Assignment: Practicum Journal: Voluntary and Involuntary Commitment

PMHNPs may find themselves working in a wide variety of settings—each having their own unique challenges and inherent legal issues. For instance, what do you do in your state of practice when you are providing a therapy/treatment session and a client reports active suicidal ideation? What do you do if you are covering inpatient psychiatric consults and are called to see a patient in the ICU who overdosed on prescription medication requiring intubation? What do you do if you are a PMHNP on an inpatient unit and a client who admitted themselves on a voluntary basis suddenly states that they have decided to sign themselves out of the hospital so that they can go home to kill themselves? These are just some of the legal questions that PMHNPs must know the answers to specific to their state of licensure/practice.

In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment. You also analyze a case to determine if the client is eligible for involuntary commitment.

Scenario for Week 7 Case:

You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?

Learning Objectives

Students will:

• Evaluate clients      for voluntary commitment
• Evaluate clients      for involuntary commitment based on state laws
• Recommend      actions for supporting parents of clients not eligible for involuntary      commitment
• Recommend      actions for treating clients not eligible for involuntary commitment

To Prepare for this Practicum:

• Review the      Learning Resources concerning voluntary and involuntary commitment.
• Read the Week 7      Scenario in your Learning Resources.
• Research your      state’s laws concerning voluntary and involuntary commitment.

The Assignment (2–3 pages):

• Based on the      scenario, would you recommend that the client be voluntarily committed?      Why or why not?
• Based on the      laws in your state, would the client be eligible for involuntary      commitment? Explain why or why not.
• Did      understanding the state laws confirm or challenge your initial      recommendation regarding involuntarily committing the client? Explain.
• If the client      were not eligible for involuntary commitment, explain what actions you may      be able to take to support the parents for or against voluntary      commitment.
• If the client      were not eligible for involuntary commitment, explain what initial actions      you may be able to take to begin treating the client.

 Required Readings ( need 3 references).

Kaltiala-Heino, R. (2010). Involuntary commitment and detainment in adolescent psychiatric inpatient care. Social Psychiatry Epidemiology, 45(8), 785-793. doi: 10.1007/s00127-009-0116-3.

Lindsey, M. A., Joe, S., Muroff, J., & Ford, B. E. (2010). Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth. General Hospital Psychiatry, 32(3), 300-309. doi:10.1016/j.genhosppsych.2010.01.007

McGavey, E. L., Leon-Verdin, M., Wancheck, T. N., & Bonnie, R. J. (2013). Decisions to initiate involuntary commitment: The role of intensive community services and other factors. Psychiatric Services, 64(2), 120-126.

Read chapters 22 and 23 of the class textbook and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions.
 

1. Trace the history school health practice.
2. Mention and explain school health scope of services
3. Explain and differentiate faith community nursing from community health nursing.
4. Mention and discuss various models of faith in the community

APA style (in text citations and references)

Plagiarism FREE

A minimum of 3 evidence-based references no older than 5 years must be used.

Discussion 1: Leadership Theories in Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

• Review the Resources and examine the leadership theories and behaviors introduced.
• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.

By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

Learning Resources

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 1, “Expert Clinician to Transformational Leader in a Complex Health Care Organization: Foundations” (pp. 7–20 ONLY)
Chapter 6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)
Chapter 7, “Becoming a Leader: It’s All About You” (pp. 171–194)

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence-based practices: Lessons from the field in six local health departments across the United States. BMC Health Services Research, 15(1). doi:10.1186/s12913-015-0891-3. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

4 discussion 

1 Analysis paper 

Module 4 – Case

INTERNATIONAL AND COMPARATIVE HEALTH POLICY:
OPPORTUNITIES AND LESSONS FOR THE UNITED STATES

Assignment Overview

Countries around the world take different approaches to addressing health and health care for their citizens. While developing countries have much different needs than industrialized countries, comparing nations that fall into like categories can provide valuable insight into how to improve health care for a populace. Policy analysts at the Commonwealth Fund found that the United States did not perform well compared to similar countries as reported in their study, Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. Five domains were examined in their study: care process, access, administrative efficiency, equity, and health care outcomes.

