Instructions for Answer to 2 Question

1- After Each DQ (question), write down references

2- 300 minimum words for every DQ, you can go up to 800 words but answer should be complete.

3- 2-3 Peer Reviewed/ scholarly references for each question

4- References should be within 4 years

5- I am in acute care nurse practitioner program.

6- The response to the DQ is expected to be a minimum of 300 words. A minimum of two peer reviewed/ scholarly  resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references.  “ Question words” don’t count towards 300 minimum count”

Introduction and Alignment

With the increasing use of digital/electronic media in society at large, students should have an understanding of how this technology can be used to improve client outcomes as well as legal and ethical issues associated with its use.  

Upon completion of this assignment, you should be able to:

• Discuss the use of e-therapy and other digital healthcare delivery formats that are used for the assessment, diagnosis and treatment of individuals with mental health and psychiatric disorders.
• Synthesize current literature regarding e-therapy and other digital healthcare delivery formats including legal and ethical issues, and implications for the advanced practice psychiatric nurse.
• Critique current organizational practices at your clinical site related to the use of digital delivery formats.

Resources

• Textbook: American Nurses Association (2014). Psychiatric Mental Health Nursing: Scope and Standards of Practice – pages 12-16; pages 36-37.
• Publication- Hsiung, R.C. (2001). Suggested principles of professional ethics for the online provision of mental health services 
• Website: American psychological Association – Practicing distance therapy legally and ethically 
• Website publication: Providing psychological services via electronic media (Canadian Psychological Association) 

Instructions

1. Perform a literature review on the use of e-therapy/digital healthcare delivery for patients with mental health and psychiatric disorders.
2. What does the literature say about using these platforms? Implications for practice? Ethical-legal considerations?
3. Review the practices at your clinical site related to the use of digital delivery formats.
4. Your review should be at least 3 pages in length and in correct APA format.
5. Navigate to the threaded discussion and post your review by the end of the fourth day of the workshop.
6. Read and respond to at least two of your classmates’ postings by the end of the workshop.

Assessment Criteria

Criteria

Points

Question answered comprehensively

• Overview of literature review on e-therapy/digital healthcare (20)
• Implications for practice, ethical-legal considerations (10)
• Critique of clinical site use of digital delivery formats (10) 

40

Paper APA formatted, references and citations in correct APA format

5

Writing style/punctuation/grammar, the minimum length of 3 pages

5

Total Points

50

Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your change proposal, and how you will go about securing that support?

Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting). 

How can you use systems thinking in health care?

minimum of 350 words with at least 2 peer review reference in 7th edition apa style

 With the onset of the COVID-19 pandemic, we saw global collaboration as we have never seen it before. Can you discuss some of the ways the pandemic is breaking down global barriers in healthcare in your eyes?  

Post your initial response to the topic below related to nursing. 

Topic 1

Developmental Stages and Learning

a. Compare and contrast two stages of development as they relate to learning.

b. Create 3 teaching strategies for each developmental stage.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references 

Ethical considerations are important to guarantee the safety of research subjects and increase the inclusiveness of research study.  To address the drug abuse pandemic in the county, I had introduced a program that will implement interventions for early detection and follow-up services for impacted individuals. Studies have shown that detection and early intervention are the most effective way to help someone with substance abuse problem and prevent exacerbation of condition (Substance Abuse and Mental Health Services Administration, 2016). Treatments of substance use disorders are cost-effective compared with no treatment, thus treatment plan can include medications, behavioral therapies, and recovery support services (Substance Abuse and Mental Health Services Administration, 2016). It is evident that additional screening tools during admission and follow-up services after discharge can positively impact the quality and health outcomes of impacted patients.

Potential benefit is the early detection and treatment of individuals with drug use disorders. Individuals can receive appropriate treatment and follow-up for additional services that can help improve overall quality of life and health outcomes. Possible harms can be the possible stigmatization of individuals receiving such follow-up and treatment. People might be reluctant to join such programs because of stigma connected to receiving such treatment. I need to analyze my personal views and beliefs related to drug use disorders and minimize my implicit biases to stereotypes, which can negatively impact the implementation of intervention in my practice setting.  A study showed that professionals with more than 20 years of experience granted less importance on ethical values such as respect for the person and confidentiality, especially in primary care (Fernandez-Deito, Longo, & Hoyuelos, 2017). It is essential to be updated with cultural and ethical competencies in dealing with diverse patient population and research planning in any health care setting.

Objections might be raised when considering the vulnerable population related to drug use disorders. It is essential to give and receive consent regarding the possible harms and potential benefits of the research study. It is important that the consent be written in a level and language that the participant understands to avoid confusion and pressure to complete the research.  The inclusion in the study can bring stigmatization to participants and can potentially affect other aspects in life, but receiving such treatment and follow-up services can possibly improve the quality and health outcomes of participants. 

References

Fernandez-Feito, A., Longo, M., & Hoyuelos, S. (2017). How work setting and job experience affect professional nurses’ values. Retrieved from https://journals.sagepub.com/doi/full/10.1177/0969733017700238

Substance Abuse and Mental Health Services Administration. (2016). Facing addiction in America: The Surgeon general’s report on alcohol, drugs, and health. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK424859/v

Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

• Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.
• Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
• Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

By Day 7 of Week 7

Submit Part 4A and 4B of your Evidence-Based Project.

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 5, “Critically Appraising Quantitative Evidence for Clinical Decision Making” (pp. 124–188)
Chapter 6, “Critically Appraising Qualitative Evidence for Clinical Decision Making” (pp. 189–218)

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010a). Evidence-based practice step by step: Critical appraisal of the evidence: Part I. American Journal of Nursing, 110(7), 47–52. doi:10.1097/01.NAJ.0000383935.22721.9c
Note: You will access this article from the Walden Library databases.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Critical appraisal of the evidence: Part II: Digging deeper—examining the “keeper” studies. American Journal of Nursing, 110(9), 41–48. doi:10.1097/01.NAJ.0000388264.49427.f9
Note: You will access this article from the Walden Library databases.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010c). Evidence-based practice, step by step: Critical appraisal of the evidence: Part III: The process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110(11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5
Note: You will access this article from the Walden Library databases.

Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202–207. doi:10.1177/1078390309338733
Note: You will access this article from the Walden Library databases.

Document: Critical Appraisal Tool Worksheet Template (Word document)

Required Media

Laureate Education (Producer). (2018). Appraising the Research [Video file]. Baltimore, MD: Author.
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Laureate Education (Producer). (2018). Interpreting Statistics [Video file]. Baltimore, MD: Author.
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Laureate Education (Producer). (2018). Review of research: Hierarchy of evidence pyramid [Mutlimedia file]. Baltimore, MD: Author.

Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu.be/5Rv9z7Mp4kg

IS COVID 19 AN ACT OF BIOTERRORISM?