Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

Topic: EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

 

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

1. Introduction

2.Patient experience

3.Population health

4.Costs

5.Work life of healthcare providers

6.Conclusion

Note: At least two outside resources and two or three course- specific resources

REQUIRED READING for REFERENCING

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot.Links to an external site. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practiceLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participantsLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171

Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practiceLinks to an external site.. American Journal of Nursing, 110(1), 51-53.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costsLinks to an external site.. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in workLinks to an external site.. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Walden University Library. (n.d.-a).Databases A-Z: NursingLinks to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

 

RUBRICS for Grading

1.Write a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence-based practice might (or might not) help reach the Quadruple Aim, including each of the four measures of:· Patient experience· Population health· Costs· Work life of healthcare providers. The analysis clearly and accurately addresses in detail how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis accurately and thoroughly explains in detail how the four measures of patient experience, population health, costs, and work-life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides a complete, detailed, and specific synthesis of two outside resources reviewed on the four measures supporting or not supporting the Quadruple Aim. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the analysis provided with credible and detailed examples.

2. Written Expression and Formatting—Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

3. Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation. Uses correct grammar, spelling, and punctuation with no errors.

4. Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. Uses correct APA format with no errors.

On what policy issues might nurses lobby Congress? What strategies might nurse use to have their voices heard?

On what policy issues might nurses lobby Congress? What strategies might nurse use to have their voices heard?

The discussion must address the topic.

Rationale must be provided

Are leaders born, or they are made? why?

After reading Chapters 1, 2, and 3, can you answer this question?

Are leaders born, or they are made? why?

Made your response with a minimum of three paragraphs with three sentences each. The response should have references and citations. Remember to reply to one of your peer. The peer respond should have the same format, At least nine sentences, with references and citations.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

Parents of children with chronic mental diseases face several difficulties that could adversely affect their overall well-being

Parents of children with chronic mental diseases face several difficulties that could adversely affect their overall well-being (Chen et al., 2019). The stigma attached to mental illness, a lack of information and understanding, and social and cultural factors are frequently blamed for these difficulties. The stigma and lack of comprehension cause people and families affected by mental illness to be excluded, which makes their situation even more challenging (Chen et al., 2019). The unequal treatment of families with mental illness results from this lack of recognition of mental illness as a severe medical condition, which causes stress and worries for parents. Nurses or other professionals may offer different kinds of assistance, from individual support to social networks, to give these parents the support they need. However, the success of these initiatives depends on the particular circumstance and the degree of community support.

Getting help from experts like nurses can have a variety of impacts. One such effect is decreased tension and depression among parents of children with chronic mental illnesses (Chen et al., 2019). These experts make it simpler for such parents to get their children the services they need to function daily. Without this assistance, most parents of children with chronic mental illnesses would experience considerable tension while attempting to access the required services. In this case, nurses can significantly assist by informing parents about advocate programs like behavioral and developmental therapies (Chen et al., 2019). By offering this kind of assistance, parents can lessen their stress and anxiety and enhance their general quality of life.

Furthermore, it can be easy to obtain the resources their children require to receive the assistance they require. In order to ensure that the best possible care is provided, professionals such as nurses can also assist parents of children with chronic mental disorders in developing the coping mechanisms required to deal with any behavioral patterns that their children may display. This lowers stress while also improving the quality of treatment.

Contrarily, there are numerous ways to give social support to parents of children with ongoing mental health issues through interpersonal interactions and social networks (Wilberforce et al., 2020). Such parents supposedly experience fewer isolation-related disadvantages. Due to the increased hours, they must spend caring for their children, parents of mentally ill children frequently feel isolated. These parents can find a feeling of inclusion in social networks as well as emotional and practical support from other parents in comparable situations through these networks (Bradshaw et al., 2019Additionally, positive interpersonal interactions between parents of chronically ill children and their relatives and acquaintances can benefit the parent’s emotional health and the care of the ill child (Bradshaw et al., 2019). On the other hand, poor relationships with family members can be bad for the emotional health of the adult and the ill child.

In conclusion, social support is crucial to a parent’s general well-being when their child has a chronic mental illness. Professionals, social networks, and meaningful relationships give parents the mental and physical support they need, enabling better stress and anxiety management. This allows them to help their kid deal with their condition and provide better care.

 

200 words and one scholarly reference

describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified.

a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

Practitioner or nursing-provided support network can supplement human relationships and social systems with a level of competence and direction that may be lacking in the latter.

Practitioner or nursing-provided support network can supplement human relationships and social systems with a level of competence and direction that may be lacking in the latter. Professionals in the discipline of sociology and nursing, as well as those in related fields, have unique perspectives and insights to provide on how to best care for a person with a mental condition. Accessibility to such experts can aid parents in navigating the challenging environment of monitoring their child’s disease while offering vital comfort and support during hard moments. Nonetheless, interpersonal connections and social networks are crucial. In contrast to their interactions with experts, parents may find solace and acceptance in these groups. They could serve as just a judgment- and the shame-free zone where families can share their thoughts and feelings freely. Often, Family, colleagues, and other supportive services can offer helpful guidance and support based on personal experiences that expert practitioners would lack (Douma et al., 2020).

