Review Evaluating Research Critical

Review Evaluating Research Critical

 

Quality-improvement projects directly impact the quality of health care delivery. Health care research can provide the data necessary for the systematic change process to guide decision-making.

In this assignment, you will apply your skill in quality improvement, which is necessary for you to implement the policies and processes to fulfill the purpose of the organization you work in as a health care administrator. You will evaluate the relationship between quality-improvement projects and health care research. You will choose a peer-reviewed article about a research study and evaluate the application of risk- and quality-management concepts in the health care industry in this assignment.

Assignment Preparation
Search the University Library for a peer-reviewed article about a research study related to quality-improvement projects in health care.

Review Evaluating Research Critical-Thinking Prompts to ensure you have selected an article that is most appropriate for completing the assignment.

Assignment Directions
1,050-word evaluation of the quality-improvement projects in health care research study you selected.

Use the Evaluating Research Critical-Thinking Prompts as a guide for what to include in each section. You may find it helpful to respond to each prompt in this document and use it as an outline for your assignment. While this is a guide for the content needed for this assignment, it is not a template for the format.

Include the following headings and sections.

  • Research Steps: Provide the following:
  • Define the problem.
  • Explain the purpose of the research study.
  • Explain the study variables.
  • Explain the research question and/or hypothesis.
  • Research Methodology, Design, and Analyses: Explain the research methodology, design, and analyses.
  • Findings: Explain the research study’s findings.
  • Conclusion:
  • Summarize the research study’s recommendations.
  • Explain the impact of the research to risk management and quality management.
  • Cite sources to support your assignment.

    Format your assignment according to the attached

Medication Expected Pharmacological Action

Medication Expected Pharmacological Action

Use the Templet form to indicate the medication use, side effects, intervention, etc

Nitpretic-acetaminophen

Antidote-acetylcysteine

Antihistamine, sleep aid-diphenhydramine, Hypnote-Zolpidem

NSAID-ibuprofen

Opoid analgesic-oxycodone

Antidote-naloxone 

ACTIVE LEARNING TEMPLATE: PURPOSE OF MEDICATION Expected Pharmacological Action Complications Contraindications/Precautions Interactions. Medication Administration. Evaluation of Medication. Effectiveness Therapeutic Use. Nursing Interventions. Client Education on each. you can use med.com or any resource. Be

 

2 Topics Change Every

2 Topics Change Every

 

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Study 1 & 2 topics change every semester. Topics will be determined at due time for this semester

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

Include 2 Scholarly References

Include 2 Scholarly References

Case Study instructions: 

 Response using APA and include 2 scholarly references.

 Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straightforward / Simple answer will be accepted.  

  The answers must be in your own words with reference to the journal or book where you found the evidence your answers 

All answers to case studies must-have references cited in the text for each answer and a minimum of 2 Scholarly (Journals, books) (No websites)

Current Apa 7 Edition

Current Apa 7 Edition

 

Compare the primary care NP role with other APN roles. What are the similarities among the roles, what are the differences, and how would you communicate the role to a healthcare provider and a consumer?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA 7 edition style with support from at least 3 academic sources. No websites allowed for references, ONLY books or journal articles from 2018 up to now. Include doi, page numbers, etc. Plagiarism must be less than 10%.

Professional Advocate Helps Interpret

Professional Advocate Helps Interpret

Reply to this discussion. 

 

Health advocacy refers to medical actions associated with guaranteeing access to quality health care, reporting health discriminations, rallying resources, operating the system, prompting health strategies and forming system change at the community and individual stages. Nurses and social workers play a vital role in healthcare advocacy; however, anyone that assists patients in manoeuvring the healthcare system and earns their trust is considered a health advocate (Mason et al., 2020). Health practitioners and organizations should be involved in health care promotion by ensuring that patients obtain quality care and make knowledgeable medical choices. Additionally, most health organizations ought to build on their interactions and communication with patients for active healthcare distribution.

