Case Study:

https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6630/DT/week_05/index.html

Examine
 Case Study: A Middle-Aged Caucasian Man With Anxiety. 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.

References:

· Stahl, S. M. (2021). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.

· Chapter 8,  “Anxiety, Trauma, and Treatment” (pp. 359-378)

· American Psychiatric Association. (2010a). 

Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder
Links to an external site.
. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/acutestressdisorderptsd.pdf

· American Psychiatric Association. (2010c). 

Practice guideline for the treatment of patients with panic disorder
Links to an external site.
 (2nd ed.). https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/panicdisorder.pdf

 

After studying Module 6: Lecture Materials & Resources, discuss the following:

Hyde Pfiefer, a retired 70-year-old German American, has lived in the United States for the last 50 years. A widower of 5 years, Mr. Pfiefer prepares his own meals following his wife’s recipes from the old country. Nine months ago, Mr. Pfiefer was told that his cholesterol is elevated, and he was instructed about a low-fat diet. His most recent test results show his values to be unchanged.

1. Discuss the meaning of food in the German culture.
2. Using the predominant health beliefs of people of German ancestry, how might you help Mr. Pfiefer reduce his cholesterol level?

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.
• You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

Discuss how your research inquiry relates to evidence-based practice. What practice improvement outcomes do you expect your inquiry to accomplish? How do you intend to evaluate your capstone project?

Expectations

Initial Post:

• Due: Thursday, 11:59 pm PT
• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

Peer Responses:

2

The use of technology in nursing education

Ivet Infante Hidalgo

Florida National university

Adult Health Nursing I-FSD_GR01

Yaimara Diaz Alameda

06/18/23

The use of technology in nursing education

Literature Review

Nursing education is vital in preparing future healthcare professionals to provide high-quality care. With the rapid advancements in technology, nursing programs have recognized potential of integrating digital tools into curricula to enhance teaching and learning experiences. Nursing programs now employ simulation equipment, virtual reality systems, and e-learning platforms for interactive modules and assessments. Virtual simulations provide hands-on practice in a safe environment, while online platforms offer access to educational resources and facilitate collaborative learning (Altmiller & Pepe, 2022). Mobile apps and wearable devices enable real-time patient monitoring and data collection. Teleconferencing and videoconferencing support remote teaching and mentoring. Electronic health records are also used to familiarize students with documentation systems. The technologies contribute to comprehensive nursing education, promoting practical experience, theoretical understanding, and adaptability in healthcare. The increased integration of technology in nursing programs has raised studies to assess its impact on nursing education.

Technology has been found to facilitate collaborative learning among nursing students, promoting teamwork, communication, and interprofessional collaboration. Männistö et al. (2019) conducted systematic review intended to evaluate the efficiency of educational interventions in digital collaborative learning within the nursing curriculum. The review followed rigorous guidelines and entailed published RCTs between 2003 and 2018. The researchers searched multiple databases for relevant studies and independently evaluated their quality using established criteria. Total of five RCTs involving 647 nursing students were included in the review. The findings consistently established favorable influence of digital collaborative learning on students' knowledge and nursing abilities. Using collaborative education in digital settings facilitated interaction and collaboration among nursing students. It improves their capacity to solve problems, satisfaction, and desire to learn.

Männistö et al. (2019) review concludes that digital collaborative learning holds great potential for enhancing nursing students' competence, knowledge, and satisfaction. Online discussion boards, video conferencing, and shared virtual spaces allow students to connect with peers, exchange ideas, and engage in collaborative problem-solving activities. As digital tools and teachers' proficiency in utilizing them continue to improve, evidence suggests that effectiveness of collaborative learning in digital contexts is rising in nursing education. The authors recommend systematically incorporating digital collaborative learning across various nursing courses, highlighting its ability to enhance learning results for students in higher education.

Integrating technology in nursing education supports the development of critical thinking skills. Singh and Masango (2020) investigate student nurses' perspectives on using information technology (IT) in nursing education. It aimed to identify their challenges regarding IT use and recommend strategies for improving IT utilization in nursing education. Singh and Masango chose quantitative non-experimental descriptive research design. The study was conducted at a private nursing education institution in Kwa-Zulu Natal, South Africa. The sample consisted of 244 student nurses who completed self-administered structured questionnaire. Most respondents were young adults familiar with IT and belonged to Millennial or Net Generation. However, despite their familiarity with IT, most did not possess formal IT qualifications or receive IT training before entering the nursing programs. The respondents reported frequent use of IT for communication, internet searches, and academic purposes, but they showed varying levels of competence in different IT skills.

The study found that information technology (IT) in nursing education provides opportunities for students to engage in interactive learning experiences, access wealth of information resources, and participate in collaborative activities. Students engage in problem-solving exercises, analyze complex scenarios, and develop critical thinking abilities. Student nurses reported frequent IT use for internet searches, communication, and academic purposes. Engaging in the activities requires students to evaluate and analyze information contributes to development of critical thinking skills. Simulation devices and interactive video conferencing enabling students to practice clinical judgment in a secure setting, enhancing critical thinking abilities. Singh and Masango (2020) also revealed that student nurses perceived technology as valuable tool for accessing medical videos, medical applications, and medical databases. Students interact with online case studies, virtual patient scenarios, and mobile applications. The resources facilitate independent learning allowing students to explore different perspectives, analyze complex healthcare situations, evaluate evidence, and make informed decisions.

