1. Take a moment to check in on your own mental health. How are you practicing self-care? If you or your friend or family member needed mental health support, where would you turn to?

2.How has learning about mental health and mental illness changed your perceptions or previous assumptions?

Complete the Health Care Policy and Determinants worksheet.

Cite at least 2 reputable references used to complete your prompts and chart. Reputable references include trade or industry publications, government or agency websites, scholarly works, a textbook, or other sources of similar quality.

Format your references section and references used in your prompts and chart according to APA guidelines.

Discuss the interrelationship among theory, practice, and research. 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice and the ways worldview and nursing theory influence that practice.

Draft a 1,000-1,250 word paper in which you:

1. Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards patient care.
2. Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care.
3. Include in your explanation a specific example of a past or current practice and how your worldview and the nursing theory could assist you in resolving this issue.
4. Finally, explain how your worldview and the nursing theory will assist you in further developing your future practice.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content

The first requirement of the research capstone project is to select a topic. The topic must address all the objectives for the Health Care Administration program (provided below). In addition, the topic you select should be a current (within 3 years) health care administration issue and should be relevant to the field of health care administration/management/leadership. Ensure that whatever topic you choose, there is enough scholarly research and evidence to support your research efforts. Communicate with your instructor for additional guidance in the selection of your research topic. .  

Assessment 1 Instructions: Enhancing Quality and Safety

• PRINT
• For this assessment, you will develop a 3-5 page paper that examines a safety quality issue pertaining to medication administration in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.Health care organizations and professionals strive to create safe environments for patients; however, due to the complexity of the health care system, maintaining safety can be a challenge. Since nurses comprise the largest group of health care professionals, a great deal of responsibility falls in the hands of practicing nurses. Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce medical errors and sentinel events such as medication errors, falls, infections, and deaths. A 2000 Institute of Medicine (IOM) report indicated that almost one million people are harmed annually in the United States, (Kohn et al., 2000) and 210,000–440,000 die as a result of medical errors (Allen, 2013).The role of the baccalaureate nurse includes identifying and explaining specific patient risk factors, incorporating evidence-based solutions to improving patient safety and coordinating care. A solid foundation of knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals (NPSGs) program is vital to practicing nurses with regard to providing and promoting safe and effective patient care.You are encouraged to complete the Identifying Safety Risks and Solutions activity. This activity offers an opportunity to review a case study and practice identifying safety risks and possible solutions. We have found that learners who complete course activities and review resources are more successful with first submissions. Completing course activities is also a way to demonstrate course engagement.Demonstration of Proficiency
  By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
  • Competency 1: Analyze the elements of a successful quality improvement initiative.
    • Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.
  • Competency 2: Analyze factors that lead to patient safety risks.
    • Explain factors leading to a specific patient-safety risk focusing on medication administration.
  • Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
    • Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.
    • Identify stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements with medication administration.
  • Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
    • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling.
    • Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
  • References
    Allen, M. (2013). How many die from medical mistakes in U.S. hospitals? Retrieved from https://www.npr.org/sections/health-shots/2013/09/20/224507654/how-many-die-from-medical-mistakes-in-u-s-hospitals.Kohn, L. T., Corrigan, J., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.Professional Context
    As a baccalaureate-prepared nurse, you will be responsible for implementing quality improvement (QI) and patient safety measures in health care settings. Effective quality improvement measures result in systemic and organizational changes, ultimately leading to the development of a patient safety culture.Scenario
    Consider a previous experience or hypothetical situation pertaining to medication errors, and consider how the error could have been prevented or alleviated with the use of evidence-based guidelines.Choose a specific condition of interest surrounding a medication administration safety risk and incorporate evidence-based strategies to support communication and ensure safe and effective care.   For this assessment:
  • Analyze a current issue or experience in clinical practice surrounding a medication administration safety risk and identify a quality improvement (QI) initiative in the health care setting.
  • Instructions
    The purpose of this assessment is to better understand the role of the baccalaureate-prepared nurse in enhancing quality improvement (QI) measures that address a medication administration safety risk. This will be within the specific context of patient safety risks at a health care setting of your choice. You will do this by exploring the professional guidelines and best practices for improving and maintaining patient safety in health care settings from organizations such as QSEN and the IOM. Looking through the lens of these professional best practices to examine the current policies and procedures currently in place at your chosen organization and the impact on safety measures for patients surrounding medication administration, you will consider the role of the nurse in driving quality and safety improvements. You will identify stakeholders in QI improvement and safety measures as well as consider evidence-based strategies to enhance quality of care and promote medication administration safety in the context of your chosen health care setting.Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score.
  • Explain factors leading to a specific patient-safety risk focusing on medication administration.
  • Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.
  • Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.
  • Identify stakeholders with whom nurses would coordinate to drive safety enhancements with medication administration.