Professional Advocacy

Professional health advocates are mostly clinical or nonclinical individuals equipped with experience since they tend to have a healthcare background such as nursing or administrator. They are involved in coordinating patient care among multiple providers, interpreting diagnostic results, medications and treatment and negotiating expenses with healthcare providers (Arabi et al., 2018). Most old patients suffering from chronic ailments require meeting with several experts and clinicians, each giving different opinions on the disease in question. Hence, it is the responsibility of an advocate to coordinate such visits and ensure the patient is comfortable. Upon receiving a diagnosis, a professional advocate helps interpret medical terminologies for the patients understanding while making the necessary payments to the health providers involved.

Patient Advocacy

A personal healthcare advocate is either a caregiver, friend, relative or spouse that assists the patient in getting better health care. A personal advocate performs several responsibilities to care for their loved ones, such as; voicing patients’ concerns, responding to inquiries from doctors about the patient’s health history, and assisting patients in understanding information given by doctors during medical appointments (Mason et al., 2020). Personal advocates also help their patients manage prescriptions, ensuring that they are taken at the right time and amount. The advocate emotionally and physically supports patients during their medical journeys easing the impact of the emotional burden it may have on the family members and patient. Additionally, personal advocates further ask for enquiries regarding additional appointments and the side effects of the medication administered to the patient.

Political Advocacy

Healthcare guidelines can influence the quality and effective distribution of health care. According to the Department of Health and Human Services in United States and the American Medical Association, health supporters can assist patients in navigating strategies such as safety requirements, which diminish the danger of injury and infection; legal obligations, which guard both healthcare employees and patients; and health principles, which safeguard patients’ rights and confidentiality (Arabi et al., 2018). Nurses are in exceptional positions to be advocates for health on behalf of the public. Therefore, they should identify that the radical ideology of the health care system and policy-making procedure will shape nursing management, whether it is clinical, political or academic leadership. In the planning arena, nurses would enact laws and regulations that would focus on positive changes in the health care systems, enhancing the quality of patients’ care.

References

Arabi, A., Rafii, F., Cheraghi, M. A., & Ghiyasvandian, S. (2018). Nurses’ policy influence: A concept analysis. Iranian journal of nursing and midwifery research.

Mason, D. J., Perez, A., McLemore, M. R., & Dickson, E. (2020). Policy & Politics in Nursing and Health Care-E-Book. Elsevier Health Sciences.

578 words

 

Challenges Surrounding Healthcare Provision

Challenges Surrounding Healthcare Provision

Reply to this discussion. 

 

Advocacy in nursing practice is a relatively modern idea that is of such importance that it is incorporated in the moral codes of nursing institution. For patients, nursing advocacy helps in illustrating the power of nursing and improves the quality of health outcomes. Nursing advocacy in the healthcare sector is regarded essential since nurses act as the link between the patients and the healthcare system (Ahmadi, 2016). Additionally, nurses through appropriate performance of their advocacy role help in protecting patients who are vulnerable and have experienced varying degrees of damage. Nursing advocacy is an ethic of practice and involves practices such as preserving human dignity, promoting patient equality and providing freedom from suffering. Nursing advocacy is also about ensuring that patients have the right to make decisions regarding their health.

The evolving healthcare needs and the challenges surrounding healthcare provision among various countries has made it essential for healthcare providers including nurses to advance the needs of the population (Chicago, 2018). A critical components economic growth and prosperity, the public has a right to access of quality care at affordable cost. This has not been the case in recent years with most insurance and pharmaceutical companies prioritizing profit over wellbeing. Nurses through their role as advocates have aired their grievances over this matter through seeking the development of policies that shield low-income populations from extortionary healthcare costs and ensure access to care at their convenience. In addition to policy development, nurses in their advocacy support patients through providing education about care through facilitating open dialogue about symptoms and healthcare habits.

