Week 8 Discussion

For this assignment, you will review and reflect on the LGBT articles. These articles can be applied to healthcare providers in the multiple care settings. Discussion of the article is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

• Discuss any “take-away” thoughts from the articles.
• How do you plan to make a positive impact on the care of LGBT patients when you become a NP?
• What attitudes/behaviors/communication/understanding is important for the NP to have?
• What specific screenings / interventions will you incorporate into practice when providing care to a LGBT patient?

Article: Delivering Culturally Sensitive Care to LGBTQI Patients

Article: Nurse Practitioner Knowledge, Attitudes and Beliefs When Caring for Transgender People

Diabetics Mellitus

Must be 6-7 pages with reference page
Must include an introductory paragraph that describes everything on the topic
The project must have all of the following: identification of the alteration in health (disease), the role nutrition plays in the prevention of this disease, its etiology, progression, treatment, recommended diet, type of nursing assessment and nursing interventions needed with regard to nutrition, outline of what should be included in client education and two strategies to help ensure adherence (overcome barriers) to the recommended diet.
Must have a title page and an APA Editorial formatted Reference page with at least three scholarly peer reviewed references.
There must also be appropriate APA Editorial formatted in-text citations.
find attached a rough outline i did.

IP Health Care Issues And Trends

After witnessing your presentation to the staff of the multi-specialty group practice the office manager and physicians are impressed and asks you to conduct more in-service training regarding the future of health information technology in the office. In a 3-5 page APA 7 assignment not including title pg and reference pg Discuss the below information:

References must be within the last 4yrs and US based.

Choose and discuss three medical technologies from the following list that are forecast to improve or otherwise change in the future. Give at least one example of how each might be applied in medical situations.
Computer hardware
Data storage
Wireless technology
Networking bandwidths and data compression
Data storage retrieval
Security and encryption
Internet
3-D computing
Database software
Sensors
Social media

Journal Entry

PMHNP PRAC 6645 Clinical Skills

Self-Assessment Form

Desired Clinical Skills for Students to Achieve

Confident (Can complete independently)

Mostly confident (Can complete with supervision)

Beginning (Have performed with supervision or need supervision to feel confident)

New (Have never performed or does not apply)

Comprehensive psychiatric evaluation skills in:

Recognizing clinical signs and symptoms of psychiatric illness across the lifespan

X

Differentiating between pathophysiological and psychopathological conditions

X

Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)

X

Performing and interpreting a mental status examination

X

Performing and interpreting a psychosocial assessment and family psychiatric history

X

Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).

X

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

X

Formulating diagnoses according to DSM 5 based on assessment data

X

Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes

X

Pharmacotherapeutic skills in:

Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management)

X

Evaluating patient response and modify plan as necessary

X

Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)

X

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan

X

Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation)

X

Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups

X

Develop an age appropriate individualized plan of care

X

Provide psychoeducation to individuals, family, and/or groups

X

Promote health and disease prevention techniques

X

Self-Assessment skills:

Develop SMART goals for practicum experiences

X

Evaluating outcomes of practicum goals and modify plan as necessary

X

Documenting and reflecting on learning experiences

X

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

X

Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings

X

Identifies ethical and legal dilemmas with possible resolutions

X

Demonstrates non-judgmental practice approach and empathy

X

Practices within scope of practice

X

Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:

Demonstrates selecting the correct screening instrument appropriate for the clinical situation

X

Implements the screening instrument efficiently and effectively with the clients

X

Interprets results for screening instruments accurately

X

Develops an appropriate plan of care based upon screening instruments response

X

Identifies the need to refer to another specialty provider when applicable

X

Accurately documents recommendations for psychiatric consultations when applicable

X

Summary of strengths:

My foremost strength is professionalism. I definitely fathom my responsibility and I recognize how to uphold limitations with patients and colleagues. In my daily life I make it a practice not to judgment regardless of their situation. It is not hard to apply this habit in my professional practice.

Opportunities for growth:

My greatest opportunity for progress this quarter will be working with groups and families. This will be a new area in this semester. It will be remarkable how to traverse group and family dynamics while commerce with specific traits and interests.

Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.

