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USING THE TOPIC MEDICATION ERROR IN  A LONG TERM CARE FACILITY

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

• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)MY FACILITY IS A LONG TERM CARE FACILITY FOR OLDER PATIENTS ABOVE 65YEARS OLD.ISSUE INCLUDE POLY-PHARMACY AND LONGTERM USE OF MEDICATIONS.
• Describe the current problem or opportunity for change. 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.
• 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
  • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

The purpose of Reflection-in-Action is to reflect upon what one has learned or how one has performed as compared with one’s expectations or goals. This assignment will provide an opportunity for students to share their experiences, thoughts, feelings and learning moments from this course. 

Self understanding through reflection on life experiences, feelings, etc., is a core concept in Dr. Jean Watson’s Theory of Human Caring.  

The Reflection for this course must address at least three (3) of the following topics:

• Learning moments or activities from this course
• Thoughts on evidence-based practice
• Evidence supporting Jean Watson’s Theory of Human Caring
• Ethics in research
• Protecting human subjects in quality improvement or evidence-based practice projects
• Understanding or comfort level with statistics in nursing research and other research reports
• Perception of MSN graduates’ role in nursing research
• Creating and sustaining an Evidence-Based nursing environment
• Asking compelling, clinical questions
• Lessons learned while conducting evidence-based literature review

Expectaton

Length: 3 pages (excluding the title and reference pages).  Submissions not meeting the minimum and maximum page requirements will receive a grade of zero. 

• Format: Formal paper, APA 7th ed format for body of paper and all citations.  
• The purpose of Reflection-in-Action is to reflect upon what one has learned or how one has performed as compared with one’s expectations or goals. This assignment will provide an opportunity for students to share their experiences, thoughts, feelings and learning moments from this course. 
• The Reflection for this course must address at least three (3) of the following topics:
•  

Medication errors can lead to adverse drug events, which are associated with increased total hospitalization cost and length of stay (McCarthy, Tuiskula, Driscoll, & Davis, 2017), with an estimate of 44,000 Americans from medical errors (Hanifin, & Zielenski, 2020). Slight, Seger, Franz, Wong, & Bates (2018) estimated a national cost projection of $871 million to $1.8 billion to treat avoidable adverse drug events. Hanifin and Zielenski (2020) found that addressing the medication error problem with initiatives supported by an interdisciplinary team has resulted in a successful decrease in medication error rates.

At the clinic where I work, I would have the therapist, nurses, clinic manager, pharmacist, physician/advanced practice provider, and information technologists on my team. The nurses are responsible for making sure the medications are sent properly and the client understands  and  must be sure that the correct medication is dispense to the patient as ordered by the provider. The provider’s role is to order the correct medication as appropriate for each patient’s clinical condition. The pharmacist is available to consult if a provider is unsure of what to order, or if a nurse has questions about dose safety or how it is to be administered. The information technologist’s role is to provide medication entry/charting in the patient’s electronic medical record and relay the findings to the clinic manager. The nurse’s role is to review the IT-generated report for accuracy and report results to the practice.

Teamwork is best achieved through communication and understanding, as well as respecting each team member’s roles, responsibilities, and concerns (White, 2016). Each member of the team should come together initially to delineate his/her unique responsibilities. With the clarity of each other’s roles and responsibilities, members should hold one another accountable and collectively answer to the leader of the collaboration, which typically would be the nurse and the provider who holds responsibility for the safety initiative and tasking clinical staff to find evidence-based solutions to the problem.  My workplace has 5-minute, daily huddles that take place at 8 in the morning before our workday begins. Each huddle session summarizes issues from the previous workday and highlights essential events/patients for the same day and the day after. This huddle session would be a great way to follow-up on divided tasks outlined in the paragraph above.

White & Dang (2018) highlighted a critical barrier – time. Each member of the team will need uninterrupted time to think about and discuss the problem. Biweekly or weekly staff meetings, spanning 30-60 minutes, are ideal for each team member to have the opportunity to voice their concerns.  Also, the team leader should encourage everyone to voice their concerns publicly and privately for effective communication and collaboration. Above all, the team leader must encourage each team member to value one another’s professions, interests, concerns, and responsibilities (White & Dang, 2018).

I need a comment for this discussion board at least 2 paragraphs and use 2 sources no later than 5 years. 

