To Prepare:

· Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

· Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

· Identify and select 4 peer-reviewed research articles from your research.

· For information about annotated bibliographies, visit 

https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

· Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

· Include an introduction explaining the purpose of the paper.

· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

· In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

· Use APA format and include a title page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.

 Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:

C.Z. is a 20-year-old Caucasian male who is in his second year of college. He is seeking treatment due to persistent fears that campus security and the local police are tracking and surveilling him. He cites occasional lags in his internet speed as evidence that surveillance devices are interfering with his electronics. His intense anxiety about this has begun getting in the way of his ability to complete schoolwork, and his friends are concerned – he says they have told him, “you’re not making sense.”

C.Z. occasionally laughs abruptly and inappropriately and sometimes stops speaking mid-sentence, looking off in the distance as though he sees or hears something. He expresses concern about electronics in the room (phone, computer) potentially being monitored and asks repeatedly about patient confidentiality, stating that he wants to be sure the police won’t be informed about his treatment. His beliefs are fixed, and if they are challenged, his tone becomes hostile.

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

1. Discuss the etiology, course, and the structural/functional abnormalities of schizophrenia. 
2. Discuss the evidence-based pharmacological and nonpharmacological treatment for this patient using the US Clinical Guidelines.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
• All replies must be constructive and use literature where possible.
• Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
• Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
• You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Please respond to each discussion post with 4 to 5 sentences with apa references for each 

This discussion forum will focus on the first step in program planning: assembling the change team.

1,Review the Process of Program Planning document posted in the Week 1 module. The objective of step 1 in the program planning process is to assemble a team of leaders, staff members and possibly healthcare consumers with the authority, expertise, credibility and motivation necessary to drive a successful change program.

2.Consider your workplace, or the workplace where you will complete your capstone project. Answer the following questions in your initial post:

a. Provide a brief description of the workplace, at the level where change will be instituted (ie. unit versus hospital)

b. Which individuals would you want on a team to investigate the need for change? It is not necessary to name individuals, but rather to list their job titles. What is your rationale for selecting these individuals? Do they fulfill any of the following team roles?

–Executive Sponsor –a senior leader with enough clout to implement new approaches

–Clinical or Technical Support-has expert knowledge of the relevant clinical subject matter or of the technology used

–Champion– Staff who are supportive of a change, and willing to mentor others to make change happen

–Front-line leader– Understands the impacts of making changes on processes used in the delivery of nursing and healthcare

c. Discuss the use of interdisciplinary change teams. Are they more or less impactful than those of one discipline? Please provide a rationale explaining your answer.

In addition to your original post, be sure to provide a meaningful response to at least two of your peer’s posts. The discussion closure for each week’s discussion topic is Sunday night at 11:59pm Mountain Time. (It is the expectation of this course that each student respond to any questions asked of them in the discussion forum by Sunday at 11:59pm Mountain Time.). cite all resources per APA