Wk 3 – Signature Assignment: Outcomes and Quality

 

Write a 700- to 1,050-word paper describing the process for tracking outcomes and improving quality and safety. Include the following in your paper:

  • Impact of external and internal standards
  • Role of continuous improvement in quality and safety
  • Plan for employee development in quality and safety
  • Role of technology in quality and safety

Cite 3 references, one of which MUST be the course textbook.

Journal Entry

 I need a response to this assignment

3 references

zero plagiarism

The psychotherapy I selected is cognitive behavioral therapy (CBT) which focuses on changing dysfunctional emotions, behaviors and thoughts by stopping the negative thought cycle. CBT is considered a solution-oriented form of therapy due to the idea of thoughts and perceptions having a big influence on how an individual behaves (Psychology Today, 2020). I selected CBT because it is appropriate for use in all age groups and it can be used to address many conditions with research showing that it is most effective in treating anxiety and depression. Although CBT might not be helpful in treating everyone, as not one type of therapy is effective for every individual, my preceptor and I have had the opportunity to use this form of therapy with many clients and it seems to show great results. The biggest goal of CBT is to change the way individuals think and behave, knowing that this will not take away their problems, but rather change the way they look at them and help manage in a more positive way (Your.MD, 2020). On the other hand, existential-humanistic therapy has a foundation on the emphasis of holism, self-actualization, enhanced communication, and the overall therapeutic relationship between the therapist and client. The focus is on understanding human experience and focusing on the client instead of focusing on their symptoms, with interventions focused on increasing self-awareness and making authentic decisions (American Psychiatric Association, 2013). Existential-humanistic approaches focus on the idea that people have the ability to make their own choices and have self-awareness while doing so as part of human experience, focusing on the here and now but with the understanding that reality is influenced by past experiences, current perceptions and future expectations (Center for Substance Abuse Treatment, 1999). The strengths of CBT include the way it is structured, that it can be helpful in a short period of time, it has a focus on thought retraining in order to refrain from past behaviors and make changes to current behaviors, as well as providing clients with useful skills that can be used in everyday life in order to cope with stress and difficult situations even when therapy has completed (The CBT Clinic, n.d.). On the contrary, some challenges of CBT might be as simple as this just might not all together be the right fit for everyone as each client has special and focused needs and concerns. In order for individuals to benefit from CBT they have to be committed and willing to work for change to happen, however this form of therapy might not be so suitable for individuals that have complex mental health needs or learning difficulties (Your.MD, 2020). Another disadvantage to using CBT might be the focus of the current problem instead of addressing underlying past experiences which could contribute to the current problem. Inversely, existential-humanistic therapy has its own pros and cons with its focus on establishing rapport and establishing meaningful engagement with the client in all aspects of the treatment process (Center for Substance Abuse Treatment, 1999). The humanistic approach views individuals as being good with a potential to maintain healthy relationships and make good choices that will benefit themselves and others, whereas the existentialist approach focuses on guiding the individual to find meaning while they face their problems in the way of making choice the act of importance and responsibility (CCPE, 2020). However, some people might not be okay with the idea of making their own decisions without feeling like they have any guidance, therefore this form of therapy might not be suitable for everyone as well. Nonetheless, a main goal of this therapy is to increase self-awareness, self-esteem and promote individuals to get in touch with their own thought process (Chopra, 2020). A fictional client that could be suitable for CBT would be a 15-year-old female with a history of depression and recurrent suicidal ideation, self-harm behavior who recently lost her brother by overdose. Client blames herself and thinks that she should have done better to help her brother with his addiction. Client reports having coping mechanisms to help with her self-injurious behaviors but could use some help when the urge comes on. This patient would benefit from CBT by working out her guilt as well as helping develop new coping skills. A fictional client that would be suitable for existential-humanistic therapy would be a 16-year-old female with a history of depression and eating disorder who has the tendency to self-harm when feeling low. Since the main goal of this therapy is to increase self-esteem and self-awareness, this would be a good form of therapy for this client by allowing the client view her choices and decisions in a more positive way. 

References 

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

CCPE. (2020). Humanistic-existential approach. Retrieved from:

https://www.ccpeweb.ca/en/services/psychotherapy/humanistic-existential-approach/

Center for Substance Abuse Treatment. (1999). Brief Humanistic and Existential

Therapies. Brief Interventions and Brief Therapies for Substance Abuse. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK64939/

Chopra, P. K. (2020). Existential-Humanistic Psychology, Mindfulness and Global Change.