Nurses can also integrate scientific evidence based knowledge and patient preferences into their care as a way of ensuring improved health and wellbeing. As a nursing provider, there are many instances where I have acted as an advocate. While working in hospice care, there was a cancer patient I was caring for who could not afford pain medication. She had no medical insurance and having been out of a job for six months had no way to pay for her medication through out of pocket means. The patient was always in agony and upon noticing this; I talked to my supervisor about her case. We decided to educate her on alternative therapies for pain management that were accessible to her and as a result improved her wellbeing. We were able to connect her with an acupuncturist who provided free services for chronically ill patients. This is among the memorable cases I have had since upon recovery, the patient called to thank me for the care I provided. Overall, advocacy is an essential component of healthcare that should be embraced and supported.

References

Ahmadi, F. (2016). Patient advocacy from the clinical nurses’ viewpoint: a qualitative study. Journal of medical ethics and history of medicine.

Chicago, L. (2018, July 18). The role of the nurse as patient advocate. Retrieved from Loyola University Chicago: https://absn.luc.edu 

Attitudes Towards Internet Interventions

Attitudes Towards Internet Interventions

Reply 1 

 

What medication would you first prescribe to this patient?

Angela has presented key medical concerns with the main issue being ranging insomnia depression of unknown cause to emotional dysregulation disorder having a feeling of senseless life. The patient will need mood fixation medication. The best medication to prescribe for Angela is coupling an antidepressant medicinal drug with psychotherapy (counseling and talk therapy). The antidepressant of choice is selective serotonin reuptake inhibitors more specifically sertraline (Zoloft) When this is combined with ramelteon (Rozerem); a drug that mimics the action of melatonin, treatment of insomnia would be achieved (Chew et al., 2016). However, before deciding to use the combination of the drugs, effective drug interaction should be observed. Two drugs can be used for the treatment of different symptoms in a patient, but the two drugs may combine to produce unusual side effects, therefore, worsening the health condition of the patient.

Selective serotonin reuptake inhibitors such as fluvoxamine should not be taken together with ramelteon to manage depression symptoms (Levin, 2019). The medication sertraline will be taken as 25 mg PO qDay for social anxiety disorder. Alongside the medication, psychotherapy which is a talk therapy that targets clinical depression will be used to help her restore the mental issue from the social and medical problems cutting across cognitive therapy, behavioral therapy, and cognitive behavioral therapy and helping in the primary focus of the patient. a combination of the therapy and medication should help her gain her emotional balance including engaging in physical exercise.

She comes back in 2 weeks and states she has not noticed a change in her mood since starting on the medication. What would be your response?

The drug selective serotonin reuptake inhibitors are effective after a dosage duration of between 2 to 4 weeks (Hieronymus et al., 2016) The duration of drug efficacy is fluid, it varies depending on natural physiological responsiveness to a drug that is specific to a given individual. Some people will take a shorter duration to start noticing health beneficial changes attributed to the drug use while others will take a longer period. Sertraline is contraindicated in patients with documented hypersensitivity to the drug or its components (Rauch et al., 2019). The coadministration of sertraline with thioridazine, pimozide, or monoamine oxidase inhibitors, including linezolid or methylene blue, is also contraindicated. Patients who are taking other serotonergic medications should receive education regarding the risks of coadministration with sertraline. The advice is to encourage Angela to be strict with her medication as the medication combination takes time to restore normality and ease the major symptoms. Angela should not rule out the drug effectiveness since she is within the standard range for the drug efficacy duration. She needs to have the drugs alongside taking her therapy sessions seriously and getting socially engaged including being physically active to help her restore her mental health.

What are the possible problem with the medication you prescribed?

A drug is a foreign substance to the body; the body will perceive it and generate the counter antibody to its effect. When the body counteracts the effect of the drug in the system, the effect of this counteraction is manifested in terms of signs and symptoms and is described as the possible side effects. Again, individuals have specific genetic makeup, and their physiology is different. This fact will explain why it is not universal for a side of a drug to be attributed to a specific sign and symptom. In other word perception of a drug in the body differ from one person to another.

