Original Work, No Plagiarism, Cite and Reference
In a brief response (no more than 1-2 paragraphs), describe why research collaborations are important and provide an example of how collaborative research impacts responsible conduct of research. You may include an example from something you have experienced in an academic, professional or organizational setting, or an example from the readings.
EMERGING AND RE-EMERGING DISEASES FACT SHEET
Sir Francis Bacon said, “Knowledge is power.” This is most definitely true when it comes to diseases and how to prevent and treat them. As a nurse, you are charged with teaching patients how to prevent infectious diseases and what to do if they become infected. A powerful tool in your arsenal is the Fact Sheet. Usually comprised of one page of easy-to-read content, these leaflets can be distributed easily and can effectively inform your practice.
To prepare for this Assignment:
· Select one disease that is either emerging or re-emerging in the world today.
· Research the disease using both scholarly and non-scholarly resources.
· Determine your audience (patients, other nurses, schools, etc.) that you would want to share the Fact Sheet with.
· Select pieces of information that are appropriate for your audience.
Assignment Instructions:
Disease: Meningococcal Disease
Audience: General Public and Healthcare Professionals in Behavioral Health Settings
· Submit: A 1- to 2-page Fact Sheet.
· Indicate the audience on the Fact Sheet.
· Give a brief history of the disease.
· What are the implications of the spread of the disease?
· How does one detect and prevent the spread of this disease?
· How is this disease treated?
· Your Fact Sheet should be visually stimulating, appropriate for your audience, and formatted with bullet points for easy reading.
· Support your “facts” with at least 3 references.
To Prepare:
Then Post a discussion post of at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified. please provide at least 3 references
The resources:
1. Introduction
2. Doctor of Nursing Practice Philosophy and Social Justice Advocacy
NO AI APPLICATIONS
INSTRUCTIONS
Write a paper in APA Style that discusses each of the AACN Essentials and describe how you met each essential. Incorporate evidence from your previous Nursing Evolution assignments, as well as detailed examples from your didactic, skills lab, and clinical rotations.
For each essential include the following:
· A brief summary explanation of the essential that is cited with at least one scholarly source
· At least one example of how you met the essential during your nursing program
·
Paragraph #1: Provides a summary explanation of the essential. Be sure to reference at least one scholarly source such as the AACN
·
Paragraph #2: Provides specific examples demonstrating how you met each AACN
Essential during your nursing program by providing specific examples from clinical rotations, theory courses, skills lab, etc.
PAPER OUTLINE
· Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice
First Paragraph for each Essential: The student provides an accurate and concise summary
paragraph for each Essential. All summary descriptions expertly identify key aspects of each essential. Every
essential is supported with at least one scholarly source. You need to cite your source(s) like the ACCN
Essentials pdf that was provided.
Second Paragraph for each Essential: At least one detailed and explicit example of how the
student met each essential during the nursing program is provided for all nine Essentials. The student expertly
synthesizes and incorporates significant feedback, concepts, and ideas from the week's discussion into the
assignment. It is evident that the student has thoroughly reflected upon and met the nine essentials.
Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient
Safety
Essential III: Scholarship for Evidence Based Practice
Essential IV: Information Management and Application of Patient Care Technology
Essential V: Healthcare Policy, Finance, and Regulatory Environments
Essential VI: Interprofessional Communication and Collaboration for Improving Patient
Health Outcomes
Essential VII: Clinical Prevention and Population health
Essential VIII: Professionalism and Professional Values
Essential IX: Baccalaureate Generalist Nursing Practice
· AACN ESSENTIALS SUMMARY PAPER 3
·
APA format at least one reference
Question
You are asked to review and discuss changes that occurred to the ACA in 2014. There were several impactful changes, tell me how you think these changes will improve or damage the act overall.
Delegation Guidelines
Discussion Topic
Top of Form
Activity Time:
2 hours; Additional Time for Study, Research, and Reflection: 1 hour
Directions:
After viewing the video, “Delegation” and reading in your textbook, post your answers to the following questions.