Case Assignment

After reviewing the background materials and conducting your own research, examine each of these domains. Discuss what they are and how the United States performed. Provide an analysis of what can be learned from other countries to improve the United States’ performance. Be sure that you are citing more than just the Commonwealth Fund report in supporting your analysis.

Assignment Expectations

1. Conduct additional research to gather sufficient information to justify/support your analysis.
2. Limit your response to a maximum of 5 pages.
3. Support your paper with a minimum of 3 reliable sources.
4. Please use the following resource for evaluating information found on the internet: https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
5. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.Module 4 – Case

INTERNATIONAL AND COMPARATIVE HEALTH POLICY:
OPPORTUNITIES AND LESSONS FOR THE UNITED STATES

Assignment Overview

Countries around the world take different approaches to addressing health and health care for their citizens. While developing countries have much different needs than industrialized countries, comparing nations that fall into like categories can provide valuable insight into how to improve health care for a populace. Policy analysts at the Commonwealth Fund found that the United States did not perform well compared to similar countries as reported in their study, Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. Five domains were examined in their study: care process, access, administrative efficiency, equity, and health care outcomes.

Case Assignment

After reviewing the background materials and conducting your own research, examine each of these domains. Discuss what they are and how the United States performed. Provide an analysis of what can be learned from other countries to improve the United States’ performance. Be sure that you are citing more than just the Commonwealth Fund report in supporting your analysis.

Assignment Expectations

1. Conduct additional research to gather sufficient information to justify/support your analysis.
2. Limit your response to a maximum of 5 pages.
3. Support your paper with a minimum of 3 reliable sources.
4. Please use the following resource for evaluating information found on the internet: https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
5. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.

 Bell hooks (nee Gloria Jean Watkins) is a professor and social activist who has written about feminism and popular culture.  For this assignment, you will watch bell hooks’ views on Cultural Criticism and Transformation in the video (https://youtu.be/zQUuHFKP-9s) and read the accompanying extended transcript.

 Your essay should include some discussion of the following questions:

1. Do you agree or disagree with hooks’ views?  Support your position.
2. Does mass media promote images of equality by leveling racial, ethnic, and gender differences or do they promote inequality through exclusion and exaggeration of difference?
3. Does mass media reinforce the viewpoints of white, male, corporate culture or does mass allow for the authentic expression of racial, ethnic, and sexual identity?  Give examples to support your position

Specifications: 

Submit an 800-1000 word essay addressing the questions above. 

In your essay:

• Be sure to structure your essay with an introduction paragraph that includes a thesis statement, well-organized supporting paragraphs, and a conclusion that reiterates the main points of your argument. 
• Your argument should be supported by reputable research cited in APA format both in the body of the paper and in your references section.

Instructions:

Read the evidence representing the three forms of nursing inquiry (QI, research, and EBP) on provided articles (attached). selected problem/ articles: (Improving the control of blood sugar in diabetic patients). Analyze the aim, methods used, and outcomes sought for each type of inquiry. Determine how teamwork and critical thinking processes were implemented. Create a PowerPoint presentation using Microsoft PowerPoint. 

Material provided (attached): three articles related to Diabetes using QI, research, and EBP approach: 

– American Diabetes Association. (2018). Diabetes Care in the Hospital: Standards of Medical Care in Diabetes-2019. doi: 10.2337/dc19-S015 Link (Links to an external site.)

– Russell, N.M., Vess, J., Durham, C., & Johnson, E. (2017). Text-messaging to support diabetes self-management in a rural health clinic: A Quality Improvement project. Online Journal of Nursing Informatics, 21(2). Link (Links to an external site.)

– Whitehead, L.C., Crowe, M.T., Carter, J.D., Maskill, V.R., Caryle, D., Bugge, C., & Frampton, C.M.A. (2017). A nurse-led education and cognitive behavior therapy-based intervention among adults with uncontrolled type 2 diabetes: A randomized controlled trial. Journal of Evaluation in Clinical Practice, 23(4). 821-829. doi: 10.1111/jep.12725 Link (Links to an external site.)

