EVIDENCE-BASED PROJECT, PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE

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In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT (attached below)
  • Reflect on your current healthcare organization (Behavioral health hospital-children services/adults) and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection (attached below)
  • Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization (Behavioral health hospital), including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change (psychiatric related). Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted (attached below)
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides) (attached below)

    Rubric (please follow and read):

    Part 4: Disseminating Results/ Create a, 8-9-slide narrated PowerPoint presentation of your Evidence-Based Project: Briefly describe the following: your healthcare organization and culture, current opportunity for change, scope of issue, and EBP best practice recommendation. Explain how you would plan knowledge transfer and dissemination. Describe measurable outcomes with the implementation of EBP best practice. Summarize lessons learned.
    -The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
    -The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

Disscusion Board Week 4

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Discussion Board 1.

Apply the differences between negligence and malpractice to the practice of nursing. Provide examples to illustrate your points.

Compose at least 2-3 paragraphs all in APA format with proper references.

Discussion Board 2.

Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case. 

For Colorado mom, story of daughter’s hospital death is key to others’ safety | Colorado Public Radio (cpr.org)

Patient Safety Advocate Carole Hemmelgarn 
Links to an external site.

https://www.youtube.com/watch?v=3SfrQnwRIjU&t=4s

Compose at least 2-3 paragraphs all in APA format with proper references.

MSN5550 WEEK 5

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 Screening is the administration of measures or tests to distinguish individuals who may have a condition from those who probably do not have it.  Discuss the advantages and disadvantages of screening.    Word limit 500 words. 

 Please make sure to provide citations and references (in APA, 7th ed. format) for your work.   

Check for plagiarism and AI(artificial intelligence), please.

Health History Plan of Care

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Health History Plan of Care Form

Using data gathered in your health history, develop a plan of care.

1: Analyze Assessment Data:

Based on the health history information, identify the following:

A. Areas for focused assessment

Provide a
brief overview of those areas of strength and weakness noted from health history.

B. Client’s strengths

Expand on areas identified as strengths related to the person's overall health. Support your conclusions with data from the credible evidence (peer reviewed journal or credible website).

C. Areas of concern

Expand on areas previously identified as abnormal and those that place the person at a health risk. Support your observations with data from the evidence.

D. Health teaching topics

Identify health education needs. Support your statements with facts from the Health History and information from your credible evidence.

2: Nursing Plan of Care

Next, plan your care based on your analysis of your assessment data:

A. Diagnosis

Write
two nursing diagnosis that reflects a priority need for this person. Remember a wellness diagnosis is a possibility.

B. Plan

Write
one goal and
one measurable expected outcome related to each of your nursing diagnoses. Explain why this goal and outcome is a priority. Include cultural considerations for this client.

C. Intervention

Write as many nursing interventions that you need in order to achieve the outcome. Provide the rationale for each intervention listed.

D. Evaluation

You will not carry out your care plan so you cannot evaluate the effectiveness of your nursing interventions. Instead, comment on what you would look for in order to evaluate your effectiveness.


References

2

Develop a 4-6 page plan that will allow your intervention to be implemented in your target population and setting.

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Develop a 4-6 page plan that will allow your intervention to be implemented in your target population and setting. Target population VETERAN. 

TOPIC PREVENTING HOMELESSNESS FOR VETERAN POPULATION

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Even the best intervention plan will not be effective without a sound and reasonable approach to implementing it. The implementation of the same intervention plan can vary drastically between different care settings, based on the culture of the care setting, the resources available, and the stakeholders involved in the project, as well as the specific policies already in place. A successful implementation plan blends contemporary and emerging best practices and technology with an understanding of the on-the-ground realities of a specific care setting and the target population for an intervention. By synthesizing these various considerations it is possible to increase the likely success of the implementation and continued sustainability of an intervention plan.

Preparations

  • Read Guiding Questions: Implementation Plan Design [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
  • As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    • What are the needs of your stakeholders that are relevant to your target population and need?
    • What applicable health care policy and regulations are relevant to your target population and need?
    • How will these considerations impact the development of your Intervention Plan Design assessment?
    • How can you work these considerations into the development of your Implementation Plan Design assessment?

Instructions

Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.

Your implementation plan design will be the third section of your final project submission. The goal for this is to design a plan that will allow your intervention to be theoretically implemented in your target population and setting. You should be able to preserve the quality improvement outcomes that you designed for your target population and setting while also ensuring that the intervention does not put undue stress on the health care setting’s resources or violate any policies or regulations. Provide enough detail so that the faculty member assessing your implementation plan design will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project.

At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Implementation Plan Design document (linked above) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, as well as the setting and context for which this intervention plan was designed before launching into your implementation plan.

Reminder: these instructions are an outline. Your heading for this this section should be Management and Leadership and not Part 1: Management and Leadership.

Part 1: Management and Leadership
  • Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan.
  • Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs.
Part 2: Delivery and Technology
  • Propose appropriate delivery methods to implement an intervention which will improve the quality of the project.
  • Evaluate the current and emerging technological options related to the proposed delivery methods.
Part 3: Stakeholders, Policy, and Regulations
  • Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan.
  • Propose existing or new policy considerations that would support the implementation of an intervention plan.
Part 4: Timeline
  • Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation.
Address Generally Throughout
  • Integrate resources from diverse sources that illustrate support for all aspects of an implementation plan for a planned intervention.
  • Communicate implementation plan in a way that clearly illustrate the importance of interprofessional collaboration to create buy-in from the audience.