Retrieved from: http://www.human-studies.com/articles/existential-humanistic-psychology-mindfulness.php

Psychology Today. (2020). Cognitive Behavioral Therapy. Retrieved from:

https://www.psychologytoday.com/us/basics/cognitive-behavioral-therapy

The CBT Clinic. (n.d.). Pros & Cons of CBT Therapy. Retrieved from:

http://www.thecbtclinic.com/pros-cons-of-cbt-therapy

Your.MD. (2020). Cognitive Behavioural Therapy (CBT). Retrieved from:

Literature Review Paper

Literature Review Paper
  

The purpose of this assignment is to evaluate your ability to formulate a SIGNIFICANT Clinical question and to summarize, critique, and synthesize current research. This assignment will be a review of the literature directly related to the topic or problem under questioning, followed by an explanation of how your clinical question gets answered out of that review. The purpose of the literature review is to know what others have discovered before you begin your investigation of your own, in order to establish a foundation for the topic (or question) being reviewed. In addition, you will be considering the clinical application of this research to professional nursing practice.  This Literature Review will be based upon your individual clinical interest. Each student will choose a problem faced by clients in your practice area that you think is important and would like to learn more about (You may use the topic of your final EBP group paper). Students will turn in a 3-4page literature review paper (excluding cover page and references) on the standing knowledge of the chosen question. The purpose of this assignment is to demonstrate your ability to complete an online literature search on a topic of interest. You will locate, retrieved and summarize at least eight (8) research studies that research articles, which meet the following criteria:

  1. Original research studies preferably published from 2013 to the present.
  2. At least six of the eight studies should be quantitative research.
  3. Two studies may be qualitative (but this is not a requirement).
  4. You may also use systematic reviews, metanalysis or clinical practice guidelines. 

Make sure that in your paper address the scope of the problem. Including, what is that you are trying to achieve (purpose). In addition, include a description of search strategy you used, including search terms and databases that help you retrieve the material. This assignment should be preparatory work for your practice improvement paper and poster presentation. Follow APA style rules.Outline for writing your literature review: (see Presentation How to write an EBP paper)

  1. Introduction
  2. Methods
  3. Results
  4. Discussion
  5. Conclusion
  6. References

The purpose of this assignment is to demonstrate your ability to complete an outline literature search on a topic of interest. This assignment is preparatory work and practice for your EBP Quality  Improvement Group paper and poster.

Instructions:

  1. Choose a problem faced by clients in your practice area that you think is important and would like to learn more about. 
  2. You may use your PICOT questions.
  3. Write a five (5) page literature review paper on the standing knowledge of the chosen question.
  4. Include a minimum of five (5) journal articles, at least three (3) from nursing journals.

NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology

  

  

((( (–PLEASE ONE PAGE THREE REFERENCES…..)))

COLLAPSE

Top of Form

I currently work in a psychiatric hospital on the acute adult unit.  My hypothetical scenario that occurs frequently and requires the acquisition and application of information is an admission to the unit.  Upon arrival to the unit, we obtain vital signs, height, weight, and other alphanumeric data (McGonigle & Mastrian, 2018, p. 22).  I obtain subjective information from the client and objective information from my perspective during the intake interview. 

Frequently our clients have been treated by us on other occasions.  In this case, I will also access electronic health records (EHRs) to obtain previous treatment files to determine past medications and diagnoses.  I can also access information from hospitalizations at our other campus when needed.  This “shared knowledge” allows for continuity of care and reduction of possible errors in treatment (Nagle, Sermeus, & Junger, 2017).  Another type of information that would be gathered is a computer-based MMPI (Minnesota Multiphasic Personality Inventory).  The MMPI is “…the most frequently used clinical testing instrument and is one of the most researched psychological tests in existence” (Cherry, 2020).  Our psychologist uses this data to make diagnostic and treatment recommendations. 

The initial admission information is compiled in an easily accessible format so that the other team members can access the information to complete their portions of the new admission paperwork.  Unfortunately, my organization still utilizes paper-based charting, which contributes to a great deal of redundancy and wasted time.  We hope to move to computer-based charting soon. 

Community DQ6

Read chapters 10 and 12 of the class textbooks and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions. 

1. Discuss the meaning of culture and its effect on transcultural nursing.

2. Discuss the term subcultures and give some examples.

3. In your own words describe what is case management and care management? Mention the similarities and differences between the two concepts.