1. Goal: I want to perform mental status exams on at various patients by the end of this practicum rotation.

a. Objective: Comprehensive psychiatric evaluation skill

b. Objective: Diagnostic Reasoning Skills

c. Objective: Professional Skills

2. Goal: I want to correctly identify clinical signs and symptoms to the corresponding mental illness for each patient that I see this quarter, as evidenced by acknowledging of practicum instructor.

a. Objective: Comprehensive psychiatric evaluation

b. Objective: Diagnostic Reasoning

c. Objective: Shadow and participate in patient care

3. Goal: Will complete 160 hours of clinical hours for this course as required.

a. Objective: Arrive at the clinical site on time and well prepared.

b. Objective: Enter patient information on Meditrek.

c. Objective: Complete time log and patient information on a timely manner during practicum experience.

Signature:

Date: 3/1/22

Course/Section: NURS 6645 PRAC

Discussion Post

Based on last week’s reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly.

Health Care Market

In this assignment you will examine competitive market models and competitive forces in health care economics. Prices, supply and demand, quality of care, consumerism, and provider compensation are affected by the competitive forces found in health insurance and in the labor market. There is a direct relationship between insurance models, the labor market, and the financial performance of health care systems. You will write a paper about the economics of health care market models, health care delivery structures, provider compensation, and financial risk for health care systems.

Instructions

Write at least a 3 page paper in which you:

Analyze your state’s current competitive market model in health care.

Compare and contrast the market power of monopolistic and monopsony markets in health care.

Analyze the main competitive forces and the major factors that influence the fundamental manner in which the competitive forces determine prices, supply and demand, quality of care, consumerism, and providers’ compensation.

Evaluate the positive benefits and negative aspects, respectively, of HMO-managed care from the provider’s point of view—i.e., a physician and a health care facility—and from a patient’s point of view. Provide a rationale for your response.

Assess the efficiency of the types of economic incentives available to providers in the delivery of health care services in your own state.

Use at least four sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library or review library guides.

The Role Of The DNP Practice Scholar

Part II: For Case Study Students

This PICOT question is the foundation for the following DNP project: For adult patients will the implementation of the Palouse Mindfulness Stress Management program impact perceived stress in 8-10 weeks.

Describe your simulated project implementation for Weeks 1–10. (Please note that the intervention must be implemented a full 8 weeks in your simulated plan).

Week 1: (05/03/2022) Education and Pre-implementation and data collection

During the first meeting, the project manager and participants will get to know each other. The DNP project manager will present Palouse Mindfulness-based stress reduction and will clarify the program step by step and how it will work out in the next eight weeks. In what way they can reach the project manager for questions or concerns will be discussed. The manager will clarify that joining is free and optional, but dedication is required. The consent and the pre-test will be completed, and participants will watch a 10-minute video on the introduction to mindfulness stress reduction. There will be time for questions and answers.

In the week one intervention phase, the compliance checklist will be started to monitor participants’ compliance. The first week’s practice will be on simple awareness per the Palouse curriculum. The participants will watch a video on “The Power of Mindfulness.” The video will emphasize the significance of not paying attention to our inner experience but paying attention with kindness. Misunderstanding mindfulness practice, or if our meditation is not peaceful and free of thoughts, we must be doing something wrong. It also discusses how the body, mind, and emotion are tied together. The next step is reading about body scan meditation, the seven myths of meditation, and why it is hard to meditate. Daily practice of meditation is the last stage for each day.

Week 2-9: (05/10/2022-06/21/2022) 8-week implementation plan

From week two to week nine, the project manager and the participants will continue the weekly gatherings online to practice Mindfulness stress reduction management. Week 2 is the steps on attention and the brain, the initial video sharing, readings, and daily practice. Week 3 deals with thoughts and the introduction of yoga. The first step is sharing videos, reading, and daily exercises on dealing with thoughts. Week 4 is Responding Vs. Reacting; it is about how to deal with stress. First, the project manager will share a video, reading, and daily practice with the participant. Week 5 discussed dealing with difficult emotions or physical pain, the first step of sharing videos, then readings about the topic, and daily practice. Week 6 evaluated Mindfulness and communication, listening, and dealing with conflict. The group will share a video on the subject, reading, and daily practice for the day. Week 7 discussed Mindfulness and compassion, loving-kindness meditation & walking meditation. The project manager will share videos, read, and practice the topic for the day. Week 8 is the conclusion and developing a practice of your video and readings. At the end of each session, the project manager will make time for questions, concerns, or clarification.