Nursing Assignment

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Bioethical
 Decision
 Making
 Model
 

 

1. Define
 the
 dilemma:
 Use
 your
 own
 words
 to
 describe
 the
 problem.
 State
 it
 in
 a
 way
 
that
 others
 can
 quickly
 understand
 your
 dilemma.
 Review
 
 
 
 

 

2. Identify
 the
 medical
 facts:
 Describe
 the
 facts
 that
 are
 relevant
 to
 the
 dilemma.
 
 

 

3. Remember
 that
 the
 diagnosis
 and
 prognosis
 are
 medical
 facts.
 
 

 

4. Identify
 the
 non-­‐medical
 facts
 (patient
 and
 family,
 external
 influences):
 
 
a. Patient
 and
 family
 facts
 such
 as
 culture,
 religion,
 social,
 economic,
 the
 

existence
 of
 an
 Advance
 Healthcare
 Directive,
 verbal
 preferences
 made
 by
 
the
 patient,
 how
 the
 patient
 lived
 his/her
 life.
 
 

b. Those
 that
 you
 discuss
 should
 be
 relevant
 to
 the
 situation.
 
 

 

5. External
 influences
 include:
 organizational
 policies,
 federal
 and
 state
 laws,
 practice
 
acts,
 code
 of
 ethics.
 These
 should
 be
 relevant
 to
 the
 situation.
 
 
 

 

6. For
 both
 step
 2
 or
 3,
 separate
 the
 facts
 from
 the
 assumptions:
 Sometimes
 all
 
healthcare
 professionals
 allow
 assumptions
 to
 guide
 their
 decision-­‐making.
 These
 
must
 be
 identified
 so
 that
 these
 assumptions
 do
 not
 interfere
 with
 the
 process.
 
 

 

 

7. Identify
 items
 that
 need
 clarification.
 Your
 paper
 should
 identify
 facts
 that
 you
 need
 
to
 clarify.
 When
 initially
 discussing
 an
 ethical
 situation,
 it
 is
 not
 unusual
 to
 not
 have
 
all
 of
 the
 answers.
 
 

 

8. Identify
 the
 decision
 makers:
 Is
 the
 patient
 an
 adult
 competent
 to
 make
 their
 own
 
choices?
 Is
 the
 patient
 a
 child
 who
 is
 old
 enough
 to
 have
 a
 say
 in
 the
 decision.
 If
 the
 
patient
 cannot
 make
 their
 own
 decision,
 who
 is
 the
 decision
 maker?
 How
 was
 this
 
person
 selected?
 
 
 

 

 

9. Review
 the
 underlying
 ethical
 principles:
 Review
 which
 ones
 and
 why
 they
 apply
 t
 
this
 particular
 case:
 beneficence,
 nonmaleficience,
 veracity,
 fidelity,
 autonomy
 and
 
justice.
 

 

10. Define
 alternatives:
 One-­‐Way
 to
 proceed
 may
 be
 apparent
 at
 this
 point.
 However,
 
sometimes
 there
 are
 different
 choices.
 
 They
 should
 be
 addressed
 identifying
 the
 
benefits
 and
 burdens
 for
 doing
 one
 thing
 versus
 the
 other.
 

 
11. Follow-­‐up:
 
 Define
 the
 process
 to
 be
 used
 with
 the
 chosen
 alternative.
 
 

 

 

 
Reference
 Source:
 Levine-­‐Ariff,
 J.
 &
 Groh,
 D.H.
 (1990).
 Creating
 an
 Ethical
 Environment.
 
Nurse
 managers'
 bookshelf
 a
 quarterly
 series:
 2:1.
 Baltimore,
 Maryland:
 Williams
 &
 Wilkins.
 
41-­‐61.
 

Discuss the role nurse plays in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system.

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Nurses are well positioned for reforming health care in ways that promote a healthier public and reduce healthcare cost. Discuss the role nurse plays in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system.

The discussion must address the topic.

Rationale must be provided

May use examples from your nursing practice

150 words minimum (excluding the reference)

Minimum of two references in APA format within the last five years published

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

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 As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice. 

Determination of death

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Determination of Death / Informed Consent

1. Uniform Determination of Death Act (UDDA):

· How this law was created

· Legal definition of death, describe

2. Define dying within context of faith, basic principle about human life

3. Bioethical Analysis of Pain Management – Pain Relief

4. What is the difference between Pain and suffering? Explain

5. Diagnosis / Prognosis: define both.

6. Ordinary / Extraordinary means of life support. Explain the bioethical analysis.

7. Killing or allowing to die? Define both and explain which one is ethically correct and why?

8. Catholic declaration on life and death; give a summary of this document: 

https://www.cfocf.org/wp-content/uploads/Combined-Catholic-Declaration-and-Understanding-ENGLISH.pdfLinks to an external site.

9. What is free and informed consent from the Catholic perspective?

10. Define Proxi, Surrogate

11. Explain:

· Advance Directives

· Living Will

· PoA / Durable PoA

· DNR

12. Read and summarize ERD paragraphs #: 24, 25, 26, 27, 28, 55, 59, 61, 62