However, in medical professionalism, it is required to list to a patient some of the possible abnormalities that she/he might feel during the use of a given drug. The case Angela: an adult, sertraline (Zoloft) usage might result in the side effects such as nausea, loss of appetite, diarrhea, increased sweating, decreased sex drive, shaking, agitation, tiredness, and fatigue (Poweleit et al., 2019). Another medication that has been used in the treatment ramelteon (Rozerem) to facilitate sleeping might result in side effects such as severe allergic reaction; difficulty in breathing; nausea and vomiting; swelling of face, lips, tongue, or (Asnis et al., 2016).

How long should you continue the treatment regimen?

Treatment is best achieved by a combination of effective drug use and clinical monitoring. The health caregiver will proceed with the selected treatment regimen as long the side effects of the drug are outweighed by the clinical manifestation of the patient, when the sides are not life-threatening, and when the set dosage duration has not been reached. In the case of Angela, the treatment is expected to continue for up to 4 to 6 weeks with thorough and close clinical monitoring. The estimated dose efficacy duration for sertraline is between 2 to 4 weeks but an allowance of another two more weeks will help to eliminate the possibility of slow response to the drug as may be indicated by some individuals. The patient will also need to have a lifetime of exercise therapy to help her control the depression disorder.

References

Asnis, G. M., Thomas, M., & Henderson, M. A. (2016). Pharmacotherapy treatment options for insomnia: a primer for clinicians. International journal of molecular sciences, 17(1), 50.

Chew, R. H., Hales, R. E., & Yudofsky, S. C. (2016). What your patients need to know about psychiatric medications. American Psychiatric Pub.

Hieronymus, F., Nilsson, S., & Eriksson, E. (2016). A mega-analysis of fixed-dose trials reveals dose-dependency and a rapid onset of action for the antidepressant effect of three selective serotonin reuptake inhibitors. Translational psychiatry, 6(6), e834-e834.

Levin, J. (2019). Mental health care for survivors and healthcare workers in the aftermath of an outbreak. In Psychiatry of pandemics (pp. 127-141). Springer, Cham.

Poweleit, E. A., Aldrich, S. L., Martin, L. J., Hahn, D., Strawn, J. R., & Ramsey, L. B. (2019). Pharmacogenetics of sertraline tolerability and response in pediatric anxiety and depressive disorders. Journal of child and adolescent psychopharmacology, 29(5), 348-361.

Rauch, S. A., Kim, H. M., Powell, C., Tuerk, P. W., Simon, N. M., Acierno, R., … & Hoge, C. W. (2019). Efficacy of prolonged exposure therapy, sertraline hydrochloride, and their combination among combat veterans with posttraumatic stress disorder: a randomized clinical trial. JAMA psychiatry, 76(2), 117-126.

Reply 2

 

The medication that should be offered to the patent who is having mental issues having no signs of having a life and may significantly develop suicidal throughs of which she denies that she might have. The patient is having mild depression that has caused her to have a negative attitude towards life stating that the family members can easily do without her if she would not be there. Mild depression is a mental illness that is associated with sadness feeling having loss of interest and causing a range of behavioral changes and physical symptoms including sleep alteration, appetite alteration, and energy levels (Schröder et al., 2017).  The medication for such an illness will include having a counseling session to help her restore her mental strength and identify the possible environmental or social source of her stress before developing an effective counseling session making her understand that the life challenges exist and can be overcome through various solutions. 

The recommended medication for the patient would be Selective serotonin reuptake inhibitors (SSRIs) which are having few side effects when use and are effective in restoring the brain coordination responsible for the depression illness (Otto-Meyer et al., 2020) The dose would include taking a dose paroxetine 20 mg PO qDay before graduating to the increased content by 10 mg/day but should not be more than 50 mg qDay. The medication will be taken alongside the occasional therapy counseling the patient about the affected interests, work-related and the family that are the possible causes of the patient’s stress. The family should also be involved in the session to help her recover from the social problem and degenerate the social support.