1. Briefly explain the Rights of Delegation and the potential error(s) that can occur with each when delegating a task.
2. Discuss how these delegation errors be prevented?
Please make your initial post by midweek, and respond to at least two other student's post by the end of the week.
Bottom of Form
CamScanner
Throughout this course you have focused on practice problems to address in applying nursing and interdisciplinary theories, and in the application of evidence-based practice for quality improvement. This week you begin exploring the components of evidence-based practice by framing a practice problem as a critical question. You will begin a search of the literature for evidence to answer the question and inform a practice change for quality improvement.
Respond to two of your colleagues by suggesting a different way of framing their critical question. Cite sources to support your posts and recommend to colleagues.
PEER #1
Week 7 Discussion Main Post
A Critical Question with Measurable Outcomes
Question: Will adding pharmacological interventions to nonpharmacological treatments improve post-traumatic stress disorders in adults?
Article Selection
A total of six articles were discovered and appraised using the “Adapted Rating System for the Hierarchy of Evidence” (Dang & Dearholt, 2017; Fineout-Overholt et al., 2010). The type of article and information that supported the purpose statement were used in the selection process.
Critical Question Explanation
Post-traumatic stress disorder (PTSD) has long been associated with military members
exposed to combat. Before PTSD was coined, Charles Myers used shell “shock” to describe injured soldiers during World War I (Horwitz, 2018). According to Friedman (2019), PTSD is defined as direct or indirect exposure to a traumatic event where a person is severely traumatized based on that event. According to the National Center for PTSD (2021), 60% of men and 50% of women will experience at least one traumatic event in their lives, 6% of the population will have PTSD at some point in their lives, and about 15 million adults have PTSD during a given year. For most individuals, psychotherapy is a sufficient treatment for PTSD, but not for others. Could pharmacological interventions assist individuals where psychotherapy alone does not work?
Article Synthesis
For some individuals, psychotherapy alone does not work. Similarly, pharmacological use alone can be ineffective (Raskind et al., 2018; Rasmusson et al., 2017). However, combining SSRIs or other medications with CBT or other therapies may reduce PTSD symptoms in some individuals (Mithoefer et al., 2019; Wagner et al., 2017). Mithoefer et al. (2019) found that MDMA- assisted psychotherapy effectively treated PTSD. According to Wagner et al. (2017), MDMA increases oxytocin, facilitates openness, and enhances the therapy's effectiveness. In the prolonged exposure and sertraline trial conducted by Rauch et al. (2020), PTSD subjects were given strict instructions on collecting their saliva for testing. They made a ground-breaking discovery about cortisol, finding that cortisol levels were lower in individuals with PTSD than those without PTSD (Rauch et al., 2020). Not only was this discovery made, but following the combination treatment of sertraline and prolonged exposure, significant improvements were noted for one year (Rauch et al., 2019). While combining psychotherapy with some drugs improved PTSD symptoms, others did not.
References
Dang, D., & Dearholt, S. (2017).
Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Sigma Theta Tau International.
Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B. & Williamson, K. M. (2010). Critical
appraisal of the evidence: Part I.
American Journal of Nursing, 110(7), 47-52.
https://doi.org/10.1097/01.NAJ.0000366056.06605.d2Links to an external site.
Friedman, M. J. (2019, October 14).
PTSD History and Overview. U.S. Department of Veterans Affairs.
https://www.ptsd.va.gov/professional/treat/essentials/history_ptsd.aspLinks to an external site.
Horwitz, A. (2018).
PTSD: A short history. Johns Hopkins University Press
Mithoefer, M. C., Feduccia, A. A., Jerome, L., Mithoefer, A., Wagner, M., Walsh, Z., Hamilton, S., Yaza-Klosinski, B., Emerson, A., & Doblin, R. (2019). MDMA-assisted psychotherapy for treatment of PTSD: Study design and rationale for phase 3 trials based on pooled analysis of six phase 2 randomized controlled trials.