Technology improves clinical competency in nursing education. Hack-Polay et al. (2022) investigated technology role in enhancing nursing education and promoting resilience among nursing students. It utilized mixed-method approach collecting 54 nursing students data and 20 health professionals in Australia and United Kingdom. The findings indicate improvement in nursing students' confidence in mental health nursing practice after clinical experience in mental health settings. Hands-on exposure to technology and its integration into healthcare practices enhanced students' abilities to handle complex situations and effectively communicate with patients. Virtual simulations and augmented reality tools offer safe and controlled environment to practice clinical skills. Qualitative interviews with health professionals also reveal that exposure to emerging technologies helps nurses develop modern capabilities. The study emphasizes that technology upskills nurses for contemporary healthcare settings. The findings suggest that AI, digital technology, and health-related engineering equipment foster faster responses, improved accuracy, and enhanced quality of care. It reduces professional stress by critically aiding and providing support in diagnosis and patient. Technologies facilitate repeated practice, feedback, and self-assessment, increasing clinical competency and confidence in real-life patient care settings.

Conclusion

Technology integration in nursing education has revolutionized future healthcare professionals' teaching and learning experiences. Digital tools like simulation equipment, virtual reality systems, e-learning platforms, mobile apps, and wearable devices enhance nursing education. Collaborative learning in digital environments effectively promotes teamwork, communication, problem-solving abilities, and motivation for learning. Information technology facilitates interactive learning experiences, critical thinking development, and access to information resources. Technology improves clinical competency through hands-on practice, enhances communication skills, and prepares nurses for modern healthcare settings.

References

Altmiller, G., & Pepe, L. H. (2022). Influence of technology in supporting quality and safety in nursing education.
Nursing Clinics of North America,
57(4), 551–562. https://doi.org/10.1016/j.cnur.2022.06.005

Hack-Polay, D., Mahmoud, A. B., Ikafa, I., Rahman, M., Kordowicz, M., & Verde, J. M. (2022). Steering resilience in nursing practice: Examining the impact of digital innovations and enhanced emotional training on nurse competencies.
Technovation,
120, 102549. https://doi.org/10.1016/j.technovation.2022.102549

Männistö, M., Mikkonen, K., Kuivila, H., Virtanen, M., Kyngäs, H., & Kääriäinen, M. (2019). Digital collaborative learning in nursing education: a systematic review.
Scandinavian Journal of Caring Sciences,
34(2), 280–292. https://doi.org/10.1111/scs.12743

Singh, F., & Masango, T. (2020). Information technology in nursing education: Perspectives of student nurses.
The Open Nursing Journal,
14(1), 18–28. https://doi.org/10.2174/1874434602014010018

Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .

Theresa Dinard

     Here, in the state of Florida, one of the main barriers was the clause that nurse practitioners must work on the sponsorship of a physician or within close proximity of a physician. That has been relaxed by legislation that says only nurse can work in most sectors of healthcare, without oversight of a physician, this allows APRNs autonomy in a medspa, primary care clinics and/or even telemedicine when working independently and as an entrepreneur.

    Since June of 2020, Florida operates under “Full practice”policy, which allows nurses that have proof of at least 3000 clinical hours of experience and graduate level pharmacology and differential diagnosis courses, the privilege to operate autonomously in primary care, med spas and even telemedicine under this regulation. This is considered to be the gold standard as APRNs are now able to register as an Autonomous Advanced Practice Registered Nurse and practice to the full extent of their role (Fla. BON, 2023) 

     With just just three short years ago, APRNs had to work under the supervision or sponsorship of a physician that was either either working in the practice or had a vested interest in a clinic where the APRN is practicing. Some states may also hold a prescriptive regulation or the APRN whereas they can only order certain schedules and medications. In some instances there may be pushback from physicians who do not co-sign the concept of nurse practitioners and or having the privileges that they are allowed believing that they are not trained like physicians. In some communities nurse practitioners may not be a choice of patients to be examined by and may just prefer their doctor instead.

     For midwives in Florida, some of the barriers include the need to have a supervisory agreement with a Florida licensed physician for post graduate supervisory hours A lack of recognition as primary care providers on Medicaid and Medicare and private insurance company provider panels and other restrictions. (Hastings, et al, 2018)

     CRNAs have barriers such a lack of fair reimbursement by third-party, payers,  stating that they are not trained on the same skill level as physicians and failure of some of the other surgical groups or colleagues to recognize CRNAs as board certified to administer anesthesia. (Toney, 2023)

     Rep. Cary Pigman (R-Sebring) and Sen. Jeff Brandes (R-St. Petersburg) joined members of the interest groups for APRNs the Florida Association of Nurse Anesthetists (https://www.fana.org/)and the Florida Nurse Practitioner Network (https://fnpn.enpnetwork.com/) in making new legislation that forwards, the causes nurse practitioners and pushes for more independence for them as well.

References 

Toney-Butler TJ, Martin RL. Florida Nurse Practice Act Laws and Rules. [Updated 2023 Jan 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 

Hastings-Tolsma M, Foster SW, Brucker MC, Nodine P, Burpo R, Camune B, Griggs J, Callahan TJ. Nature and scope of certified nurse-midwifery practice: A workforce study. J Clin Nurs. 2018 Nov;27(21-22):4000-4017. doi: 10.1111/jocn.14489. Epub 2018 Jun 20. PMID: 29679403; PMCID: PMC7992184.