Purpose: The purpose of this assignment is to analyze the differences and similarities between the three forms of nursing inquiry: quality improvement (QI), research, and evidence-based practice (EBP). This assignment will allow for a discovery into the aim, methods and outcomes associated with each type of inquiry, including how these forms of inquiry are distinct yet similar in addressing a nursing practice problem. Formulation of a PowerPoint presentation which is inclusive of comprehensive speaker notes that supports professional formation, communication, and dissemination skills relevant to the DNP practice scholar. 

Include the following sections addressing the three forms of nursing inquiry (detailed criteria listed below and in the Grading Rubric).

– Introduction (1-2 slides)

– Describes purpose of the presentation

– Identifies selected nursing problem

– Includes significance and scope of the practice problem (including citation)

– Differentiation of the three forms of nursing inquiry (2-4 slides)

– Compares and contrasts QI, research, and EBP as forms of nursing inquiry

– Discusses the impact of each form of inquiry on nursing practice

– Describes how the DNP practice scholar applies each form of inquiry

– Analyses of the evidence representing the three forms of nursing inquiry (5-7 slides)

–  Identifies selected evidence representing the three forms of nursing inquiry (including citations)

– Compares and contrasts the aims of the selected evidence in addressing the practice problem

– Compares and contrasts the methods used in the selected evidence

– Examines the impact of teamwork, when used, in the selected evidence

– Compares outcomes in the selected evidence

– Conclusion (2-3 slides)

– Includes an evaluation of the impact of the three forms of evidence on the selected nursing practice problem /

– Includes a summative statement of the impact of the forms of inquiry on nursing

– Includes a summative statement of the impact of the forms of inquiry on the role of the DNP practice scholar

– References (1-2 slides). Includes all references cited in the presentation. Can be the three provided for analysis (attached material) and at least another to address the differences between quality improvement (QI), research, and evidence-based practice (EBP). 

PowerPoint Requirements:

– Includes 10-18 PowerPoint slides

– Maintains the 6 x 6 rule for a professional PowerPoint presentation: (no more than 6 lines per slide, 6 words per line).

–  Include speaker notes that support professional formation, communication, and dissemination skills.

– Grammar and mechanics are free of errors 

– Uses appropriate APA format (6th ed.) and is free of errors

Please see attached instructions.

Thank you

Complete sentences

apa style

Due Saturday

follow directions

Please use nursing theory from Madeleine M. Leininger: Transcultural Care Theory of Diversity and Universality 

(I have attached my textbook, chapter 22) to create a brochure. APA format. 

Nursing Theory Application Brochure 

Please   select a nursing theory that has resonated with you. Design a brochure that nursing   administration could use to introduce this theory to their nursing staff,   faculty or patients within their nursing clinical unit, education or research   environment.

In a simple   and concise manner, describe the selected theory and how it could be useful   and relevant to your chosen nursing environment. Please pay close attention to ensure that   you attend to the following criteria:

1. Briefly describe the nursing environment that   you wish to support (1 pt)

2. Describe the nursing theory/model that you   plan to introduce (2 pts)

3. What are the strengths of that nursing   theory? Why is it useful and relevant to that particular nursing unit, educational or research   environment? 

4. Use the six QSEN Competencies to explain how your   chosen theory can be applied 

a. Patient-centered care

b. Teamwork and collaboration

c. Evidenced-based practice (EBP)

d. Quality Improvements (QI)

e. Safety

f. Informatics

5. Select any two concerns below 

Design a professional brochure that expresses   clearly how your chosen theory could be applied to improve quality of any two   of the following areas:

a. Patient care 

b. Nursing education

c. Nursing research 

d. Health disparities 

6. Creativity: clarity and conciseness of the   brochure 

Please provide a complete and concise   description of each of the areas being asked for. Vague write ups   will not be assigned points.