Psychopharmacology, 236(9), 2735-2745.
https://doi.org/10.1007/s00213-019-05249-5Links to an external site.
PTSD: National Center for PTSD. (2021, September 10).
How common is PTSD in adults? U.S. Department of Veterans Affairs.
https://www.ptsd.va.gov/understand/common/common_adults.aspLinks to an external site.
Raskind, M. A., Peskind, E. R., Chow, BB., Harris, C., Davis-Karim, A., Holmes, H. A., Hart, K. L., McFall, M., Mellman, T. A., Reist, C., Romesser, J., Rosenheck, R., Shih, M. C., Stein, M. B., Swift, R., Gleason, T., Lu, Y., & Huang, G. D. (2018). Trial of prazosin for post-traumatic stress disorder in military veterans.
The New England Journal of Medicine, 378(6), 507-517.
https://doi.org/10.1056/NEJMoa1507598Links to an external site.
Rasmusson, A. M., Marx, C. E., Jain, S., Farfel, G. M., Tsai, J., Sun, X., Geracioti, T. D., Hamner, M. B., Lohr, J., Rosse, R., Summerall, L., Naylor, J. C., Cusin, C., Lang, A. J., Raman, R., & Stein, M. B. (2017). A randomized controlled trial of ganaxolone in post-traumatic stress disorder
. Psychopharmacology, 234(15), 2245-2257.
https://doi.org/10.1007/s00213-017-4649-yLinks to an external site.
Rauch, S. A. M., Kim, M., Powell, C., Tuerk, P. W., Simon, N. M., Acern, R., Allard, C. B., Norman, S. B., Venners, M. R., Rothbaum, B. O., Stein M. B., Porter, K., Martis, B., King, A. P., Liberzon, I., Luan Phan, K., & Hoge, C. W. (2019). Efficacy of prolonged exposure therapy, sertraline hydrochloride, and their combination among combat veterans with post-traumatic stress disorder.
JAMA Psychiatry, 76(2), 117-126.
https://doi.org/10.1001/jamapsychiatry.2018.3412Links to an external site.
Rauch, S. A. M., King, A., Kim, H. M., Powell, C., Rajaram, N., Venners, M., Simon, N. M., Hamner, M., & Liberzon, I. (2020). Cortisol awakening response in PTSD treatment: Predictor or mechanism of change.
Psychoneuroendocrinology, 118, 1-16.
https://doi.org/10.1016/j.psyneuen.2020.104714Links to an external site.
Wagner, M. T., Mithoefer, M. C., Mithoefer, A. T., MacAulay, R. K., Jerome, L., Yazar- Klosinski, B., & Doblin, R. (2017). Therapeutic effect of increased openness: Investigating mechanism of action in MDMA-assisted psychotherapy.
Journal of Psychopharmacology, 31(8), 967-974.
https://doi.org/10.1177%2F0269881117711712Links to an external site.
Critical Question: Nursing burnout and its impact on nurses and patient care.
Nursing burnout is a state of emotional, physical, and mental exhaustion resulting from prolonged and intense stress in the nursing profession. It significantly impacts nurses by causing increased job dissatisfaction, higher turnover rates, and adverse mental and physical health effects (Mudallal et al., 2017). Moreover, burnout has a direct and detrimental impact on patient care, leading to decreased quality, increased medical errors, and reduced patient satisfaction due to compromised nurse-patient interactions and reduced attention to detail (Garcia et al., 2019). Addressing nursing burnout is crucial for maintaining a resilient nursing workforce and ensuring high-quality patient care outcomes.
Synthesis of Scholarly Articles
1. Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis
This study comprehensively analyzed existing research and found compelling evidence that burnout among healthcare professionals significantly impairs patient safety. The meta-analysis synthesized data from multiple studies, revealing a strong association between burnout and increased risks of medical errors, compromised quality of care, and adverse patient outcomes, highlighting the critical importance of addressing burnout as a crucial factor in ensuring patient safety in healthcare settings (Garcia et al., 2019).
