Write 1-2 paragraphs reflecting on the different theories reviewed this week. Then save the reflection as a Word Document for submission later in the course. In week 8, you will submit all reflections as a single document.

This reflection is worth 5 points and the final reflection document in week 8 is worth 15 points.

You will need to post your reflection here before you are able to see other students’ posts.

Provide one specific example of how you achieved the weekly objectives. What concepts, theories, models, tools, techniques, and resources in this week did you find most valuable? What issues had you not considered before?

Search entries or author
 

Resources: Butts, B. J. & Rich, L. K. (2018). Philosophies and theories for advanced nursing practice (3rd ed.). Jones & Bartlett Learning. Chapters 18, 19, 25

Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. Different people may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for patients across the life span. For this Assignment, you consider how you might assess and treat patients presenting with ADHD.

To prepare for this Assignment:

· Review this week’s Learning Resources, including the Medication Resources indicated for this week.

· Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with ADHD.

The Assignment: 5 pages

Examine Case Study: A Young Caucasian Girl with ADHD

{https://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_09/index.html}. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. 

  

Instructions  

Identify a TJC safety goal that is relevant to an area of concern at your place of employment or clinical rotation. Describe a situation in the workplace or nursing practice that needs change.  Then, following the instructions and using the fishbone diagram template found in course documents, complete a Root Cause Analysis of your identified problem.  Attach your fishbone diagram to your discussion board post.

The root cause analysis allows improvement teams to identify the “root” of the problem, where and why the problem exists.  Improvement teams make decisions based on data rather than “hunches” and look for lasting solutions rather than relying on “quick fixes” and “band-aid” approaches. 

1. Identify a problem
2. Consider all factors of the problem, such as, “we do not perform adequate pain assessments because…” 
3. Once all factors causing the problem are identified, it should be evaluated and grouped in categories
4. Then a “cause and effect” diagram, such as fishbone diagram, can be created. 
5. General categories may include Environment, Equipment, People, Methods (process) and Materials
6. Attach your fishbone diagram to your discussion board post

Using the template found in “resources” tab, complete a fishbone diagram of your identified problem. See fishbone diagram document attached.

The cause and effect diagram (fishbone) starts with a problem at the head of the fish.  Under each general category of the fishbone, answer the questions, “Why?” in regard to the problem identified.  Once the fishbone diagram is done, the various causes are discussed to determine the root of the problem.  The results of this discussion drive the focus for the improvement plan.  There may be several causes of the problem.  The team should prioritize which one cause, if solved, would have the most positive impact on the largest number of residents. 

Also, see some useful document attached below.

DUE IN 24 HOURS – INSTRUCTIONS ARE BELOW

  

Review Chapter 21 of your Informatics  textbook, Nursing Research: Data Collection, Processing and Analysis. 

Knowledge generation through nursing research

A. Define information literacy and why it is important to nursing research.

 

B. What is the difference between professional online databases and search engines?.

 

C. Identify one professional online database and what is unique about this database?

 

Do not use quotations in this discussion.

 

Utilize 2 scholarly sources of evidence in addition to your text book for your posting. 

Your initial post should be no more than 300 words.

1. EVIDENCE-BASED PRACTICE PROJECT– 

The leadership project is an activity designed to assist students in applying concepts, theories, and principles learned in NUR4827C Leadership in Nursing. You should develop this project in conjunction with your professor This will be in response to an identified need based on your own clinical practice.  Please do not use staffing, patient acuity, or any issues such as these for your project. These issues can not be changed by a staff nurse; it is out of scope of your practice.

Based on the AACN’ Essentials of Baccalaureate Education for Nursing, 2009), the student will identify a quality care or patient safety issue that exists in their clinical setting and create a proposal with goals, objectives, and strategies to address the issue.  This project will integrate and demonstrate leadership and/ or management qualities which include:

• identification of the problem, data collection, research review and interprofessional communication.
• Included are elements of budgeting, staffing, staff and patient satisfaction, and measurable elements that can be evaluated. 
• The project will require collaboration with quality councils, finance, nursing and other departments. 
• The proposed project may be presented to the leadership of the facility. 
• Course faculty will guide the students in completion of this assignment.  Your implementation and measurement strategies must be developed from evidence-based literature and be presented in correct APA format.

PROPOSAL – 100 POINTS 

The project will first be  written in the format of a proposal paper and submitted to your professor for approval. It must be approved by your professor. The proposal should include the following:

• Clear Definition of the Leadership or Management Problem. (Note- you may not use a previous topic from another course – See academic Integrity policy of FSW)
• How the need was identified and the significance for nursing practice.
• Description of the stakeholders, financial considerations, regulatory/ legal components, resources potentially needed to implement the project.
• Specific, Measurable, and realistic Goals of the Project

1. At least 3 References/evidence-based research related to the problem. (Include title page and reference page). All references must be no older than the past 3-5 years.
2. NOTE IN RUBRIC- 5 REFERENCES OF SPECIFIED QUALITY ARE REQUIRED FOR FULL POINTS IN FINAL PAPER. 

• APA 7th edition formatting required.