Objectives:

1. Examine the necessity of clinical      decision support and its impact on clinical practice.
2. Evaluate best practices for      integrating clinical decision support in the practice environment to      support quality and improved outcomes.
3. Examine the challenges of widespread      adoption of clinical decision support.

Resources

• Read Chapters 5, 10, and 21 in Health Informatics: An Interprofessional Approach.
• Read “Clinical Decision Support Systems for Improving Diagnostic Accuracy and Achieving Precision Medicine,” by Castaneda, Nalley, Mannion, Bhattacharyya, Blake, Pecora, Goy, and Suh, from Journal of Clinical Bioinformatics (2015).

https://bibliu.com/app/#/view/books/9780323402255/epub/OEBPS/B9780323402316000107.html#page_453 

https://jclinbioinformatics.biomedcentral.com/track/pdf/10.1186/s13336-015-0019-3.pdf 

• Read “Implementing Clinical Decision Support Systems,” located on the Centers for Disease Control and Prevention (CDC) website.
• Read “Clinical Decision Support,” located on the Health IT website (2018).
• Read “An Overview of Clinical Decision Support Systems: Benefits, Risks, and Strategies for Success,” by Sutton et al., from NPJ Digital Medicine (2020).

https://www.cdc.gov/dhdsp/pubs/guides/best-practices/clinical-decision-support.htm 

https://www.healthit.gov/topic/safety/clinical-decision-support 

Discussions

Discussion 1

Discuss three kinds of clinical decision support and how do you think each is useful. What drawbacks, if any, do you see with each type?

Discussion 2

When is clinical decision support not helpful? Considering the problem of alert fatigue, discuss when it might not always be the answer to the problem. Provide a specific example in your response.

Assignment – Case Study (Attached as a word file)

The purpose of this assignment is to evaluate clinical decision support and its importance in health care delivery systems. In this assignment, read the Case Study at the end of Chapter 10 in Health Informatics: An Interprofessional Approach (You can access it in Bibliu): https://bibliu.com/app/#/view/books/9780323402255/epub/OEBPS/B9780323402316000107.html#page_453

book link

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.  

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To Prepare

• Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
• Reflect on situations in which children should be prescribed drugs for off-label use.
• Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

NURS 1380: LPN Scope of Practice Reflection Paper

You will write a reflection paper discussing the scope of practice of an LPN. There are 4 sections in this assignment. Each section must be at least 2 paragraphs (approximately 3-5 sentences each) and in your own words.

Section 1: Discuss the LPN scope of practice and pick 3 areas from the attached list from the Minnesota Boards of Nursing. Give an example for each scope and discuss how you will perform this at the bedside as a licensed LPN. What are some specific tasks that you might be expected to complete that would meet these requirements?

Section 2: What did you learn in section 1? What can an RN do that an LPN cannot? Is there anything that surprised you?

Section 3: Discuss how you will delegate tasks to Nursing Assistants. What can you ask them to do?

Section 4: Discuss and reflect on how you, as a LPN, will ensure you are practicing within your scope. How will you communicate with other medical professionals what your scope includes and does not include? What would you do if someone delegated a task outside of your scope?

• Your paper should not be more than 3 -5 pages in length.
• Each section must be at least 2 paragraphs (3-5 sentences per paragraph).
• It must be double spaced with 1” margins.
• Use 12-point font, either Times New Roman or Arial.
• You do not need to include a title page for this assignment.
• If you utilize any additional references, include a separate reference using APA format.

Be sure to reach out to the writing center for help if you need it. They are happy to help you.