Reply 1 and 2 ,150 words each by 07/02/2021 at 6:00 pm 2025

Reply 1 e: Topic 7 DQ 1 TOPIC 7 DQ 1 Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group? The planning process for practice transformation includes determining which outcomes to assess and how to measure them. Conducting a premortem on your project is a unique method to discover results and plan for effective implementation (Ginex, 2018). We’ve all heard of postmortems—inquiries into what occurred after a sentinel incident or a bad patient outcome—but it’s equally vital to ask questions before embarking on a practice shift. A premortem can aid in the identification of results, roadblocks, and hazards to practical implementation. This is an activity in which members of a project team pretend that a planned strategy has failed after being briefed on it. Everyone is prompted to examine the strategy and anticipate potential risks and roadblocks as part of the process. A premortem’s framework makes it safe to uncover issues. The hospital board is the internal approach I would utilize to communicate evidence-based practice. Employees of the health organization, such as nurses, physicians, and other professionals involved in patient care, make up the hospital board. The most proper technique to employ when disseminating the EBP to the hospital board would be face to face. The method encourages engagement and immediate response, particularly during questioning sessions. Face-to-face consultation and conversation with other nursing experts is the technique I would utilize in the conference. In both internal and external forums, communication techniques would differ. Presentation at professional organization conferences, notably the American Nurses Association, is an external technique that I would use. The professional association would be an excellent vehicle for disseminating the initiative to a large number of nurses. The hospital board, for example, is made up of peers, which means that dialogue will be less formal and more participatory than at an American Nurses Association conference. I must provide my evidence-based findings to the two groups to encourage knowledge and information exchange throughout the nursing community. This would improve the ability of group members participating in nursing practice to make decisions and improve patient outcomes. Furthermore, presenting the findings to the groups would allow for a constructive critique of the results, allowing for improvements prior to implementation. Reference Ginex. P (2018), Use These Methods to Evaluate EBP Outcomes and Disseminate Results . Retrieved from https://voice.ons.org/news-and-views/use-these-methods-to-evaluate-ebp-outcomes-and-disseminate-results Reply 2 Humbles (2019) explains that the dissemination of evidence-based practice (EBP) projects is a teaching strategy for nursing education. One internal method to disseminate my evidence-based change proposal to decrease the incidence of ventilator-associated pneumonia in patients admitted to assisted living facilities and home settings would be to speak with the Providers Relation team and see what their thoughts are on the research with their approval/backing. I would go to the training department. With both of those departments backing the research, it would make it easier for Management to be able to present to the administration. Administration would just have to find funding for the proposal as the departments would have already agreed. An external method would be submitting my research to the National Association of Directors of Nursing Administration in Long Term Care (NADONA/LTC). My communication approaches would be different with both groups. With management, since I know them, I would communicate via email and zoom meetings. I would provide them with a copy of my EBP proposal and request their feedback. As explained by Sefton (2019), EBP is a widely used problem-solving approach in the community health clinical setting as it is crucial to delivering interprofessional, collaborative, driven, and person centered care. As far as the National Association of Directors of Nursing Administration in Long Term Care (NADONA/LTC), I would call to request to speak to the person in charge of clinical to discuss briefly my proposal to decrease the incidence of ventilator-associated pneumonia in patients under their care and request for an email address to send a copy to review and provide me with their feedback. Resources: Dissemination of Evidence Based Practice and Nursing Research. (2019). https://www.va.gov/nursing/ebp/docs/ebpDisseminationModule.pdf Humbles, P. & Jones, S. (2019). Faculty and Students Find a Niche in Scholarship: Teaching Strategies to Disseminate Scholarly Evidence-Based Practice Projects. ABNF Journal, 30(4), 109–112. Sefton, M. & Hasnain, M. (2019). TIPS for preceptors facilitating interprofessional community-based clinical experiences. Nurse Educator, 44(3), 122-124. doi: 10.1097/NNE .0000000000000568.

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LDR-463 Decision-Making Reflection Form 2025

The purpose of this assignment is to apply a decision-making strategy to a real-life situation. The proactive professional infuses decision-making strategies in all aspects of life. Among essential leadership characteristics are strong decision-making skills. By examining why a decision is needed, what the possible options may be, the likely consequences of each option, as well as the significance of the consequences, they can determine what the best decision may be in light of the available information. Review the resource “The Decision-Making Process” and then complete and submit the “Decision-Making Reflection Form.” APA format is not required, but solid academic writing is expected. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Attachments LDR-463-RS-The-Decision-Making-Process.docx LDR-463-RS-Decision-Making-Reflection-Form.docx

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nursing assignment. 2025

Assignment: Focused SOAP Note for Anxiety, PTSD, and OCD In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches. Photo Credit: Photographee.eu / Adobe Stock In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches. To Prepare Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders. Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video, Case Study: Dev Cordoba . You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient. The Assignment Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template: Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy. Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

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nursing assignment. 2025

Discussion: Certification and Licensure Plan Now that you are in the final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass the national PMHNP certification exam. Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state. Photo Credit: AndreyPopov / iStock / Getty Images Plus / Getty Images Although a movement called the APRN Consensus Model is attempting to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish an independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement. Another important area to consider and plan for is prescriptive authority. The appropriate board, which may be the medical board, state board of pharmacy, or nursing board, grants prescriptive authority under state law for the appropriate state licensure. The federal government grants the authority to write for a controlled substance, and the Drug Enforcement Administration (DEA) verifies this action through by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process. In this Discussion, you will locate and review the practice agreements in the state in which you plan to practice, identify potential collaboration requirements in your state, and understand the certification and licensing process that you will need to follow. To Prepare: Review practice agreements in your state. Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are. Research the following: How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state? What is the application process for certification in your state? What is your state’s board of nursing website? How does your state define the scope of practice of a nurse practitioner? What is included in your state practice agreement? How do you get a DEA license? Does your state have a prescription monitoring program (PMP)? How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe? By Day 3 of Week 1 Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

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Nursing.(Practium Experience plan) 2025

Assignment 2: Practicum Experience Plan (PEP) Photo Credit: Getty Images As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, your plan must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice. For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. In this practicum experience, when developing your goals and objectives, be sure to keep PMHNP clinical skills in mind. To Prepare Review your Clinical Skills Self-Assessment Form you submitted last week, and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims? There may be overlap between your skills goals and your PEP goals. Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be: Specific Measurable Attainable Results-focused Time-bound Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above) Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site. Select one nursing theory and one counseling theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature. Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements. The Assignment Record the required information in each area of the Practicum Experience Plan template, including three to four (3–4) measurable practicum Learning Objectives you will use to facilitate your learning during the practicum experience.

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