Week 10: (06/28/2022-07/05/2022) Post-implementation and data Analysis

In week ten, the project manager will collect the post-intervention PSS scores to compare with the pre-implementation results to determine the influence of Mindfulness on perceived stress. The DNP project manager will congratulate all participants for completing the program. Participants will be encouraged to share their views on the survey about the strengths and limitations of the program. To conclude the intervention, the program manager will present the program’s findings to the internal and external stakeholders and the implications of the results.

How is the COVID-19 pandemic affecting organizational operations and how did COVID-19 affect the development of your project?

The Covid-19 pandemic impacted hospitals and clinics so much that the proposed practicum site for my DNP project was affected in many ways. The number of patients decreased because of curfews, social distancing, and the mask mandate. These facts made the initial intake for this project challenging. Most patients feared contracting COVID-19 and even those who got it went straight to the hospital for admission. Many visits changed to telehealth service, which would have been adequate for the mediation piece of the undertaking, but first enrolling the member’s office visits to gather the information would have been required. Hence, the primary reason I decided to do the Palouse Mindfulness stress reduction program’s online program.

Not all participants (staff and/or patients) attended as planned and some staff were out sick. How will you follow up with them?

My project is an online case study that will require very few staff, so if participants fail to show up, I will attempt to reach them via their contact information. We would make three calls, and should the members miss multiple meetings, they will be removed from the intervention as missing multiple weeks could negatively impact the results.

There are float nurses and traveler nurses on the unit. How will this impact your project plan? If this does not apply to your project please discuss another impact that has affected your implementation plan?

My project is an online program, so many staff, float, or travelers will not be involved. The project data will be given through telehealth introductions, dispersed alongside the handout, the PSS scales, and the end-of-program survey. While telehealth is convenient, some aspects impact the DNP project. As a result, each participant will have access to the DNP contact information, mobile phone, or email for different means of contacting and providing of feedback regarding the project.

Internet speed, access, and bandwidth are causing problems with virtual meetings you have set up. What is your backup plan?

If internet speed access becomes problematic, the backup plan should be to use a phone to discuss the goals and readings for that day. The patients would have a link that doubles as both a video call and a phone number to call in if the internet is not working. They will also be sent any presentation slides to be able to follow along with the weekly intervention plan. These options would remove a portion of the visual and personal atmosphere but would act as a method for achieving the objectives of the meeting effectively and keep the members on target.

Also, share an update on your implementation progress. Please share successes, challenges, barriers, and any concerns.

My DNP project update is that my IRB has been approved, and my evaluation log is continuously progressing. I am researching and obtaining my peer-reviewed articles for my project, utilizing all the steps learned from the librarian to acquire more and more level I, II, and III articles to complete evidence-based articles and Literature Synthesis. Challenges and barriers in this DNP project will not stop until the last day of the program. A larger barrier is trying to understand what is required for this new class, NR 707. It is totally different from other discussions in previous courses. After consulting with my professor and the Let’s check-in by Dr. Schroetter, I gained a little more insight. It will get better now that we are hands-on with it.

Our discussion for this week is focused on the role of the DNP as a practice scholar. How have you demonstrated your role as a clinical scholar in your current position?

The role of a DNP practice researcher is to translate, make an interpretation, educate, train and lead others with a focus on the high outcome of patient care. DNP scholars have clinical advancements in the medical services, they are knowledgeable in complex problems. Moreover, the DNP-prepared nurse has a tremendous scope of the information they can use to handle these mystifying medical or mental matters. DNP researchers can lead clinical development by utilizing nursing resources. Implementing nursing knowledge (experimental information, moral knowing, and others), hypothetical models, and closing gaps inside the microsystem, mesosystem, and macrosystem work toward this (Zaccagnini et al., 2017). The DNP practice nurse can assume a fundamental part of authority as CNO, thereby affecting positive changes in the medical services framework, either by redesigning its plans or through methodical support envisaged approaches (Sherrod and Goda, 2016). The DNP researcher will impact change by impelling information and applying abilities as a teacher (Hammatt and Nies, 2015). AS a DNP practice nurse, I constantly utilize and navigate these systems advanced as a pioneer, expert, and in-between expert to enhance strategic improvement modifications at all levels that will lead to good quality patient outcomes.