She Comes Back in 2 Weeks and States She Has Not Noticed and Change in Her Mood Since Starting on The Medication. What Would Be Your Response?

Angela has not been able to see any remarkable change after taking the paroxetine as a Selective serotonin reuptake inhibitor for relieving the depression illness. The Selective serotonin reuptake inhibitors that have been applied in the patient work by having alterations to the normal functioning of the body organs with the expected side effects of paroxetine including having nausea, difficulty in falling asleep at night causing Insomnia, lack of energy, and may extend to dry mouth and dizziness (Hieronymus et al., 2018). The patient within the two weeks may therefore still feel the lack of energy that was a major symptom with insomnia cases and the future not noticing any major changes after using the medication for two weeks.

The information that I will give the patient is to continues with the doses that were previously prescribed with an additional 50 mg qDay of the Selective serotonin reuptake inhibitors paroxetine to help her get better. The other information that I would inquire about is to let her record the side effects noted to compare with the noted side effects to make the necessary adjustment that might include the change of the medication or using the medication alongside the other over-the-counter medications. The response will also include taking the therapy session alongside the medication for comprehensive treatment.

What Are the Possible Problems with The Medication You Prescribed?

The medications that are used to cure depression and mood disorders work differently with the common variable being to correct the hormonal balance in the brain responsible for the mood alteration (Sun et al., 2017) it is the balance that the antidepressant medication solves the mood of the patient, however, the medication that has been used in Angel’s case is specifically paroxetine with various side effects to the patient that are like the depression symptoms. The noted problem with the use of paroxetine as prescribed to Angela is that they are not able to restore the normality and controlling the symptoms within the shortest time as expected by the patient. the possible problem of using paroxetine is showing side effects including weakness, nausea, dry mouth, insomnia, headache, anxiety, and nervousness (Khushboo, & Sharma, 2017). The problem with the side effects will be experienced during the initial’s first two weeks as the body will be reacting to the medications. the continuous use of the medication however should at long last improve the mood of the patient and restore normality with great energy and proper sleeping pattern. The patient should be made aware of the expectations.

How Long Should You Continue the Treatment Regimen?

The treatment schedule for Angela will focus on controlling the major manifestations including insomnia, boredom, loss of interest, and getting tired most of the time. The use of the selective serotonin reuptake inhibitors paroxetine will be expected to be effective in controlling most of the symptoms within a month (Kantor et al., 2017). The therapy however should be done even after the symptoms have been controlled.  The therapy session will include weeks of engaging the patient on the various possible lifestyle and social stressors and eliminating them or control them to get better. The patient will additionally need seasonal therapy sessions that might be done for a year to make the patient emotionally stable and have regular clinical checkups afterward.

References

Hieronymus, F., Lisinski, A., Nilsson, S., & Eriksson, E. (2018). Efficacy of selective serotonin reuptake inhibitors in the absence of side effects: a mega-analysis of citalopram and paroxetine in adult depression. Molecular Psychiatry, 23(8), 1731-1736.

Kantor, S., Varga, J., Kulkarni, S., & Morton, A. J. (2017). Chronic Paroxetine treatment prevents the emergence of abnormal electroencephalogram oscillations in Huntington’s disease mice. Neurotherapeutics, 14(4), 1120-1133.

Khushboo, S. B., & Sharma, B. (2017). Antidepressants: mechanism of action, toxicity and possible amelioration. J. Appl. Biotechnol. Bioeng, 3, 1-13.

Otto-Meyer, S., DeFaccio, R., Dussold, C., Ladomersky, E., Zhai, L., Lauing, K. L., … & Wainwright, D. A. (2020). A retrospective survival analysis of Glioblastoma patients treated with selective serotonin reuptake inhibitors. Brain, Behavior, & Immunity-Health, 2, 100025.

