Application of Analytic Methods1

Interprofessional Collaboration

           Medication errors can occur in any setting. Much has been done to eliminate this problem, yet there is much more than need be done to provide safe patient care. If I were asked to gather an interprofessional collaborative (IPC) team, in response to a recurring medication error and to prevent future mistakes in the inpatient medical-surgical unit where I work, I would put together a team from different disciplines within the institution. I would gather an IPC team to include members who can contribute to the solution, have expert advice, and who can help lead the change in a quality improvement project. According to Dang and Dearholt, (2018), the IPC team should be precise enough to be effective, yet large enough to have expert knowledge of the presenting problem.  The IPC team would include a pharmacist, nurse educator, nursing manager, unit head nurse, a registered nurse, a physician, an informatics specialist, and a practicing scholar.

           The responsibilities of each team member begin by the team coming together, and being prepared to share evidence-based content to help resolve the practice problem. For a team to be effective, the members of that team need to be able to share and understand each other roles (Etherington et al 2019). The role of the IPC members is to understand the impact the practice problem has on patients’ outcome, staff morals, and healthcare cost and to research ways to solve the problem. Members need to be knowledgeable about the topic presented. The team should be committed to the project and should be motivated to resolve the practice focus problem.  I would have weekly meetings with team members to follow up and feedback.

           Medication errors are listed under patient safety, which is one of the eighth practice problem burden in the United States of America (Chamberlain College of Nursing 2020). According to the World Health Organization (WHO), a medication error can occur during any step of the medication process, from prescribing to administering (2016). Therefore, the team should be looking into all potential medication error aspect. The team leader should distribute tasks accordingly, and hold each team member accountable for the task assigned. The team of ICP shall strategize a plan to prevent medication errors in the unit.

           The nurse researcher and educator would establish policies, protocols, and training modules for unit nursing staff. The Informatics specialist will review the current technology and improve the system to identify and create alert as soon as a medication is written by the prescriber. The pharmacist would work within it department to establish a clear protocol for requesting clarification before any questionable medication is dispensed to the unit. The nurse manager and unit team will work on reeducating the staff on safe medication administration. Nursing leaders need to create a culture of confidence among staff, that it is appropriate to question a provider’s order if deemed unsafe.  In a pilot study by Boscart et al., (2017) they found that interprofessional teamwork, education, and open communication promote best practice and improve quality of care in heart failure patients in a long-term care setting. I believe respectful communication among disciplines is beneficial in all clinical practices.

           It is well known, that there is no I in team. For a team to be successful it members have to be able to work well alongside each other. Mutual respect for each other opinions is a must for the team to succeed. Ineffective communicating is the root cause of misunderstanding. It happens in personal relationships, boardrooms, and of course in healthcare settings.  Often, the failure to communicate can have life-changing impacts of patients, family, nurses, insurances providers and healthcare systems. Clapper (2018) indicated that debriefing allows team members time to critique performance and discuss ways for improvement. To facilitate effective communication and collaboration, there should be frequent feedback from team members.

References

Boscart V.M., Heckman, G.A., Huson, K., Brohman, L., Harkness, K.I., Hirdes, J., McKelvie,  R.S., & Stolee, P. (2017) Implementation of an interprofessional communication and collaboration intervention to improve care and capacity for heart failure management in long-term care. Journal of Interprofessional Care. 31 (5), 583-592. Doi.org/10.1080/13561820.2017.1340875

Chamberlain College of Nursing (2020) NR-701 Week 1: Application of Analytic Methods (Online Lesson) Adtalem Global Education

Clapper, T (2018). TeamSTEPPS is an effective tool to level the hierarchy in healthcare communication by empowering all stakeholders. Journal of Communication in   Healthcare 11 (4) 241-244. Doi.org/10.1080/17538068.2018.1561806

Dang, D., & Dearholt, S. (2018) John Hopkins nursing evidence-based practice model and guidelines (3rd ed.). Sigma Tetu Tau Intentional.

Etherington N., Wu M., Cheng-Boivin O., Larrigan S., Boet S. (2019) Interprofessional communication in the operating room: a narrative review to advance research and practice Canadian Journal of Anesthesia 66 (10) 1251-1260 doi.org/10.1007/s12630-019-01413-9

Medication Errors. Technical series on safer primary care. (2016) World Health Organization. License: CC BY-NC-SA 3.0 IGO. www.WHO.org

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

To prepare:

• Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
• By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
• Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
• Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

By Day 3 of Week 2

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

 

Transformational leaders influence those around them and therefore have the potential to alter the culture of a unit or organization. Please address the following topics:

• Summarize your general beliefs of what makes a good leader.
• Regarding the transformational leadership skills discussed in our required article reading, how do you think your leadership style is perceived by others?
• What aspect of the TEACH values discussed in the lesson do you think would most benefit your work environment if adopted?

Name your Leadership Style

Discussions play an integral role in monitoring your course participation throughout the term. Be sure to appropriately cite any sources you use to support your responses with standard APA citations. Answer the prompt question(s) thoroughly using a minimum of 150-200 words.

Discussion Prompt: 

1. Please discuss/include the following in a minimum of 150-200 words for your initial post:

• Now that we have reached the end of our course, you will have the opportunity to create and name your version of leadership style, theory, or philosophy. As you create your leadership concept, take each of the following into consideration:
  • Review and reflect on the difference between all of the research based versions we have studied in our course. 
  • Reflect back on your working definition of leadership from Week 1 and Week 4 consider how the other concepts you have learned compliment your definition or have given you new insights you want to incorporate.
  • Share with the group what your final definition of leadership

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES

ZERO PLAGIARISM

Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents.

In this Discussion, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.

Learning Objectives

Students will:

• Analyze the importance of developmental assessments
• Analyze assessment instruments used for evaluating children and adolescents
• Analyze treatment options used for children and adolescents
• Analyze roles parents play in assessment and treatment

To Prepare for the Discussion

• Review the Learning Resources concerning psychiatric assessments and assessment tools.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post your answers to the following:

• Explain why a developmental assessment of children and adolescents is important.
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults. 
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.