Evidence Based Responds

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Evidence Based Responds

Discussion 1

I have experienced patient involvement in treatment and healthcare decisions for a patient with diabetes who wanted more information on patient education and self-management. Still, there is a challenge to prioritize patients’ preferences and professional when patients lack information and knowledge.  The diabetic patient wished to be involved in shared decision-making. Preferences are one of the considerations in shared decision-making, including treatment and management decisions. Trust in physicians and nurses likely influenced the patient’s willingness to participate in shared decision-making.

Evaluating what influences patient preferences for participating in healthcare decisions is helpful to promote informed decision-making as there would be a focus on facilitating shared decision-making. Meeting patients’ needs and evaluating their preferences should be a top priority, and promoting patient engagement makes it easier to determine patient preferences. In decision-making, it is necessary to consider the benefits and risks of decisions and patient preferences to inform patient decisions and involvement (Friedrichs et al., 2016). Patient preferences are increasingly prominent in shared decision-making about care and treatments, and getting informed is necessary to reduce knowledge deficit and make decisions based on the best evidence.

Even if patients engage in active decision-making, using the best evidence to support clinical decisions is necessary. Thus, in the case of the diabetic patient, it was necessary to respect the patient’s autonomy preferences while exercising professional judgment. Patient preferences can influence treatment choice, and in patient-centered care, there is a focus on supporting patients and families to make informed decisions (Lindsay et al., 2020). Patient-centered communication, patient education, and empowerment facilitate shared decision-making. Hence, patients and families make informed health care decisions, and patient-centeredness is essential for promoting high-quality health care.

The Ottawa Hospital Research Institute inventory of decision aids is one tool that facilitates clarifying patient choices and using the best evidence to support decisions. Personalizing patient decisions and enabling patient involvement is one of the benefits when using the decision aid. Diabetes is one of the specific conditions in the decision aid, and the type of decision aid is treatment, and the target audience is adults with diabetes type 2 (Ottawa Hospital Research Institute). Patient decision aids present individualized information and interventions tailored to the patients’ needs.

References

Friedrichs, A., Spies, M., Haerter, M., & Buchholz, A. (2016). Patient preferences and shared decision making in the treatment of substance use disorders: a systematic review of the literature. PloS one, 11(1), e0145817.

Lindsay, S. E., Alokozai, A., Eppler, S. L., Fox, P., Curtin, C., Gardner, M., … & VOICES Health Policy Research Investigators. (2020). Patient preferences for shared decision making: not all decisions should be shared. The Journal of the American Academy of Orthopaedic Surgeons, 28(10), 419.

Ottawa Hospital Research Institute. Decision Aids Inventory. Retrieved from

https://decisionaid.ohri.ca/

Discussion 2

Important Factors of Patient Education

Patient health outcomes should be a joint decision making process in which healthcare teams and patients collaborate to reach a common outcome.  Joint decision making offers a structured method to incorporate evidence as well as patient values and preferences into medical decision making (Grad et al., 2017).  As an acute care nurse on a surgical floor,  I strongly believe in collaborating with my patients to ensure the patients are discharged with all the resources they need and understand their current health conditions to improve their health.

I consider many of my patients to be the best source of information about their health conditions.  They know their diets, physical capabilities, living environments, and daily life styles that the healthcare teams need to understand and develop plans to reach desirable patient outcomes.  Although many patients collaborate with their healthcare team, there are several that choose not to follow given directions to improve their lives.  For some, it takes a serious medical condition to change their habits.

One situation in which a patient and the interdisciplinary team attempted to collaborate with was a diabetic patient who was admitted for osteomyelitis associated with diabetic vascular disease.  The patient underwent right foot amputation due to osteomyelitis.  The vascular surgery team, diabetic educator, and I educated the patient on following his diabetes regimen and controlling his diet at home or his vascular disease will advance, leading to further amputations.  Several months after his discharge, he was readmitted for a below the knee amputation (BKA).  When I spoke to the patient, he stated that he did not follow the teams instructions and did not change his diet, but now that he had his BKA, he stated that he will now follow the guidelines provided by his team.

After this patient’s outcomes, I thought about why the patient did not follow the team’s instructions on controlling his diabetes.  I thought that maybe our educational methods did not suit his life style and his needs at home.  I spoke with our diabetes nurse educator and asked her if we should have approached the patient’s treatment plan in a different way compared to other diabetic patients.  I thought maybe if we listened to his daily routines and diet, we could have formulated a patient specific diet plan, including the patient’s preferences and life values (Chester et al., 2018).  After my experiences with this patient, I decided to listen more about my patients’ daily life styles and preferences rather than teaching them about basic diabetes guidelines.