 The case study demonstrates a role related and ethical conundrum when the nurse is taking care of an end stage aggressive lung cancer patient, Mr. Wilson, who expressed suicidal intentions to the nurse and asked to keep the secret from his family and the hospital staff. 

If the nurse knows of Mr. Wilsons’ plan for rational suicide, would the nurse be obligated to intervene? If so, what actions could the nurse take at this point? Does a nurse have the right to try to stop a person from committing rational suicide (to act in the best interest of the patient)? Is a nurse supposed to support the person’s autonomous decision to commit rational suicide? even when that decision is morally and religiously incompatible with the nurse’s perspective? What is the nurse’s role? 

The case study must be typed in APA format with a minimum of 750 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font. 

Literature Review Paper Due Week 7

• Select a recent Health Care Legislature (within 5 years)

• Literature review regarding issue (3 peer reviewed articles)

• Statistical data related to issue: population impacted, and health outcome of issue and legislature

• Nursing role in passing the legislature

• APA Format

• References within 5 years

• 5-Page Maximum

As an advanced registered nurse, you will serve as a leader within your organization. Part of this role will entail being a change agent, and spurring positive change on behalf of patients, colleagues, and the industry.

Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10-15-slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change.

1. Describe the background of the situation, including the rationale for and goal(s) of the change.
2. Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
3. Discuss an appropriate change theory or model that could be used to achieve results.
4. Outline how you would initiate the change.
5. Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.

Make sure to include slide notes of 100-250 words for each slide.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Persuasion and Division 

• Which diagnosis should be considered?
• What is the DSM-V Coding for the diagnosis you are considering?
• What is your rationale for the diagnosis? Be sure and link the client’s signs and symptoms to the DSM-V diagnostic criteria to support your diagnosis.
• What tests or tools should be considered to help identify the correct diagnosis?
• What differential diagnosis should be considered?
• What Treatment Strategy would you recommend?
• What treatment would you prescribe and what is the rationale?
• Safety
• Psychopharmacology
• Diagnostic Tests
• Psychotherapy
• Psychoeducation
• What standard guidelines would you use to treat or assess this patient?
• Clinical Note: Is depression a normal part of aging?

Research Critique Paper

The purpose of this assignment is to demonstrate your ability to critique one quantitative or qualitative nursing research article of interest from any refereed nursing journal.

Instructions:

1. Choose a nursing research article of interest from a refereed nursing journal.
2. Utilize at least 5 cited sources to substantiate your findings or critique.
3. Visit the following website for suggested guidelines:’
   • American Nurses Association “Reading and critiquing a Research Article” @  chrome-extension://oemmndcbldboiebfnladdacbdfmadadm/https://www.nursingworld.org/~4afdfd/globalassets/practiceandpolicy/innovation–evidence/framework-for-how-to-read-and-critique-a-research-study.pdf
   • The “John Hopkins Nursing Evidence Practice” @  chrome-extension://oemmndcbldboiebfnladdacbdfmadadm/https://www.mghpcs.org/EED_Portal/Documents/PI_EBP/Jon_Hopikins_Tools/Research_Evidence_Appraisal_Tool_fillable.pdf
   • Create a 1-2 page critique.

a. The importance of transcultural nursing knowledge in an increasingly diverse world

b. The growth of lay support groups to provide information and sharing of experiences and support for clients, families, and groups experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse or similar cultures

c. Cultural values, beliefs, health practices, and research knowledge in undergraduate and graduate nursing curricula across the life span

d. Inclusion of alternative or generic care in nursing curricula, such as medicine men, Native American healers, curers, and herbalists in the Southwest and selected substantiated Chinese and Ayurvedic medicine methods shown to be effective for the treatment of both acute and chronic diseases

e. The increased access to health care information from the Internet and the growing number of books, audio recordings, and video recordings published on health maintenance, alternative medicine, herbs, vitamins, minerals, and over-the-counter medications and preparations

f. Spiraling health care costs; use of health maintenance organizations, preferred provider organizations (PPO), or internal plan provider lists; lack of health insurance; increased reliance on self-diagnosis, treatment, and care; and increased availability of diagnostic kits for home-based self-diagnostic testing

g. Problems related to cultural conflicts, stress, pain, and cultural imposition practices

h. Increased suspiciousness and mistrust or distrust of cultural, religious, and political groups because of increased terrorist activities worldwide