Reassurance, material assistance, and the dissemination of information are the three primary types of social support. The well-being of the parents’ social networking sites has a direct bearing on the parents’ own health. In addition to finding qualified medical professionals, concerned parents can utilize social media to learn more about available treatment options, communicate with a variety of counselors, and more. While it’s true that some parents like using social media, it’s important to remember that their time is limited. Parental anxiety and sadness can be mitigated with the support of good personal interactions that allow parents to connect with peers and impart knowledge about their problems. Instrumental assistance from family and other relatives is a huge help to these parents, who are already carrying a heavy load as it is (Bauer et al., 2021).

Summarizing, parent of a child with mental disease may find social media to be a helpful resource. There are many places on the internet where parents can go to get help and guidance. Meeting other parents who are going through the same things they are can be a great source of comfort and understanding. Social media also makes it easier to stay abreast of developments and new research in the field of mental health care.

 

200 words and one scholarly reference

Read the following case studies and search for the guidelines that answers the specific questions?

Discussion Topic

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Read the following case studies and search for the guidelines that answers the specific questions?

Case 1

A 54-year-old woman with chronic pain due to inflammatory arthritis presents to your clinic stating that she is having a “flare” of her arthritis but is out of her Oxycontin® and immediate-release oxycodone. She is aware that it is too early to fill her prescriptions, but she insists that she will be traveling out of state and “really needs” her medications.

Question: How do you Approach This Patient in the community setting?

What is the implications of prescribing this medication? Please provide evidence.

Case 2

A 27-year-old woman on buprenorphine-naloxone (Suboxone®) for treatment of opioid dependence is admitted to the hospital with severe abdominal pain due to a perforated gastric ulcer. She received hydromorphone in the ED, and is urgently taken to the operating room. Postoperatively, she is on a patient-controlled analgesic (PCA) pump containing fentanyl. Her last dose of buprenorphine-naloxone was 20 h prior to the surgery; her daily dose is 16 mg.

Question: How can Pain be Managed in Patients who are Taking Buprenorphine-Naloxone? What Adjustments to her Medication Regimen can be Recommended?

Case 3

A 20-year-old man is brought to the emergency department (ED) by his family for evaluation. His family reports that he failed out of school in his second year at a local community college. He admits to escalating struggles with prescription pain pills (prescription opioids), and then heroin use. He appears to be in opioid withdrawal; he describes anorexia and diarrhea, and is yawning and sweating on exam. He has a Clinical Opioid Withdrawal Scale (COWS) score of 15, indicating moderate withdrawal. His provider orders clonidine, ondansetron, and 2/0.5 mg sublingual buprenorphine/naloxone, with a plan to observe him in the ED. The provider subsequently receives a concerned call from the hospital pharmacist. Question: The Pharmacist States That the Provider is Unable to Administer Buprenorphine in the ED Without an X-Waivered DEA Number. Is This Accurate?

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Case 4

A 23-year-old woman attends an outpatient treatment program and office-based buprenorphine clinic. She has been doing well while maintained on 16 mg/day of buprenorphine. Recently though, she has missed group sessions and provided a urine for drug screening that tested positive for clonazepam and amphetamine. One of the other members in her group reported that they saw a “urine bottle fall out of her purse” as it spilled next to her chair in a group session; her counselor was unaware of this event.

Question: What are the Policies Regarding the use of Illicit Substances or Urine Adulteration or Substitution During Substance Abuse Treatment?

 

 

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In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters.

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

 

To Prepare:

· Reflect on the concepts of informatics and knowledge work as presented in the Resources.

· Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

POST

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

Topic: EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

Topic: EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

 

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

1. Introduction

2.Patient experience

3.Population health

4.Costs

5.Work life of healthcare providers

6.Conclusion

Note: At least two outside resources and two or three course- specific resources

REQUIRED READING for REFERENCING

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot.Links to an external site. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practiceLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participantsLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171

Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practiceLinks to an external site.. American Journal of Nursing, 110(1), 51-53.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costsLinks to an external site.. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in workLinks to an external site.. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Walden University Library. (n.d.-a).Databases A-Z: NursingLinks to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

 

RUBRICS for Grading

1.Write a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence-based practice might (or might not) help reach the Quadruple Aim, including each of the four measures of:· Patient experience· Population health· Costs· Work life of healthcare providers. The analysis clearly and accurately addresses in detail how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis accurately and thoroughly explains in detail how the four measures of patient experience, population health, costs, and work-life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides a complete, detailed, and specific synthesis of two outside resources reviewed on the four measures supporting or not supporting the Quadruple Aim. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the analysis provided with credible and detailed examples.

2. Written Expression and Formatting—Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

3. Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation. Uses correct grammar, spelling, and punctuation with no errors.

4. Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. Uses correct APA format with no errors.