4. Identify and discuss the role of the home care nurse as part of the interdisciplinary team.

PLAGIARISM FREE

APA format (intext citations and references)

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

A minimum of 800 words not to exceed 1,000 are required without counting the first and last page. 

clincals

 Assignment Objectives:Print Assignment InfoAssessment and Care Plan with clinical focus on:
• Managing Patient Care
• Infection Prevention and Control
Care Plan on- Methicillin- Resistant Staphylococcus Aureus Patient
Document Medical TerminologyCompetencies You are Expected to Address in this Assignment:

  • Quality and Safety Education for Nurses (QSEN):  Patient-Centered Care
  • Quality and Safety Education for Nurses (QSEN):  Teamwork & Collaboration
  • Quality and Safety Education for Nurses (QSEN):  Evidence-Based Practice
  • Quality and Safety Education for Nurses (QSEN):  Quality Improvement
  • Quality and Safety Education for Nurses (QSEN):  Safety
  • Quality and Safety Education for Nurses (QSEN):  Informatics
  • The NCLEX-RN® Client Needs:  Safe and Effective Care Environment: Management of Care
  • The NCLEX-RN® Client Needs:  Safe and Effective Care Environment: Safety and Infection Control
  • The NCLEX-RN® Client Needs:  Health Promotion and Maintenance
  • The NCLEX-RN® Client Needs:  Psychosocial Integrity
  • The NCLEX-RN® Client Needs:  Physiological Integrity: Basic Care and Comfort
  • The NCLEX-RN® Client Needs:  Physiological Integrity: Pharmacological and Parenteral Therapies
  • The NCLEX-RN® Client Needs:  Physiological Integrity: Reduction of Risk Potential
  • The NCLEX-RN® Client Needs:  Physiological Integrity: Physiological Adaptation
  • National Patient Safety Goals:  Identify Patients Correctly
  • National Patient Safety Goals:  Improve Staff Communication
  • National Patient Safety Goals:  Use Medicines Safely
  • National Patient Safety Goals:  Use Alarms Safely
  • National Patient Safety Goals:  Prevent Infection
  • National Patient Safety Goals:  Identify Patient Safety Risks
  • National Patient Safety Goals:  Prevent Mistakes in Surgery

 

Nutrition

  Dietary supplement. (GINKGO). 

·  The presentation is to be created using Microsoft PowerPoint 2007, 2010, or higher.

·  Length is 8-10 slides, NOT including the Title and Reference pages. 

·  The slides must include descriptive and comprehensive information and ONE evidence-based article findings for selected supplement for following elements:

§ Description of Supplement (2 points)

§ Mechanisms of Action (2 points)

§ Usage (2 points)

§ Dosage (2 points)

§ Interactions (2.5 points)

§ Contraindications (2.5 points)

§ Evidence-Based Article Finding (5 points): Find ONE Primary Data Article ONLY (Researcher conducted own study for each designated supplement. Not acceptable for meta-analysis or systematic review article that is the article the authors simply collected and reviewed several existing studies done by other researchers)

§ Nursing Considerations (5 points)

§ Reference (1 point)

PP Slides: Pictures, Words, Colors (1 point )

Discussion Theory #10

theorydiscussion

Discuss the applicability of the theory of culture care diversity and universality to discover nursing knowledge and provide culturally congruent care. Take into consideration the current trends of consumers of health care, cultural diversity factors, and changes in medical and nursing school curricula. The following are examples of trends you may use as a thread to start your discussion:

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

Peer and self reflection critique assignment.

This assignment should only be completed after you have posted the video: SEE ATTACHED VIDEO LINK: Postpartum depression therapy video

VIDEO LINK: https://youtu.be/SkwuSJ8e5So

Your reflection should address all of the following questions between 750 to 950 words. Appropriate spelling, grammar, and punctuation required. Complete sentences are expected. All writing should be in your own words. Use APA references as needed to support your ideas; there is no requirement on number of references to include. Be sure to use APA format.

SEE VIDEO in order to complete this assignment, and also see the attached assignment example for references.

  1. Which skills did you use in the session? How?
  2. How did the assigned Corey readings, PowerPoints, Handouts, and videos inform your therapy session? Please explain in detail.
  3. What were your strengths in the interview?
  4. What were your weaknesses/areas in need of further development in the interview?
  5. How could you improve your interviewing skills? Are there steps you plan on taking? What are those steps?
  6. Was there any time when you felt stuck or uncertain how to respond? Describe what was happening then. Were there times you felt more confident in your responses with the client? Times you were less confident? How? Does this come through in the session?
  7. How were you impacted by the client…your emotions, thoughts, physical reactions, transference, and countertransference, body language?
  8. What was your overall response to the interview? Did you feel connected to the client? Distracted? Disengaged?
  9. What was the quality of your engagement, your empathy?
  10. If you were to continue seeing this particular client, what future directions would you take? How would you conceptualize the case and what would be some of your treatment goals? How would you pursue these goals?

In relation to your partner:

  1. What were the partners strengths in the interview?
  2. What were the partners weaknesses/areas in need of further development in the interview?
  3. How could your partner improve his/her interviewing skills?

Please, see also the attached assignment example for references.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.