PLEASE PAY ATTENTION TO THE SCENARIO

zERO PLAGIRISM

5 REFERENCES 

Note: Patient is 65years old African American female, alert and oriented x2 with confusion. Resident has a  diagnoses of paranoid Schizophrenia and dementia. Patient is on Risperdal 4mg 1 tab PO at bedtime and Haldol 10mg Q6hour PRN for agitation. Patient was seen by psychiatrist on 01/25/2020 and no medication reduction was recommended.  Patient remains stable at this time. Patient will be seen again in three months.

• Develop diagnoses for clients receiving psychotherapy*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week 

Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.
• Explain any legal and/or ethical implications related to counseling this client.
• Support your approach with evidence-based literature.

The next step in developing an evidence-based practice change proposal for the capstone project is to conduct a thorough review of the literature pertaining to the chosen topic. In this topic, students will examine the research literature and utilize library resources to locate quality, peer-reviewed sources to support their chosen topic and solution. Students will use the PICOT question process to create a PICOT question for their topic.

Objectives:

1. Critique evidence-based research to support the development of the capstone project change proposal.

2. Create a PICOT question incorporating an evidence-based nursing practice intervention.

3. Create objectives for an evidence-based nursing practice change proposal.

4. Integrate reflective practice into the practicum reflective journal.

5. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.

In this assignment, I expect answers to question 1 and 2 be written and referenced separately and each minimum of 500 words. Question 1 is related to the picot and literature review question (yet to be posted) while question 2 is a different question. In question 2 evaluation of evidence is not quantitative and qualitative research as those are collection of evidence. The practice change topic is: Effects of lack of personal protective equipment on nurses during coronavirus pandemic and it’s effect on patient care

QUESTION 1: Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change

Question 2: Name two different methods for evaluating evidence. Compare and contrast these two methods.

Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

Miss KY

Nurses are an essential part of providing patient safety (Glassman, 2017). The informatics specialist that I have collaborated with are focused on improving patient care and patient safety. I have observed many interactions between informatics specialist and health care workers. One of the main interactions I see is the risk management director interviewing nurses on incidents that have occurred such as patient falls. The informatics specialists often do not interact directly with the staff at my health care facility. The informatics specialists are more behind the scenes working to improve our systems. The nursing informatics specialists are constantly monitoring our EMARs and electronic patient charts. Specialists are always updating staff on new features in the EMAR and patient charts that make inputting information easier and faster. One suggestion I have to improve the interaction between healthcare staff and informatics specialist is to have in-services to go over new information instead of emailing a list of updates. An in-service will allow time for staff to ask questions about new features of the systems and for the informatics specialist to explain the features more in depth.

           Nursing is changing day to day and so is the new technologies that come with continued research. Nurse informatics specialists must go through new data and process it in to something useful for nursing practice (Thew, 2016). New technologies will allow improvements on patient safety and nursing efficiency (McGonigle & Mastrian, 2018).  The evolution of nursing informatics will cause healthcare facilitates to become more data driven. The emergence of new technologies will have every discipline interacting with one another through interfaces such as the patient charts. Disciplines will continue to improve communication using the data that informatics provides. New data will force health care facilities to move towards improving patient experience and following up on patient education that was provided previously.

References

Glassman, K.S (2017). Using data in nursing practice. American Nurse Today, 12(11), 45-47. https://www.myamericannurse.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington: Jones & Bartlett Learning.

Thew, J (2016). Big data means big potential, challenges for nurse execs. https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Respond to your colleagues  by providing additional thoughts about competing needs that may impact your colleagues’ selected issues, or additional ideas for applying policy to address the impacts described.

At least 2 references in each peer responses!

Nursing leaders face many ethical dilemmas, among these being making a choice between having limited resources and competing needs. Resources tend to be finite, thus there is immense competition for them in healthcare settings. Nationally, one of the most pressing issues is data security in the health care sector. The industry has experienced multiple incidences in the past where criminals have stolen private patient data records and data (Kruse et al., 2017). This has resulted in a lot of policy changes, thus the need for healthcare facilities to consider them along other needs associated with the healthcare system.

           Competing needs may affect the implementation of the policies associated implementation of sufficient data and patient record safeguards. For instance, healthcare facilities may not have sufficient resources to cater for additional employees in their information technology departments, while they also need additional nurses to enhance their quality of care. The presence of such national stressors may require nurse leaders to balance on the policy recommendations that they need. For instance, they may have to reallocate some resources for activities such as the recruitment of additional nurses. This is to ensure that they have some resources for the recruitment of additional personnel or outsourcing of some functions in the information technology department to ensure there are sufficient safeguards for patient data and compliance with the national policy requirements (Liu et al., 2017).

           One of the main impacts of the competing needs includes the lack of sufficient resources to address each of the needs sufficiently. However, policies can be able to address some of these ethical dilemmas. For instance, nurse leaders can ensure that resources are allocated based on the urgency of these needs, while at the same time ensuring there is compliance with national policies relating to an area (Naes et al., 2017). For instance, rather than establishing an entire information department, a health care facility may resort to outsourcing the function, which would be relatively cheaper.

Respond to your colleagues  by providing additional thoughts about competing needs that may impact your colleagues’ selected issues, or additional ideas for applying policy to address the impacts described.

At least 2 references in each peer responses!

Nursing leaders face many ethical dilemmas, among these being making a choice between having limited resources and competing needs. Resources tend to be finite, thus there is immense competition for them in healthcare settings. Nationally, one of the most pressing issues is data security in the health care sector. The industry has experienced multiple incidences in the past where criminals have stolen private patient data records and data (Kruse et al., 2017). This has resulted in a lot of policy changes, thus the need for healthcare facilities to consider them along other needs associated with the healthcare system.

           Competing needs may affect the implementation of the policies associated implementation of sufficient data and patient record safeguards. For instance, healthcare facilities may not have sufficient resources to cater for additional employees in their information technology departments, while they also need additional nurses to enhance their quality of care. The presence of such national stressors may require nurse leaders to balance on the policy recommendations that they need. For instance, they may have to reallocate some resources for activities such as the recruitment of additional nurses. This is to ensure that they have some resources for the recruitment of additional personnel or outsourcing of some functions in the information technology department to ensure there are sufficient safeguards for patient data and compliance with the national policy requirements (Liu et al., 2017).

           One of the main impacts of the competing needs includes the lack of sufficient resources to address each of the needs sufficiently. However, policies can be able to address some of these ethical dilemmas. For instance, nurse leaders can ensure that resources are allocated based on the urgency of these needs, while at the same time ensuring there is compliance with national policies relating to an area (Naes et al., 2017). For instance, rather than establishing an entire information department, a health care facility may resort to outsourcing the function, which would be relatively cheaper.