2. Relationship between nurse burnout, patient and organizational outcomes: Systematic review
This study examined a broad range of studies and revealed a clear and intricate relationship between nurse burnout, patient outcomes, and organizational effects. It found that higher levels of nurse burnout are consistently linked to adverse patient outcomes such as increased mortality rates, longer hospital stays, and decreased patient satisfaction. Additionally, burnout has detrimental organizational consequences, including higher nurse turnover and lower overall workplace performance. This study underscores the interconnectedness of nurse well-being, patient care quality, and organizational success, emphasizing the urgency of addressing burnout to improve healthcare outcomes and workplace environments (Jun et al., 2021).
3. Nurse Burnout and Quality of Care: Cross-National Investigation in Six Countries
This study conducted a comprehensive cross-national analysis and identified a consistent and alarming pattern: nurse burnout substantially negatively impacts the quality of patient care across different healthcare systems and countries. The study's findings highlighted that high levels of nurse burnout were associated with lower perceptions of care quality among both nurses themselves and patients. This suggests that addressing nurse burnout is imperative not only for the well-being of healthcare professionals but also for maintaining and improving the quality of care delivered in diverse healthcare settings globally (Poghosyan et al., 2021).
4. Association of resident fatigue and distress with perceived medical errors
This study demonstrates a significant correlation between resident physician fatigue and distress levels and the perception of medical errors. The research findings suggest that higher levels of resident fatigue and distress are associated with increased instances of perceived medical errors. This indicates that addressing the well-being and mental health of healthcare providers, including reducing fatigue and distress, can play a crucial role in improving patient safety and reducing the likelihood of medical errors in healthcare settings, emphasizing the need for interventions and policies aimed at mitigating these factors to enhance patient care quality. (West, 2019)
Value for Stakeholders
Addressing nursing burnout is a moral imperative and a strategic quality improvement initiative. The identified articles provide compelling evidence that nurse burnout directly impacts patient satisfaction, healthcare outcomes, and organizational effectiveness (Mudallal et al., 2017). By investing in interventions to reduce burnout, healthcare organizations can enhance patient care quality, increase staff retention, reduce medical errors, and ultimately improve their bottom line. Moreover, addressing nursing burnout aligns with the mission of healthcare organizations to deliver safe, effective, and patient-centered care, enhancing their reputation and competitiveness in the healthcare industry (Jun et al., 2021).
References
Garcia, C. de L., Abreu, L. C. de, Ramos, J. L. S., Castro, C. F. D. de, Smiderle, F. R. N., Santos, J. A. D., & Bezerra, I. M. P. (2019, August 30). Influence of burnout on Patient Safety: Systematic Review and meta-analysis. Medicina (Kaunas, Lithuania). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780563/
Jun, J., Ojemeni, M., Kalamani, R., Crecelius , M., & Tong , J. (2021, March 26). Relationship between Nurse Burnout, patient and organizational outcomes: Systematic review. International Journal of Nursing Studies. https://www.sciencedirect.com/science/article/abs/pii/S0020748921000742
Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017, January 1). Nurses’ burnout: The influence of leader empowering behaviors, work conditions, and demographic traits. Inquiry : a journal of medical care organization, provision and financing. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5798741/
Poghosyan, L., Clarke, S. P., Finlayson, M., & Aiken, L. H. (2021, August). Nurse Burnout and quality of care: Cross-national investigation in six countries. Research in nursing & health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908908/#:~:text=Across%20countries%2C%20higher%20levels%20of,quality%20of%20care%20in%20hospitals.
West, C. (2019, September 23). Association of resident fatigue and distress with perceived medical errors. JAMA. https://jamanetwork.com/journals/jama/article-abstract/184625
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