How do you anticipate integrating this role into your current or future career?

To improve or upgrade my initiative capacity, I intend to incorporate the information and abilities (for instance, the eight DNP fundamentals and essentials) I got from my DNP training. I additionally anticipate working with my insightful organization by being centered around applying proof-based intercessions that will assist with working toward persistent results.

References

Hammatt, J. S., & Nies, M. A. (2015). DNP’s: What Can We Expect? Nurse Leader, 13(6), 64-67. doi:10.1016/j.mnl.2015.03.014

Sherrod, B., & Goda, T. (2016). DNP-prepared leaders guide healthcare system change. Nursing Management (Springhouse), 47(9), 13-16. doi:10.1097/01.numa.0000491133.06473.92

Zaccagnini, M. E., & White, K. W. (2017). The Doctor of Nursing practice essentials: A new model for advanced practice nursing (3rd ed.). Jones & Bartlett.

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE AT LEAST 3 SOURCES NO LATER THAN 5 YEARS

Concepts For Clinical Judgment

In at least three pages, answer the following questions:

What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?
Additional sources are not required but if they are used, please cite them in APA format.

Influential Public Health Leader

Overview:

Each year Time magazine publishes “The Most Influential People” in the nation—they are artists, icons, pioneers, and leaders in their respective fields. For more than 100 years, health care has eradicated diseases, promoted safer communities, and enacted reform. None of these achievements would have been possible without the dedication of those warranting change. Consider the qualities you admire in leaders and identify your personal influential leader in public health.

Instructions:

Write a 2 paper in which you:

Describe in a brief way the leader’s contribution to the field of health care. Speculate on how this person would define leadership, and determine his or her leadership style.

Articulate how he or she was a pioneer, group organizer, motivator or visionary. Examine the major factors that positively or negatively influenced the leader’s success.

Provide specific examples of the areas in which you can personally identify with this leader’s circumstances, struggles, or insights. Recommend two approaches the leader could have employed to be more effective or acceptable. Justify your answer.

Suggest two lessons you learned from this person’s experience. Conclude how these lessons will help you become a better leader.

Use at least four quality academic resources in this assignment. Note: Wikipedia does not qualify as an academic resource.

Discussion: Ethics, Cyber Ethics, And Security

In recent years, hackers have targeted medical records, from hospitals and other healthcare institutions, across the country. These records contain personal information, contact information, and most importantly, for the hackers, information that may prove useful in stealing an identity. Thus, healthcare organizations have made it a priority to protect patient records and privacy. However, with the influx of technological advancements and hacker determination, there is no perfect way to ensure that all records are secure and safe.

Photo Credit: Getty Images/Blend Images
In addition to medical records, privacy concerns are relevant with any patient chart in any setting. For example, a chart left open on a computer monitor in a patient room, employee passwords and log-in information, and new employee access and screening all represent other ways in which ethics and security merge in healthcare and nursing practice.

For this Discussion, you will consider the importance of ethics as it relates to security. You will also reflect on how these topics might affect clinical practice and the connection to nursing informatics.

To Prepare
Review the Learning Resources associated with the topics of ethics, cyber ethics, and security.
Consider the role of each of these topics for clinical practice, as well as the importance of understanding each of these topics.
Reflect on how COVID-19 might have impacted each of these topics, which reviewing the article, “The COVID-19 Pandemic Highlights Shortcomings in US Health Care Informatics Infrastructure: A Call to Action.”
By Day 3 of Week 9
Post a cohesive response that addresses the following for each of the topics of ethics, cyber ethics, and security:

Explain how each of the topics might impact clinical practice. Describe why it is important to understand how ethics applies to clinical practice. Be specific and provide examples.
How might ethics apply to informatics, e-health records, importance of passwords and security?
After reviewing the article, “The COVID-19 Pandemic Highlights Shortcomings in US Health Care Informatics Infrastructure: A Call to Action,” describe potential impacts of the pandemic on ethics and security as it applies to clinical practice. Be specific and provide examples.