References

Bae, J. M. (2017).  Shared decision making: relevant concepts and facilitating strategies.  Epidemiology and

            Health, South Korea, 39, e2017048.  Doi: 10.4178/epih.e2017048

Chester, B., Stanley, W. G., & Geetha, T. (2018).  Quick guide to type 2 diabetes self-management education:

creating an interdisciplinary diabetes management team.  Diabetes, Metabolic Syndrome and Obesity:

            Target and Therapy, 11, 641-645.  Doi: 10.2147/DMSO.S178556

Grad, R., Legare, F., Bell, N. R., Dickinson, J. A., Singh, H., Moore, A. E., Kasperavicius, D., & Kretschmer, K.

L. (2017).  Shared decision making in preventative health care: what it is; what it is not.  The Official

           Journal of the College of Family Physicians of Canada, 63(9), 682-684.  Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597010/

healthcare environment

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NURS682

Think about a successful healthcare environment where you worked. In detail, discuss one or two habits of system thinking by a team member or leader who you observed in that environment. Do you think these habits improved efficiency and the care delivered to patients? Why or why not?

Use at least one scholarly source to connect your response to national guidelines and evidence-based research in support of your ideas. Use inside citation. All sources must be referenced and cited using APA Style, including a link to the source .

Leadership In Nursing

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Leadership In Nursing

identify and discuss the leadership style of your immediate supervisor by using specific examples that demonstrate that style.  Does your supervisor have an effective leadership style or not? Why?   Make your recommendations on how the leadership style could be improved.  Provide references on which you base your answers.

 Social Work In Palliative Care

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 Social Work In Palliative Care

Discussion 2:

Palliative care refers to specialized medical care that focuses on providing relief from physical symptoms and improving the quality of life of patients and caregivers. Palliative care can be provided to patients with any medical condition at any stage of illness to relieve symptoms. It can be a patient’s primary treatment (which is often the case with end-of-life care), or it can be provided in combination with standard medical treatments. Palliative care team members work alongside a patient’s medical team and can include professionals from multiple disciplines, including doctors, nurses, social workers, and chaplains.

To prepare for this Discussion:

Think about the circumstances, timing, payment, and other features related to palliative care.

Post a description of perceptions of palliative care from the perspective of a:

  • Patient
  • Caregiver
  • Social worker
  1. Then, explain the roles of social workers in providing palliative care.
  2. Compare and contrast the fundamental differences between palliative care and hospice care.
  3. Explain medical conditions where you might consider palliative care over hospice care for a patient.
  4. Justify your position. Use examples to illustrate your case.

Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style.

Teaching Newborn Care

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Parent Teaching Newborn Care

Women and Newborn Health Nursing

Parent Newborn Teaching Plan Assignment

Purpose: To demonstrate effective teaching/learning skills for the childbearing family. Topics: The topic is bottle feeding.

Instructions: ~Research your chosen topic, using websites, textbooks, patient teaching materials from clinical setting, observation in clinical setting etc.

~Include pictures in your response and must contain at least 600 words. ~Create a teaching plan on your chosen topic using patient information handouts from the facility or create a brochure with information on your topic.

~ Find two articles from a nursing or allied health journal that relates to patient education or the topic you have chosen for your teaching plan. Include the citation with any other resources you used.

~Instructor may choose one of the following options:

1.) The student may role-play the teaching session, using a student chosen by the instructor as the “parent” and the rest of the clinical group observing.

2.) Choose one of the student’s assigned patients and deliver the teaching session. The student should invite the instructor or another student to sit in on the session.

Teaching Plan Guide:

Teaching Goals

What are the priorities? (“By the end of the teaching session, the patient will…”)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Content Outline

What will you teach? Use bullet points to organize topical information.

 Methodology

How will you teach the content? What modalities will you use?

 Rationale

Why have you chosen the teaching modalities?

 Evaluation of Learning

How will you determine if the teaching/learning goals were met?

Work Environment In Nursing Practice

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Work Environment In Nursing Practice

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources. Less than 10 % of plagiarism allow.

Research

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Research

Using the clinically relevant, nursing-specific intervention from the PICOT question (P) do introduce substance abuse programs compared to no substance abuse programs (C)reduce substance abuse within a year.Conduct an evidence-based literature review that will result in a summary of three, peer-reviewed research articles related to the intervention written within the last 5 years.  You will focus on the goal of determining if the study is credible and if the findings are worthy of being considered for implementation in practice. Please include an abstract.

