive-correlational study. BMC Geriatrics, 20(1), 233. https://doi-

     org.ezp.waldenulibrary.org/10.1186/s12877-020-01636-2

 

 

Choose a contemporary moral issue in our society (course materials) and apply the ethical principle of Utilitarianism to approve this moral issue. You must pick a moral issue that you strongly support and apply the utilitarian claims (course materials) to back up your arguments. The paper must be done in MLA format with a minimum of 500 words (quotes are not included in the word count).

*You must apply the Four major points of Utilitarianism (week 3 Lecture) apply Bentham’s Felicific Calculus, and apply the utilitarian claims under course materials.

****I NEED TURNITIN REPORT

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. 

Total Points Possible: 200  

Requirements: 

The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards.

Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:

• Effectiveness of Care.
• Access/Availability of Care.
• Experience of Care.
• Utilization and Risk Adjusted Utilization.
• Health Plan Descriptive Information.
• Measures Collected Using Electronic Clinical Data Systems

You may access the 6 domains of care by clicking this link:

(NCQA, n.d. https://www.ncqa.org/hedis/ (Links to an external site.))

As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.

Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page.

You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal and Postpartum care, etc.

Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.

How would these primary care interventions result in improved patient outcomes and health care cost savings?

How can these interventions result in improved NP patient ratings?

Library Assignment (CINAHL& Medline Search & APA Citation) –

Objective:  Identify appropriate methods of utilizing selected library database systems.

The purpose of the library assignment is (1) to learn to use CINAHL & Medline and (2) to become familiar with APA citation format. 

You will visit the CFK Library to learn to use CINAHL and Medline databases.  CINAHL is the acronym for Cumulative Index to Nursing and Allied Health Literature.  It is designed specifically to meet the information needs of nurses and allied health professionals. 

Go to the CFK Library’s homepage to access the electronic version of CINAHL or Medline:                              

• Click “Databases A-Z”
• Scroll down and select CINAHL and then Medline
• Follow the directions on the screen to begin searching.

For this assignment, you are required to:

• Conduct a CINAHL and/or Medline search for articles published in the last five years (2016-2021) on a Nursing topic of your choice (GLAUCOMA). Each article must be a minimum of 6 pages.

1. Identify the topic of your search and discuss why you chose this topic. (Introduction)
2. Provide a brief summary of the most important/interesting information from each of the articles that you have located and read. Cite a direct quote and a paraphrased quote in the summary of each of the 4 articles. This section should be at least 4 paragraphs, one for each article (body of the paper).
3. Conclude with a summary to end the paper.
4. Prepare your citations in a reference list of the (four articles) using APA format
   • A good website providing information on APA Documentation is the APA Formatting and Style Guide is The OWL at Purdue, they 
   • have a sample paper that is very helpful to look at and we have a reference APA book in the Upper Keys library as well. The library home page gives you additional information as well.

Grading Criteria

                ___/50  Conduct CINAHL Search. 

                                ___/10 Grammar, sentence structure, spelling.

                                ___/10 Include 4 references that meet the currency and page limit criteria.

                              ___/30 Write a paper that includes an introduction as to why you chose your topic of interest. The body of the paper should include a brief summary of each of the articles you chose. Conclude with a summary to end the paper. APA format must be correctly used for the citations in your paper. You must use at least one direct quote (exactly as written in article) and paraphrased quote (put in your own words) for each of the articles correctly. (turn in all articles with your paper with the quoted areas highlighted in the articles).

              ___/10  APA Citations (Reference page)

                      ___/2 Alphabetical

                      ___/2 Correct sequence and format (author, date, article title, journal title,                                                volume, number, page)

                    ___/2 Journal title italicized

                    ___/2 Capitalize only the first word of the article title and of the subtitle

                    ___/2 Correct format (parentheses, commas, etc.)

Examples:  Sample paper can be found at the Owl at Purdue website or use the APA 7th edition  manual (ask the library staff for assistance).

PLEASE FOLLOW INSTRUCTIONS GRAMMAR AND SPELL CHECK ! NO PLAGIARISM

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

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

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

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

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

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

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

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.