Schröder, J., Berger, T., Meyer, B., Lutz, W., Hautzinger, M., Späth, C., … & Moritz, S. (2017). Attitudes towards internet interventions among psychotherapists and individuals with mild to moderate depression symptoms. Cognitive therapy and research, 41(5), 745-756.

Sun, L., Sun, Q., & Qi, J. (2017). Adult hippocampal neurogenesis: an important target associated with antidepressant effects of exercise. Reviews in the Neurosciences, 28(7), 693-70

Help Facilitate Successful Interdisciplinary

Help Facilitate Successful Interdisciplinary

https://www.myamericannurse.com/interprofessional-collaboration-made-easy/

https://tigerconnect.com/blog/5-benefits-of-interprofessional-collaboration-in-healthcare/

Interdisciplinary communication/collaboration has been researched and used with success to better patient outcomes and satisfaction across all areas of healthcare. Please take a moment to review the articles provided and then be prepared to share your own thoughts about how you can help facilitate successful interdisciplinary communication and collaboration that will positively impact your patients.

You will develop a realistic scenario that describes how several different healthcare disciplines collaborate to provide safe and effective care to a patient in the hospital, skilled nursing facility, or outpatient setting. Consider some different scenarios that demonstrate how different healthcare professionals must communicate and work together to provide care to a patient.

For example, you as the nurse must coordinate the administration of pain medications before physical therapy comes to work with your patient. Think of how many different disciplines may be involved with the simple act of getting the patient to the physical therapy department on time…there are many! You may need to call the doctor to get the order for pain medication, then call the pharmacy to have medication delivered to your unit. The CNA or PCT will have to make sure that the patient has assistance getting cleaned up for the day and is ready to go. Finally, you must communicate with physical therapy to find out when the patient is scheduled so you can administer the pain medication before the patient leaves the unit.

Other examples that require interdisciplinary communication/collaboration: getting a patient ready for surgery or discharge, admitting a patient to your unit from the ED, or sending your patient off the unit for a procedure.

2-3 pages Apa

Health Education Plan Health

Health Education Plan Health

Assignment.Week 1: Admission Assessment Comprehensive Holistic Assessment Tool ( CHAT)

Required: One a week 

Assignment.KATZ Index of Activities of Daily Living

Requirement: Once a week 

Assignment.Daily Assessment Tool

Requirement: 2x/week 

Assignment.MIni Mental Status Questionnaire

Requirement: 1 a week 

Assignment.Health Education Plan

Requiurement: Once a week 

Assignment.Medication Card

3 medication Cards for 2 patients for this week. 

Assignment.Care Plan

Requirement: Once a week
3 nursing diagnoses with nursing interventions. 

Assignment.Health Education Plan

Health Education plan must be made for your assigned patient. The requirement is one a week.
It mmust be visually appealing and in terms that your patient’s can undertsand.
I am attaching a sample. 

Week 2: May 21 & 22, 2022 UpAssignment.Admission Assessment Comprehensive Holistic Assessment Tool ( CHAT)

Required 1 a week 

Assignment.KATZ Index of Activities of Daily Living

Once a week 

Assignment.Daily Assessment Tool

Required 2 a week 

Assignment.MIni Mental Status Questionnaire

Requirement: once a week

Assignment.Care Plan Week

Requirement: Once a week
3 nursing diagnoses with nursing interventions. 

Assignment.Hand-off Report

Required 2 times a week 

Assignment.Health Education Plan

Health Education plan must be made for your assigned patient. The requirement is one a week.
It mmust be visually appealing and in terms that your patient’s can undertsand.
I am attaching a sample.

So basically repeat the same format for week one and week two BUT  2 different patient and different 2 different diagnosis and care plan.

NB PLEASE SEE ATTACHED FORM TO BE FILLED FOR EACH ASSIGNMENT AND THE SAMPLE HEALTH EDUCATION PLAN. 

I need this by noon on Saturday…