TTB peers response

Please add reference and send it as soon as possible 

WRITTEN PHILOSOPHY OF NURSING PRACTICE

  • Reflect on your philosophy of nursing practice that you have been developing.
  • Review the middle range nursing theories that you have applied to your philosophy of nursing practice and make any necessary refinements in your thinking and explanations.
  • Consider how the interdisciplinary theory you researched  can further inform your philosophy of nursing practice. 

Complete your written philosophy of nursing practice in a Essa y of 3–5 pages, plus cover page, introduction, summary and references page.

Discussion questions

Discussion Questions:

1. Because the patient’s reported hallucinations are not persecutory, as a clinician, what medications would you start with?

2. What treatments (pharmacological and non-pharmacological) are most effective for patients with extensive trauma history?

3. What symptoms could be co-occurring in relation to PTSD vs schizophrenia for this patient?

4. Define Schizophrenia and the symptoms related to schizophrenia?

Must have 2-3 reference for each questions listed above

Discussion

Preparing the Discussion

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. 

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. 

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members: 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? 

3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.

BHA435 CASE 3 Drop Box

9/11/23, 2:05 PM SLP – BHA435 Healthcare Quality Assessment and Improvement (2023AUG14FT-1)

https://tlc.trident.edu/d2l/le/content/201354/viewContent/5059890/View 1/2

Module 3 – SLP

HEALTHCARE DELIVERY SYSTEMS QUALITY AND
IMPROVEMENT PROGRAMS

Review the following article:

Agency for Healthcare Research and Quality. (2013). Module 14: Creating quality
improvement teams and QI plans. Retrieved from
https://www.ahrq.gov/professionals/prevention-chronic-
care/improve/system/pfhandbook/mod14.html

Using the improvement plan you developed in your Module 3 Case Assignment,
create a team to execute the plan/project. In a 6- to 8-slide PowerPoint Presentation
(PPT), complete the following:

1. Brief Overview of Plan/Project – Dedicate 1-2 slides to briefly overview the
improvement plan/project.

2. Identify Team Members – Identify 4-5 team members, making sure to include one
of the recommended team members from the AHRQ article. Explain each team
member role and importance.

3. Team Organizational Chart – With you heading the team, create an organizational
chart with the identified team members.

See the Smart Draw Organizational Chart for an example of an organizational chart
and explanation: https://www.smartdraw.com/organizational-chart/

SLP Assignment Expectations

Conduct additional research to gather sufficient information to justify/support your
training.

1. Limit your response to a maximum of 10 slides (title and reference slide is not
included in page number count).

2. Support your responses with peer-reviewed articles, with 2 to 3 references. Use
the following link for additional information on how to recognize peer-reviewed
journals:
How to Recognize Peer-Reviewed (Refereed) Journals
http://www.angelo.edu/services/library/handouts/peerrev.php.

Listen

9/11/23, 2:05 PM SLP – BHA435 Healthcare Quality Assessment and Improvement (2023AUG14FT-1)

https://tlc.trident.edu/d2l/le/content/201354/viewContent/5059890/View 2/2

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3. You may use the following source to assist in formatting your assignment:
Purdue Owl – https://owl.english.purdue.edu/owl/resource/560/01/.

4. For additional information on reliability of sources, review the following
source: https://nccih.nih.gov/health/webresources.

5. This assignment will be graded based on the content in the rubric.

6. Be sure that you do not cut and paste material into your slides, but use proper
quotations where needed, and also citations for all reference materials. The same
expectations apply to PowerPoint presentations as to documents.

Holistic Approach and Caring Science

Please see the 2 attachments for the instructions 

week 3 discussions

   

Week 3 Discussion Forum

  • Why  is your research needed, and how will it affect social change or change  within your organization? Discuss the key people involved and how your  research will affect them.

Nursing Cultural assignment

Please see attachment

LEGAL AND ETHICAL ISSUES RELATED TO PSYCHIATRIC EMERGENCIES

The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare.

In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments. 

TO PREPARE

· Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.

THE ASSIGNMENT

In 2–3 pages, address the following:

· Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.

· Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.

· Explain the difference between capacity and competency in mental health contexts.

· Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.

· Identify one evidence-based suicide risk assessment that you could use to screen patients.

· Identify one evidence-based violence risk assessment that you could use to screen patients.

DB

  Due 09/13/23

Respond using APA and include at least 3 scholarly references.

· Review the national healthcare issue/stressor and review the analysis of the healthcare issue/stressor you selected.

**National healthcare issue is Mental health and substance abuse **

· Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.

Add a section to the topic you previously submitted. The new section should address the following in 1-2 pages:

· Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.

· Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.

· Critique the policy for ethical considerations and explain the policy’s strengths and challenges in promoting ethics.

· Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.

· Cite evidence that informs the healthcare issue/stressor and/or the policies and provide three scholarly resources in support of your policy or practice recommendations.

·