The sources you use for the evidence summary should be from professional, peer-reviewed, primary research sources.Type the PICOTs following the table below
APA article reference :Put the complete article citation here.
Include a url link directly to the article. Be sure that there is not a
proprietary site, password, etc as it may not be accessible.
Design :State the of research design
Method :Briefly describe how the study was carried out
Level of Evidence :Using the hierarchy of evidence located in the Fineout-Overhold article,
state the level of evidence achieved
Sample
Setting
Describe the sample size and characteristics of subjects
What is the attrition rate and effect on study?
What is the study setting?
State the overall impact of the sample and the setting on the study
including strengths and weaknesses
Measurement : List methods used to measure outcome variables.
Specify if there are standard tools or scales used.  Name them and
address the validity and reliability of the tools.
Is the measurement consistent with the definitions of the variables?
Why or why not?
State the overall impact of the measurement methods on this study
including strengths and weaknesses.
Data Analysis: Provide summary of the statistics used to answer the study question.
Provide your comments on the strength or weakness of the analytics
with your rationale including any biases.
Findings :Provide a summary of the statistical or qualitative findings.
Are the findings consistent with the previous research in the area?
What limitations are noted by the authors and do they affect the
credibility of the study?
Strengths
Limitations
Describe what you think are the strengths and limitations of study.
Significance Provide your comments on the clinical significance (versus statistical
significance) of the findings.
PICOT Question: Type your PICOT question using format.
What is the feasibility of using these findings in practice. Remember:
level of evidence + quality of evidence = strength of evidence and
confidence to act
Identify if there is risk or harm if study intervention or findings are
implemented
APA article reference Put the complete article citation here.
Include a url link directly to the article. Be sure that there is not a
proprietary site, password, etc as it may not be accessible.
Design State the type of research design
Method Briefly describe how the study was carried out
Level of Evidence Using the hierarchy of evidence located in the Fineout-Overhold article,
state the level of evidence achieved
Sample
Setting
Describe the sample size and characteristics of subjects
What is the attrition rate and effect on study?
What is the study setting?
State the overall impact of the sample and the setting on the study
including strengths and weaknesses
Measurement List methods used to measure outcome variables.
Specify if there are standard tools or scales used.  Name them and
address the validity and reliability of the tools.
Is the measurement consistent with the definitions of the variables?
Why or why not?
State the overall impact of the measurement methods on this study
including strengths and weaknesses.
Data Analysis Provide summary of the statistics used to answer the study question.
Provide your comments on the strength or weakness of the analytics
with your rationale including any biases.
Findings Provide a summary of the statistical or qualitative findings.
Are the findings consistent with the previous research in the area?
PICOT Question: Type your PICOT question here.
What limitations are noted by the authors and do they affect the
credibility of the study?
Strengths
Limitations
Describe what you think are the strengths and limitations of study.
Significance Provide your comments on the clinical significance (versus statistical
significance) of the findings.
What is the feasibility of using these findings in practice. Remember:
level of evidence + quality of evidence = strength of evidence and
confidence to act
Identify if there is risk or harm if study intervention or findings are
implemented
APA article reference Put the complete article citation here.
Include a url link directly to the article. Be sure that there is not a
proprietary site, password, etc as it may not be accessible.
Design State the type of research design
Method Briefly describe how the study was carried out
Level of Evidence Using the hierarchy of evidence located in the Fineout-Overhold article,
state the level of evidence achieved
Sample
Setting
Describe the sample size and characteristics of subjects
What is the attrition rate and effect on study?
What is the study setting?
State the overall impact of the sample and the setting on the study
including strengths and weaknesses
Measurement List methods used to measure outcome variables.
Specify if there are standard tools or scales used.  Name them and
address the validity and reliability of the tools.
Is the measurement consistent with the definitions of the variables?
Why or why not

PICO Question: Type your PICO question here. Include any edits that were suggested from
Assignment 1.
State the overall impact of the measurement methods on this study
including strengths and weaknesses.
Data Analysis Provide summary of the statistics used to answer the study question.
Provide your comments on the strength or weakness of the analytics
with your rationale including any biases.
Findings Provide a summary of the statistical or qualitative findings.
Are the findings consistent with the previous research in the area?
What limitations are noted by the authors and do they affect the
credibility of the study?
Strengths
Limitations
Describe what you think are the strengths and limitations of study.
Significance Provide your comments on the clinical significance (versus statistical
significance) of the findings.
What is the feasibility of using these findings in practice. Remember:
level of evidence + quality of evidence = strength of evidence and
confidence to act
Identify if there is risk or harm if study intervention or findings are
implemented

LoGY Weeko11

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LoGY Weeko11

Write a 1-page narrative in APA format that addresses the following:

nursing shortages

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DISCUSSION POST

The United States and other countries are experiencing nursing shortages. To help ease the shortage, many resources are spent on recruiting foreign nurses.

What are the reasons for these shortages? If the United States and other industrial nations put their resources into increasing nurse retention, would the need to recruit foreign nurses decrease? Why or why not?
Choose one of the Sustainable Development Goals (SDG) using this link, https://sdgs.un.org/goals and discuss how a community nurse can work toward achieving that goal.
In order to receive full credit, you will need to clearly respond to both parts of the question using subtitles or bullets AND cite at least one scholarly reference in your response.

Patient Safety Culture Pamphlet

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Patient Safety Culture Pamphlet

Create a pamphlet using any type of publisher software you choose to educate clients on a current patient safety issue.

For example:

If you have a question about a specific topic, check with your instructor. It is recommended that you save your pamphlet as a PDF for submission.

Your pamphlet must include the following items:

  1. At least five tips for preventive care for the patient.
  2. Information that should be shared with family or caregivers.
  3. Local resources in the community that might be available for this type of safety concern.
  4. At least three APA-formatted references published within the last five years.

Youtube link to see how to make a template.